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Based on public Medicaid payment data.

Average Medicaid Psychiatric Evaluation Payments

Typical Medicaid Psychiatric Evaluation reimbursement across 10,180 cities

Avg. Medicaid Paid

$79.46

Price Range

$0.00 – $861.78

Total Claims

359.1M

Cities

10180

Typical Payment Range

Typical Medicaid Psychiatric Evaluation payments fall between $44.37 and $97.13 per claim (median: $73.35). The top 10% of payments exceed $130.02.

Based on per-provider averages across all Medicaid claims in this category.

About This Procedure

Psychiatric evaluations assess mental health conditions through clinical interviews, observation, and sometimes psychological testing.

Why do these costs look low?

These figures represent Medicaid reimbursement rates β€” the amounts that state Medicaid programs actually paid providers. Medicaid typically reimburses significantly less than private insurance or out-of-pocket prices. If you have private insurance or are paying cash, expect higher costs. See the cost components below for per-code averages.

Costs by City

City Avg. Paid Min / Max Claims Providers
Manalapan, NJ $129.50 $1.93 – $144.35 36,403 7
Ankeny, IA $70.38 $9.69 – $133.79 36,477 52
Lafayette, CO $51.83 $0.00 – $363.97 36,528 65
Middle Village, NY $79.25 $56.09 – $140.71 36,578 9
Northfield, NJ $77.83 $4.62 – $381.32 36,588 8
Centralia, WA $62.27 $0.00 – $288.29 36,648 48
Bolivar, MO $68.28 $0.00 – $297.75 36,733 23
Spring, TX $60.15 $0.00 – $117.81 36,740 32
Broomfield, CO $73.29 $0.00 – $445.24 36,836 42
Atascadero, CA $147.37 $0.00 – $262.68 36,868 29
Springfield Gardens, NY $88.21 $46.94 – $91.60 36,883 4
Burlington City, NJ $59.59 $0.00 – $65.97 36,884 4
South Point, OH $73.34 $0.00 – $111.11 36,940 50
Chelsea, MA $74.53 $0.00 – $170.89 36,949 41
Fairmont, WV $87.21 $26.36 – $127.69 36,953 17
Easthampton, MA $91.10 $0.00 – $191.08 37,030 27
Cleveland Heights, OH $73.85 $17.22 – $161.19 37,051 36
Lutherville, MD $34.67 $0.00 – $157.80 37,053 20
Mexico, MO $65.42 $0.00 – $179.39 37,108 27
Mineola, NY $97.17 $5.77 – $133.46 37,143 16
Crestview Hills, KY $43.32 $18.42 – $122.36 37,160 31
Fordyce, AR $80.50 $43.13 – $95.02 37,205 13
Fishers, IN $50.77 $22.23 – $127.94 37,229 24
Santa Clarita, CA $266.05 $0.00 – $389.60 37,260 29
Lordsburg, NM $187.48 $75.97 – $222.80 37,266 4
National City, CA $9.14 $0.00 – $94.79 37,287 22
Turnersville, NJ $68.52 $0.00 – $231.90 37,300 7
Alexandria, MN $91.81 $54.87 – $178.06 37,382 47
Lebanon, CT $46.71 $26.42 – $92.17 37,485 7
West Sacramento, CA $53.36 $0.00 – $443.48 37,494 26
Belleville, NJ $11.84 $0.00 – $64.98 37,499 6
Newton Falls, OH $23.67 $1.15 – $89.49 37,554 6
Burtonsville, MD $122.22 $12.98 – $131.40 37,592 3
Cumming, IA $62.30 $62.30 – $62.30 37,666 1
Yauco, PR $16.06 $0.00 – $36.13 37,691 14
Pleasant Hill, CA $91.02 $0.00 – $468.47 37,699 20
Pico Rivera, CA $116.27 $0.00 – $341.21 37,703 13
Whiteville, NC $52.88 $0.00 – $111.90 37,708 34
Forest Park, IL $64.12 $0.48 – $154.53 37,871 21
Sanford, NC $69.30 $0.00 – $351.80 37,901 44
Reidsville, NC $67.97 $0.00 – $111.49 37,942 37
Orange City, IA $69.35 $54.12 – $103.40 37,971 10
Sarasota, FL $42.82 $0.00 – $132.45 37,976 36
Homer, AK $63.13 $0.00 – $261.94 38,052 13
Alpine, CA $8.75 $0.00 – $228.17 38,052 12
Douglasville, GA $76.57 $0.45 – $106.23 38,084 31
Lihue, HI $73.86 $0.00 – $163.72 38,093 22
Eagan, MN $97.05 $27.65 – $249.76 38,102 59
Jonesboro, GA $90.12 $82.58 – $109.37 38,108 15
Ridgewood, NY $85.43 $52.98 – $1,155 38,112 10

Cost Components

National averages for each billing code in this procedure category. Sorted by claim volume.

Code Description Avg. Paid Claims Providers
90837 Psychotherapy 60 min $94.87 127,195,989 96,636
90834 Psychotherapy 45 min $81.07 108,817,687 69,176
90832 Psychotherapy 30 min $54.28 65,774,815 51,093
90853 Group psychotherapy $36.01 35,579,531 19,408
90791 Psychiatric diagnostic eval $120.05 16,146,970 46,312
90833 Psychotherapy 30 min w/E&M $42.78 14,361,341 14,288
90847 Family psychotherapy w/patient $103.69 10,531,444 12,330
90792 Psychiatric eval w/med svcs $129.53 8,419,882 21,097
90846 Family psychotherapy w/o patient $95.45 3,081,240 4,241
90836 Psychotherapy 45 min w/E&M $65.71 1,356,089 2,515
90839 Crisis psychotherapy 1st 60 min $100.68 437,608 1,362
90838 Psychotherapy 60 min w/E&M $67.17 335,848 784
90840 Crisis psychotherapy addl 30 $59.84 44,895 221
90845 Psychoanalysis $6.74 13,021 38

These averages group common billing codes used when providers bill Medicaid for this procedure. Individual costs will vary.