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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
Great Bend, KS $89.46 $0.00 – $170.76 38,216 29
Delta, CO $79.96 $0.00 – $230.92 38,253 29
Hastings, MI $109.53 $8.21 – $121.03 38,270 6
Elizabethton, TN $30.41 $12.77 – $82.43 38,270 14
Katy, TX $50.22 $0.00 – $168.52 38,317 33
Bettendorf, IA $72.21 $0.00 – $123.95 38,339 24
Highland Park, MI $74.73 $70.13 – $153.00 38,397 3
Deming, NM $122.67 $11.96 – $221.63 38,399 28
Eden Prairie, MN $98.24 $27.04 – $191.52 38,423 41
Pasadena, MD $99.07 $55.37 – $152.34 38,437 12
Front Royal, VA $84.04 $7.11 – $97.85 38,441 12
Delhi, LA $3.58 $0.00 – $64.32 38,451 15
Ruidoso, NM $87.77 $14.93 – $173.84 38,466 27
Chehalis, WA $98.13 $0.00 – $199.76 38,495 35
Cheyenne, WY $57.00 $0.00 – $124.79 38,531 55
Crookston, MN $118.74 $63.78 – $217.65 38,548 25
Sleepy Hollow, NY $96.19 $7.29 – $162.35 38,558 15
Port Townsend, WA $36.14 $0.00 – $127.65 38,572 48
Ojai, CA $95.23 $35.31 – $122.89 38,578 21
Rochester, MA $88.44 $6.68 – $90.72 38,611 6
Rome, GA $70.86 $2.65 – $122.92 38,615 16
Palmer, MA $79.41 $8.76 – $121.84 38,627 13
Southbury, CT $67.78 $1.54 – $120.37 38,693 28
South Plainfield, NJ $97.20 $87.49 – $107.51 38,733 3
Taylors, SC $80.68 $7.88 – $113.10 38,760 10
Frisco, TX $61.15 $6.57 – $140.28 38,763 42
Circleville, OH $71.52 $20.35 – $113.81 38,808 72
Somerville, MA $76.27 $9.27 – $138.26 38,809 37
Fenton, MI $77.14 $62.03 – $87.21 38,818 13
Wynne, AR $76.40 $31.15 – $115.10 38,886 22
Seaford, DE $59.58 $0.00 – $89.31 39,024 15
Albemarle, NC $66.77 $1.02 – $114.23 39,059 38
Deland, FL $38.98 $0.57 – $54.31 39,083 4
New Paltz, NY $90.29 $0.00 – $117.86 39,096 18
Canon City, CO $187.49 $0.00 – $501.45 39,128 47
Lakeland, FL $36.83 $0.00 – $117.17 39,265 42
Pensacola, FL $18.16 $0.00 – $128.70 39,274 53
Libby, MT $49.57 $0.00 – $91.12 39,279 14
Albany, KY $42.11 $0.02 – $49.37 39,280 7
Humble, TX $74.62 $0.00 – $121.70 39,285 27
Garden City, KS $83.81 $0.00 – $208.32 39,307 27
Hobbs, NM $72.69 $0.00 – $146.77 39,332 37
Laredo, TX $71.26 $42.51 – $486.30 39,353 25
Allegan, MI $155.68 $0.79 – $182.75 39,407 6
Valley Village, CA $91.26 $0.00 – $98.02 39,425 7
Lake Oswego, OR $142.73 $39.95 – $460.63 39,437 63
Black, MO $32.14 $28.00 – $50.07 39,574 5
Port Jefferson Station, NY $76.31 $12.76 – $186.24 39,617 18
Lacey, WA $103.91 $0.00 – $257.09 39,696 35
Stafford, VA $82.16 $24.50 – $166.81 39,723 20

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.