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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
Shelby Township, MI $73.93 $72.71 – $92.33 41,952 4
Middleburg Heights, OH $65.56 $21.64 – $97.79 42,030 40
Grand Blanc, MI $82.74 $46.04 – $105.58 42,052 14
Troy, OH $75.29 $13.89 – $200.00 42,056 50
Brewer, ME $8.61 $0.00 – $26.56 42,085 9
Bryan, OH $59.15 $1.76 – $108.27 42,167 21
Keokuk, IA $73.69 $0.00 – $191.33 42,169 14
Prairieville, LA $45.45 $0.00 – $61.60 42,204 14
Wilkesboro, NC $64.40 $40.63 – $99.50 42,208 27
Maplewood, MN $83.24 $16.05 – $127.05 42,235 40
Riverside, RI $75.13 $0.00 – $181.25 42,253 49
La Porte, IN $67.34 $35.73 – $89.20 42,274 11
Crawfordsville, IN $76.63 $5.65 – $86.71 42,297 8
Menasha, WI $22.66 $0.00 – $91.09 42,336 58
Dunn, NC $66.96 $0.00 – $105.58 42,355 20
Pierre, SD $92.49 $37.12 – $93.22 42,414 5
Owatonna, MN $135.05 $2.26 – $282.35 42,473 45
Sheridan, AR $79.91 $57.93 – $115.90 42,517 25
Lenoir, NC $70.57 $4.61 – $118.98 42,545 29
Guilford, CT $50.75 $0.00 – $102.54 42,560 30
Clarinda, IA $61.10 $34.35 – $136.24 42,621 18
Smithtown, NY $59.79 $5.27 – $267.76 42,632 32
Rock Falls, IL $0.71 $0.00 – $0.71 42,646 3
Wyoming, MI $67.38 $2.17 – $109.45 42,708 15
Huntington, IN $61.86 $15.96 – $112.52 42,808 14
Sparks, NV $76.30 $0.00 – $354.03 42,837 43
Coventry, RI $69.51 $10.32 – $107.35 42,852 13
Wilson, NC $51.61 $0.00 – $116.31 42,859 58
Compton, CA $248.45 $0.00 – $430.78 42,861 28
Hendersonville, TN $43.53 $0.00 – $97.27 42,894 20
Brentwood, TN $28.52 $0.00 – $308.21 42,899 38
Chino Hills, CA $87.18 $0.00 – $173.49 42,913 31
Matthews, NC $61.13 $6.03 – $157.00 42,917 60
Morristown, NJ $56.07 $0.00 – $176.86 42,954 17
Bennetsville, SC $170.55 $170.55 – $170.55 42,956 1
Rochester Hills, MI $76.78 $15.74 – $100.58 42,956 16
Warrenton, VA $64.77 $51.36 – $159.61 42,974 13
Springfield, VA $84.68 $54.95 – $134.08 43,001 23
Manchester, KY $41.18 $0.00 – $77.31 43,012 14
Dover Foxcroft, ME $5.53 $3.84 – $227.14 43,066 4
Colonial Heights, VA $56.95 $8.53 – $100.74 43,074 11
Platteville, WI $70.15 $0.00 – $107.61 43,088 28
New Castle, IN $46.10 $12.40 – $99.23 43,089 22
Red Bluff, CA $67.03 $0.00 – $459.69 43,112 33
Milford, OH $66.48 $7.12 – $134.52 43,159 41
Harahan, LA $84.07 $11.88 – $84.13 43,212 4
Wyckoff, NJ $47.20 $46.19 – $74.92 43,399 2
Marana, AZ $16.65 $0.00 – $112.51 43,421 19
Beavercreek, OH $69.61 $20.99 – $387.10 43,468 40
Middletown, RI $69.97 $0.00 – $119.32 43,483 33

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.