Skip to content
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
Cairo, NY $156.90 $56.36 – $161.77 48,663 6
Scotch Plains, NJ $98.19 $4.91 – $238.68 48,760 3
Fort Bragg, CA $36.15 $0.00 – $347.36 48,802 22
Greensburg, KY $61.48 $37.00 – $82.91 48,813 17
Westwood, MA $71.10 $16.13 – $239.04 48,853 9
Loveland, OH $53.24 $3.89 – $111.68 48,948 25
Forrest City, AR $78.95 $10.81 – $113.58 49,034 20
Waverly, OH $56.18 $0.00 – $235.59 49,246 69
Montrose, CO $97.83 $0.00 – $265.98 49,305 44
Brighton, MA $75.66 $0.00 – $151.48 49,403 33
Columbia, TN $71.46 $1.20 – $153.40 49,417 31
Coshocton, OH $67.05 $0.00 – $113.06 49,419 42
Evanston, IL $58.82 $0.00 – $188.95 49,425 44
Randolph, VT $19.08 $0.00 – $96.43 49,428 32
Biloxi, MS $60.44 $0.00 – $128.10 49,442 28
Randolph, MA $72.72 $0.00 – $135.61 49,550 27
Juneau, AK $65.26 $7.41 – $738.48 49,608 26
Covington, TN $57.90 $0.00 – $86.82 49,674 15
Old Saybrook, CT $51.65 $0.00 – $127.79 49,685 28
Spanish Fork, UT $74.68 $27.18 – $147.12 49,781 12
Abilene, TX $72.66 $0.00 – $224.50 49,818 65
Marietta, GA $83.07 $0.00 – $112.71 49,848 46
Nancy, KY $65.60 $2.39 – $139.74 49,864 7
Worthington, OH $72.90 $0.00 – $111.11 49,935 77
Demopolis, AL $95.31 $94.27 – $115.40 50,025 2
Monroeville, AL $90.42 $47.50 – $154.64 50,041 3
Fergus Falls, MN $96.27 $45.17 – $577.74 50,049 38
Waycross, GA $66.37 $5.47 – $79.03 50,167 6
Stevens Point, WI $55.43 $0.00 – $289.23 50,190 49
Franklin Square, NY $87.75 $1.13 – $188.91 50,293 7
Walnut Hills, OH $78.68 $0.00 – $110.81 50,382 74
Wampsville, NY $147.04 $57.47 – $151.50 50,463 12
Christiansburg, VA $74.85 $11.07 – $222.64 50,484 39
Crowley, LA $21.44 $1.33 – $96.50 50,541 28
Maple Grove, MN $97.99 $20.59 – $172.43 50,553 56
Cottage Grove, OR $130.36 $0.00 – $214.95 50,662 53
Owosso, MI $161.71 $21.76 – $261.73 50,680 6
Schaumburg, IL $74.97 $13.67 – $123.89 50,687 20
Moses Lake, WA $33.33 $0.00 – $86.16 50,725 55
Ocala, FL $47.95 $0.00 – $173.51 50,874 44
Sitka, AK $311.39 $52.44 – $862.00 50,928 11
Woodbury, CT $72.81 $0.00 – $96.59 50,963 22
West Monroe, LA $5.80 $0.00 – $71.13 50,980 23
La Jolla, CA $36.00 $0.00 – $168.81 50,998 16
South Pasadena, CA $205.05 $0.15 – $407.00 51,088 28
Marlton, NJ $81.35 $0.27 – $399.09 51,089 35
Espanola, NM $94.68 $5.12 – $180.84 51,096 53
Huron, SD $95.99 $89.05 – $133.08 51,144 4
Bryant, AR $77.82 $24.25 – $107.70 51,168 33
Milford, DE $53.83 $0.00 – $116.72 51,176 23

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.