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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
Oneonta, NY $151.17 $69.62 – $184.99 51,202 14
Wake Forest, NC $71.20 $0.00 – $325.01 51,240 31
Lawrenceburg, IN $67.18 $9.81 – $109.77 51,348 25
Plymouth, MA $76.75 $0.00 – $196.22 51,366 61
Downey, CA $58.82 $0.00 – $415.94 51,408 34
Woodland, CA $65.25 $0.00 – $430.78 51,461 48
Malone, NY $109.86 $51.32 – $405.78 51,469 7
East Longmeadow, MA $55.13 $19.93 – $125.69 51,540 18
Clayton, NC $69.59 $3.21 – $136.89 51,584 36
Barre, VT $58.09 $0.00 – $312.54 51,614 26
Newington, CT $60.39 $0.00 – $117.76 51,625 30
Opelousas, LA $20.86 $0.00 – $58.17 51,633 30
Hutchinson, MN $98.66 $50.23 – $159.47 51,820 40
Hope, AR $62.66 $26.02 – $115.10 51,890 22
Camden, SC $103.58 $70.03 – $124.24 51,979 10
Independence, OH $73.54 $24.68 – $125.35 52,106 50
Manchester, TN $35.04 $0.00 – $116.80 52,177 14
Tiffin, OH $49.75 $2.39 – $123.96 52,203 29
Hamilton, MT $57.81 $0.00 – $101.42 52,240 28
Rialto, CA $105.05 $3.24 – $336.08 52,252 17
Crownsville, MD $108.08 $53.55 – $168.02 52,310 6
Elgin, IL $45.23 $0.00 – $162.14 52,323 27
Colchester, VT $72.91 $4.17 – $101.28 52,376 16
Golden Valley, MN $87.87 $32.95 – $218.09 52,429 61
Pacoima, CA $93.42 $0.00 – $405.41 52,485 23
Woodland Hills, CA $157.18 $0.00 – $357.23 52,515 45
Bismarck, ND $98.38 $0.00 – $290.43 52,542 115
Lincoln, RI $69.87 $0.00 – $102.32 52,549 32
Brea, CA $114.79 $0.00 – $372.91 52,551 14
Hays, KS $34.79 $0.00 – $160.17 52,640 44
Greenville, MI $74.04 $1.29 – $96.47 52,648 11
Porterville, CA $44.55 $0.00 – $398.76 52,662 22
Greenwood Village, CO $79.12 $0.00 – $141.63 52,674 35
Kettering, OH $77.60 $22.18 – $106.30 52,676 45
Gautier, MS $63.08 $1.58 – $94.16 52,727 7
Gresham, OR $147.30 $0.00 – $312.64 52,758 95
Lisbon, OH $75.34 $23.79 – $117.91 52,867 45
Woodbridge, CT $80.76 $0.00 – $708.05 52,900 28
Farmville, VA $79.13 $13.68 – $124.01 52,964 29
Racine, WI $47.66 $20.30 – $129.01 52,995 53
Sugar Land, TX $78.53 $0.00 – $252.53 53,049 43
Vacaville, CA $60.80 $0.00 – $323.89 53,070 56
Turlock, CA $96.40 $0.00 – $358.71 53,161 26
St Johnsbury, VT $62.21 $0.00 – $91.84 53,170 31
Thomasville, GA $90.55 $0.46 – $143.78 53,173 13
Ethel, LA $30.77 $24.46 – $54.08 53,177 3
Garfield Heights, OH $75.60 $10.62 – $130.45 53,213 45
Gonzales, LA $19.76 $0.00 – $133.55 53,288 33
Ashland City, TN $85.11 $47.92 – $91.09 53,303 5
Ashland, WI $66.70 $13.31 – $102.05 53,310 29

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.