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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
Jefferson City, MO $39.80 $0.00 – $247.90 53,362 85
Mystic, CT $47.87 $0.00 – $95.72 53,392 15
Parma, OH $60.35 $0.00 – $125.79 53,465 63
Chesterfield, MI $78.79 $17.03 – $85.58 53,479 4
Fairfield, IA $85.19 $0.00 – $105.69 53,482 15
Alamosa, CO $216.62 $0.00 – $453.22 53,492 34
Winchester, KY $45.80 $17.35 – $88.95 53,728 23
South Boston, VA $43.09 $5.75 – $85.18 53,792 18
Centreville, MD $104.44 $53.22 – $114.68 53,943 7
Danvers, MA $82.30 $7.39 – $238.65 53,994 36
Southington, CT $62.64 $0.00 – $135.25 54,102 35
Brewster, NY $36.95 $21.86 – $274.86 54,224 15
Oceanside, NY $128.16 $46.84 – $166.96 54,232 11
Rock Island, IL $64.95 $0.00 – $179.68 54,297 35
Troy, MI $48.39 $25.33 – $94.30 54,322 22
Glassboro, NJ $75.27 $0.00 – $96.27 54,331 6
Ogdensburg, NY $171.98 $0.00 – $296.11 54,447 12
Clayton, NJ $77.99 $65.10 – $391.27 54,543 3
Princeton, NJ $84.07 $0.74 – $412.49 54,573 15
Livonia, MI $119.41 $2.42 – $598.56 54,754 28
Palmdale, CA $181.50 $0.00 – $407.25 54,754 46
Temple, TX $54.42 $0.00 – $392.49 54,786 68
Coos Bay, OR $123.33 $0.00 – $232.98 54,827 58
Cheektowaga, NY $88.70 $53.28 – $203.53 54,892 22
Vallejo, CA $36.44 $0.00 – $345.99 54,904 31
Folsom, CA $64.80 $0.00 – $365.54 54,919 50
Tallahassee, FL $17.01 $0.00 – $196.71 54,952 43
Colton, CA $176.28 $0.00 – $676.25 55,037 45
Saranac Lake, NY $100.26 $76.76 – $129.29 55,122 6
Kenton, OH $34.26 $1.18 – $109.31 55,212 22
Olean, NY $158.70 $39.12 – $170.51 55,302 18
Pembroke, NC $68.75 $42.92 – $115.30 55,336 30
Beloit, WI $60.31 $0.00 – $103.42 55,337 40
Bloomington, MN $93.71 $0.00 – $279.12 55,458 77
Goodyear, AZ $28.74 $0.00 – $326.85 55,473 21
Crystal Lake, IL $99.28 $8.70 – $188.80 55,690 25
Norwalk, OH $76.07 $20.28 – $117.72 55,705 58
Windsor, MO $36.43 $22.56 – $311.55 56,073 15
Walla Walla, WA $60.21 $0.00 – $127.67 56,188 57
Celina, OH $77.53 $42.66 – $109.58 56,190 47
San Mateo, CA $179.14 $0.00 – $523.45 56,216 43
Greenwich, CT $31.60 $0.00 – $97.77 56,243 20
Lockport, NY $133.33 $79.54 – $209.45 56,320 10
Hollywood, MD $91.71 $71.38 – $92.14 56,366 2
Malden, MA $73.20 $2.04 – $149.64 56,382 19
Wailuku, HI $79.55 $0.00 – $364.84 56,419 46
Newport, OR $104.23 $0.00 – $198.63 56,423 52
Berea, KY $61.35 $6.92 – $94.05 56,669 27
Euclid, OH $79.64 $14.87 – $130.76 56,702 36
Rockville Centre, NY $86.66 $21.87 – $245.67 56,716 27

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.