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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
Cadillac, MI $65.68 $0.78 – $88.47 56,830 20
Neptune, NJ $73.88 $1.08 – $445.25 56,878 20
Edgewater, MD $87.45 $68.85 – $87.61 56,883 3
Burlington, NC $68.02 $0.00 – $208.20 56,922 55
Barbourville, KY $48.55 $2.30 – $84.40 56,996 14
Princeton, WV $65.27 $0.00 – $120.78 57,013 32
Marion, AR $81.49 $0.09 – $105.97 57,049 24
Wichita Falls, TX $60.27 $0.00 – $139.88 57,058 53
Hesperia, CA $109.17 $0.00 – $163.78 57,098 27
Wellsville, NY $102.11 $62.91 – $117.62 57,164 7
Emporia, KS $56.55 $0.00 – $325.91 57,225 50
Upper Marlboro, MD $93.51 $0.00 – $179.64 57,288 41
Fullerton, CA $97.21 $0.00 – $315.93 57,324 37
Sylmar, CA $43.71 $0.00 – $350.60 57,356 17
Russell Springs, KY $58.26 $5.64 – $75.76 57,577 14
Leon, IA $2.37 $0.00 – $106.70 57,617 6
Chestertown, MD $88.44 $63.85 – $137.28 57,731 13
South Jordan, UT $134.94 $0.00 – $301.47 57,866 24
North Platte, NE $107.00 $46.54 – $240.54 57,875 41
Garner, NC $77.97 $24.17 – $106.16 57,885 26
Mission, TX $74.71 $40.99 – $130.19 58,095 31
Saint Joseph, MO $61.17 $0.00 – $148.22 58,306 66
Kenner, LA $29.76 $0.00 – $70.77 58,348 23
Austintown, OH $72.32 $20.75 – $128.05 58,434 53
Yreka, CA $78.39 $0.00 – $298.59 58,445 25
Harrisville, MI $25.69 $25.69 – $25.69 58,584 1
Valley Stream, NY $79.06 $11.95 – $261.18 58,585 29
Bloomfield, CT $41.93 $0.35 – $119.19 58,592 42
Newport, TN $63.49 $0.00 – $93.56 58,713 11
West Allis, WI $55.70 $14.41 – $113.11 58,772 57
Rancho Mirage, CA $51.77 $0.00 – $225.99 58,782 30
Chapel Hill, NC $57.28 $0.84 – $217.58 58,789 138
Calera, AL $69.15 $0.47 – $69.99 58,833 4
Waterford, MI $67.23 $4.97 – $131.56 58,967 17
Ammon, ID $48.03 $4.62 – $67.13 59,020 33
Amesbury, MA $79.60 $8.30 – $150.50 59,291 20
Beverly Hills, CA $43.23 $0.00 – $299.52 59,442 41
Sault Sainte Marie, MI $131.66 $13.88 – $217.38 59,473 11
Laguna Hills, CA $73.59 $0.00 – $285.27 59,483 33
Whitesburg, KY $29.64 $0.01 – $70.89 59,541 12
Clinton, MO $10.73 $0.00 – $167.91 59,558 33
Gainesville, GA $52.90 $32.07 – $149.16 59,752 16
Delano, CA $71.17 $0.00 – $258.53 59,753 19
Springfield, VT $49.22 $0.00 – $139.23 59,764 36
Washington, NJ $79.18 $0.00 – $97.41 59,769 4
Mt Sterling, KY $47.91 $18.32 – $142.65 59,792 27
Weirton, WV $45.37 $2.19 – $96.59 59,822 21
Clovis, CA $30.93 $0.00 – $395.93 59,906 31
Orem, UT $71.06 $3.14 – $268.20 59,991 41
Bremerton, WA $40.37 $0.00 – $172.62 60,098 67

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.