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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
Selma, AL $80.34 $8.45 – $148.73 60,226 6
Brownsville, TX $76.34 $10.12 – $220.36 60,260 37
Kirksville, MO $22.22 $0.00 – $156.56 60,389 32
Asheboro, NC $66.20 $0.00 – $109.84 60,405 51
Woodbury, MN $87.84 $22.07 – $583.25 60,411 94
Independence, MO $31.47 $0.00 – $145.36 60,430 96
Hendersonville, NC $50.09 $0.00 – $140.94 60,464 78
Arkadelphia, AR $69.90 $17.42 – $126.81 60,700 37
Timonium, MD $80.65 $3.97 – $100.82 60,731 14
Saint Joseph, MI $62.92 $19.43 – $78.79 60,866 12
Bethesda, MD $58.97 $0.00 – $221.88 61,034 36
Leominster, MA $70.52 $0.00 – $207.38 61,180 49
Millville, NJ $72.49 $0.00 – $101.94 61,204 7
Clarksdale, MS $82.83 $47.42 – $116.83 61,274 4
Camarillo, CA $84.33 $0.00 – $322.89 61,356 40
Brainerd, MN $99.10 $0.00 – $387.15 61,455 62
Tigard, OR $131.17 $0.00 – $317.89 61,483 97
Bridgewater, NJ $82.95 $0.45 – $438.17 61,552 15
Culver City, CA $141.08 $0.00 – $406.06 61,635 42
Havre, MT $44.20 $0.00 – $211.33 61,670 20
Chelmsford, MA $77.67 $0.00 – $137.17 61,774 32
Shelby, NC $67.99 $0.00 – $277.44 61,796 54
Farmington, MO $36.43 $3.18 – $396.41 61,918 49
Concord, CA $167.99 $0.00 – $385.60 61,995 55
Wayne, NJ $89.23 $0.89 – $179.07 62,022 18
Lake Elsinore, CA $228.88 $0.00 – $534.13 62,170 31
Kailua Kona, HI $87.08 $7.45 – $276.20 62,221 41
South Boston, MA $101.98 $15.81 – $147.79 62,228 16
Roanoke Rapids, NC $60.88 $0.00 – $159.23 62,235 31
Marshfield, WI $59.01 $0.00 – $124.49 62,251 56
Englewood, NJ $84.57 $0.82 – $149.83 62,283 15
Moreno Valley, CA $167.59 $0.00 – $538.26 62,418 34
Shelton, CT $67.64 $0.00 – $131.93 62,425 39
Queens Village, NY $126.22 $15.82 – $230.16 62,488 20
Decorah, IA $79.85 $26.34 – $205.18 62,489 20
Nevada City, CA $72.73 $0.00 – $139.42 62,523 39
Williamsburg, VA $80.69 $2.17 – $138.08 62,585 80
Woodward, IA $54.15 $5.31 – $57.16 62,607 3
Morrisville, VT $32.57 $0.00 – $99.02 62,684 33
Alma, MI $83.90 $31.95 – $88.45 62,819 6
North Canton, OH $70.40 $11.67 – $115.77 62,866 55
East Haven, CT $53.50 $0.00 – $97.41 62,902 27
Mccomb, MS $75.06 $0.00 – $121.40 62,928 21
Arlington, VA $78.70 $0.00 – $223.16 62,987 54
Saint Charles, MO $34.97 $0.00 – $112.26 63,014 83
Hatch, NM $161.04 $21.12 – $162.00 63,098 3
Wheeling, WV $82.18 $0.00 – $182.12 63,099 56
Pontiac, MI $152.66 $1.28 – $351.71 63,236 15
Naples, FL $55.83 $0.00 – $138.67 63,363 30
Ozone Park, NY $76.61 $31.38 – $104.86 63,440 10

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.