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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
Ionia, MI $170.42 $65.80 – $197.37 71,630 16
Manassas, VA $72.80 $2.78 – $317.19 71,645 81
Ferndale, MI $76.86 $0.00 – $108.01 71,722 11
Michigan City, IN $51.56 $8.09 – $104.32 71,751 16
Oxford, MI $172.73 $59.29 – $218.96 71,786 6
Norwich, NY $117.35 $48.56 – $141.87 71,825 17
Stony Brook, NY $272.00 $21.43 – $1,004 71,862 47
Riverhead, NY $79.17 $10.90 – $143.95 71,864 20
Brick, NJ $88.25 $0.00 – $434.20 72,006 21
Harrison, NY $194.99 $0.00 – $219.99 72,112 24
Cuyahoga Falls, OH $69.08 $14.77 – $101.14 72,297 63
Gambrills, MD $120.67 $71.13 – $142.74 72,593 4
Lees Summit, MO $31.64 $0.00 – $327.04 72,680 104
Groton, CT $62.40 $0.00 – $151.55 72,780 51
Rush, KY $57.92 $14.68 – $61.75 72,789 4
Aguada, PR $7.59 $0.00 – $31.51 72,817 23
Indpls, IN $51.87 $51.87 – $51.87 72,878 1
Lebanon, OH $64.30 $8.39 – $115.89 73,169 61
Madison Heights, MI $62.20 $45.43 – $72.53 73,223 5
Clinton, LA $1.69 $0.00 – $60.66 73,227 43
Caro, MI $101.73 $59.17 – $195.00 73,266 8
Massapequa, NY $71.35 $18.80 – $223.40 73,309 21
East Brunswick, NJ $87.59 $0.00 – $181.45 73,456 11
Massillon, OH $74.71 $1.27 – $176.54 73,493 72
Mountain Home, AR $82.76 $0.00 – $230.02 73,580 55
Brentwood, NY $76.55 $0.00 – $205.37 73,924 10
South Windsor, CT $53.07 $0.89 – $118.47 73,970 50
Freeport, NY $127.46 $47.69 – $134.98 74,186 9
New Bern, NC $58.37 $0.00 – $109.00 74,241 76
Struthers, OH $56.69 $25.01 – $134.65 74,261 29
Overland Park, KS $78.34 $0.00 – $222.74 74,331 131
Waverly, IA $89.71 $0.00 – $118.97 74,335 23
Centreville, MI $106.42 $7.47 – $108.85 74,393 4
Lynnwood, WA $78.19 $0.00 – $221.20 74,610 55
Lawrenceburg, TN $65.04 $8.88 – $134.71 74,840 29
West Jordan, UT $98.70 $0.00 – $254.49 74,938 30
Saint Clairsville, OH $54.82 $19.88 – $121.89 74,965 61
North Little Rock, AR $72.07 $0.00 – $153.19 75,030 79
Watertown, MA $64.79 $1.73 – $125.78 75,088 17
Brighton, MI $71.71 $51.72 – $102.03 75,279 19
Laurinburg, NC $70.53 $3.01 – $109.62 75,292 31
Gilbert, AZ $85.72 $0.00 – $218.40 75,370 76
Oshkosh, WI $37.37 $5.08 – $132.13 75,372 66
Gallatin, TN $70.81 $7.49 – $118.41 75,442 18
Mcminnville, OR $65.00 $0.00 – $252.57 75,551 111
Blacksburg, VA $98.97 $15.22 – $113.88 75,596 37
Shelbyville, KY $60.21 $10.52 – $88.54 75,727 33
Lawrence, KS $65.08 $0.00 – $642.60 75,784 97
Midlothian, VA $59.61 $10.29 – $205.05 75,853 65
Alpharetta, GA $83.96 $50.00 – $140.19 75,909 13

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.