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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
Williamsville, NY $120.67 $9.03 – $996.50 75,960 41
Napa, CA $48.40 $0.00 – $331.95 75,967 63
Fond Du Lac, WI $35.02 $0.31 – $99.43 76,059 56
Orange, CA $119.10 $0.00 – $371.78 76,341 100
Lincoln Park, MI $115.42 $3.79 – $619.98 76,356 3
Kansas City, KS $64.26 $0.00 – $232.42 76,624 102
Jackson, OH $54.68 $0.00 – $103.37 76,646 65
Madison, IN $58.05 $27.64 – $99.67 76,683 12
Petaluma, CA $28.73 $0.00 – $342.18 76,721 40
Tullahoma, TN $71.99 $6.97 – $213.73 77,024 24
Olathe, KS $51.49 $0.00 – $165.00 77,202 104
Eatontown, NJ $108.32 $3.22 – $279.52 77,441 4
Matawan, NJ $95.82 $16.28 – $120.63 77,460 9
Wheelersburg, OH $92.36 $19.99 – $115.71 77,565 30
Hanford, CA $91.29 $0.08 – $324.83 77,737 22
Spencer, IN $69.04 $34.37 – $70.76 77,806 5
Nicholasville, KY $52.60 $0.00 – $207.07 77,814 37
Havre De Grace, MD $100.02 $5.93 – $143.92 77,978 17
Royal Oak, MI $57.37 $0.00 – $358.08 78,052 20
Oregon City, OR $131.37 $0.00 – $443.00 78,084 105
Joliet, IL $78.10 $0.00 – $160.31 78,173 33
Fairfax, VA $73.72 $0.00 – $221.26 78,304 123
Naperville, IL $67.54 $3.06 – $157.96 78,414 51
West Covina, CA $125.97 $0.00 – $573.32 78,438 51
Rosemead, CA $57.08 $0.00 – $385.18 78,822 20
Newton, IA $87.55 $24.23 – $118.74 78,885 27
Mechanicsville, VA $63.59 $12.64 – $176.34 79,148 49
Gallipolis, OH $49.08 $0.52 – $306.92 79,265 75
Carmel, NY $91.68 $1.77 – $139.73 79,299 40
Rogers, AR $68.84 $0.00 – $111.26 79,402 89
Marshalltown, IA $75.92 $0.01 – $194.67 79,528 31
Montpelier, VT $65.73 $0.00 – $102.25 79,598 56
Nevada, MO $27.16 $0.00 – $307.32 79,671 46
Monroe, NY $77.95 $0.00 – $139.33 79,778 22
Rapid City, SD $77.63 $13.01 – $411.19 79,808 39
Ivel, KY $30.89 $15.97 – $40.79 79,877 2
Santa Teresa, NM $98.77 $22.17 – $178.74 79,890 22
Raeford, NC $73.70 $34.63 – $129.86 79,894 48
Albany, OR $92.38 $0.00 – $389.93 79,998 102
Waianae, HI $191.97 $70.17 – $371.02 80,036 37
Dorchester, MA $70.64 $0.00 – $148.18 80,039 44
Bowling Green, OH $68.81 $0.00 – $102.37 80,241 102
Monroe, MI $150.36 $0.56 – $360.32 80,310 40
Seymour, IN $42.74 $13.42 – $83.35 80,326 15
Lakewood, OH $69.04 $3.77 – $112.94 80,438 43
Miles City, MT $73.24 $0.00 – $98.12 80,450 21
Saint Cloud, MN $94.67 $10.38 – $213.07 80,569 104
Harlan, KY $53.17 $14.52 – $77.48 80,579 12
Reisterstown, MD $92.44 $5.19 – $225.27 80,579 13
Seven Hills, OH $12.19 $8.52 – $73.48 80,687 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.