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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
Waterloo, NY $142.15 $66.15 – $149.35 80,704 7
Wenatchee, WA $33.39 $0.00 – $270.25 80,748 117
Fairlawn, OH $63.84 $8.08 – $105.50 80,759 63
Cabot, AR $77.50 $12.28 – $111.75 80,817 59
Thibodaux, LA $28.72 $0.00 – $75.87 80,865 52
Mission Viejo, CA $59.33 $0.00 – $327.71 80,891 41
Bellevue, WA $34.98 $0.00 – $198.42 81,161 150
Phillipsburg, NJ $94.95 $65.86 – $271.51 81,199 8
Randallstown, MD $83.01 $0.00 – $156.34 81,339 24
Niles, OH $77.53 $12.55 – $137.97 81,564 94
Enterprise, AL $55.50 $23.35 – $146.53 81,654 22
Price, UT $96.78 $0.00 – $154.06 81,655 9
Bay Shore, NY $76.65 $7.43 – $190.08 81,698 28
Roseville, CA $95.25 $0.00 – $414.41 82,028 83
Andalusia, AL $65.90 $32.87 – $142.05 82,164 13
Irvington, NJ $82.38 $7.54 – $406.14 82,409 17
Decatur, GA $77.64 $0.00 – $125.21 82,684 39
Lubbock, TX $69.04 $0.00 – $420.85 82,826 72
Statesville, NC $58.39 $0.00 – $135.66 82,871 72
Hillsboro, OR $103.82 $0.00 – $292.12 82,886 117
Urbandale, IA $71.15 $0.00 – $156.53 83,140 49
Midland, MI $82.88 $0.00 – $99.45 83,153 16
Leitchfield, KY $59.40 $0.00 – $98.53 83,229 15
Riverdale, MD $85.92 $14.87 – $169.58 83,352 9
Mcallen, TX $76.50 $12.79 – $166.21 83,409 60
Prince Frederick, MD $98.15 $40.96 – $149.54 83,694 20
Springfield, IL $36.31 $0.00 – $257.50 83,710 75
Lumberton, NC $69.99 $0.00 – $112.14 83,722 60
Bedford, IN $49.35 $7.94 – $74.72 83,727 31
Paw Paw, MI $139.98 $4.81 – $172.63 83,738 8
Roseville, MI $61.94 $51.17 – $73.22 83,851 7
Greenville, OH $43.40 $0.24 – $141.39 83,967 41
Campbellsville, KY $53.65 $0.00 – $93.75 84,143 30
Roslyn Heights, NY $111.16 $20.10 – $138.61 84,316 8
Hutchinson, KS $63.55 $0.00 – $175.63 84,474 74
Norfolk, NE $99.02 $7.36 – $228.15 84,589 83
Casper, WY $48.90 $0.00 – $865.85 84,847 88
Harrison, AR $72.65 $30.45 – $111.39 85,014 38
Somerset, NJ $112.85 $63.63 – $396.58 85,116 5
Moorhead, MN $101.40 $44.53 – $698.44 85,246 93
Monterey, CA $97.85 $0.00 – $145.63 85,301 20
Sandy, UT $121.59 $0.00 – $489.80 85,314 38
Santa Fe Springs, CA $190.73 $0.00 – $410.35 85,374 26
Covington, LA $21.92 $0.00 – $77.05 85,445 65
Hammond, LA $26.81 $0.00 – $87.58 85,720 67
Livingston, MT $61.60 $0.00 – $178.39 86,074 23
Montclair, NJ $70.61 $3.51 – $250.06 86,084 24
Ludington, MI $167.54 $2.47 – $304.28 86,154 10
High Point, NC $70.08 $0.00 – $237.25 86,186 93
Defiance, OH $67.34 $21.49 – $148.98 86,280 57

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.