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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
Brown Deer, WI $61.24 $8.39 – $160.66 86,449 50
Santa Monica, CA $76.21 $0.00 – $393.49 86,991 64
Rockingham, NC $64.98 $14.02 – $110.33 87,050 45
Warren, MI $71.92 $4.49 – $117.30 87,177 27
Marietta, OH $50.93 $0.00 – $125.58 87,204 68
Kearney, NE $113.91 $11.55 – $248.99 87,483 87
Sheboygan, WI $34.07 $1.31 – $174.66 87,522 70
Amsterdam, NY $92.64 $20.90 – $104.69 87,620 14
Saint Peters, MO $32.21 $5.47 – $123.23 87,904 41
Berkeley, CA $65.86 $0.00 – $465.12 87,926 83
Derby, CT $46.25 $0.00 – $97.89 88,408 36
Harrodsburg, KY $69.94 $5.65 – $148.79 88,425 18
Portage, MI $65.56 $16.23 – $224.54 88,569 26
Findlay, OH $63.71 $18.65 – $129.11 88,953 102
Osceola, AR $75.32 $47.11 – $108.75 89,084 28
Carson City, NV $36.13 $0.00 – $267.23 89,117 62
Augusta, ME $72.93 $0.00 – $109.25 89,204 27
Mayaguez, PR $5.38 $0.00 – $84.53 89,354 60
Commerce, CA $193.93 $0.00 – $353.90 89,380 35
Texarkana, AR $40.59 $0.00 – $348.00 89,421 43
Longmont, CO $72.91 $0.47 – $229.79 89,463 62
Pahrump, NV $90.08 $0.00 – $104.56 89,831 38
Hudson, NY $102.17 $6.23 – $157.66 89,912 16
Logan, OH $47.38 $0.00 – $114.37 89,993 57
Okemos, MI $75.82 $0.00 – $99.26 90,016 29
Meridian, ID $57.18 $0.00 – $158.63 90,072 107
Commack, NY $86.15 $16.48 – $142.02 90,105 40
Westminster, CO $86.93 $0.21 – $367.73 90,530 69
New Brighton, MN $95.91 $44.91 – $396.43 90,557 81
Maysville, KY $68.11 $0.01 – $101.94 90,644 35
Marrero, LA $13.55 $0.00 – $124.74 90,750 33
Avon, CT $25.93 $0.00 – $136.50 90,776 48
Morganton, NC $71.97 $7.84 – $147.28 90,990 88
Dedham, MA $83.13 $0.00 – $121.99 91,078 14
Quincy, IL $8.55 $0.00 – $120.69 91,207 36
La Grange, KY $65.62 $0.84 – $162.70 91,207 21
Vista, CA $21.54 $0.00 – $366.38 91,322 45
Willmar, MN $125.89 $14.31 – $350.87 91,351 90
Albion, NY $109.12 $59.56 – $274.33 91,363 10
Centennial, CO $83.05 $0.00 – $354.53 91,411 84
Saint Albans, VT $41.90 $0.00 – $106.98 91,516 51
Clovis, NM $89.76 $0.00 – $190.18 91,702 79
Corona, NY $88.36 $70.79 – $221.08 91,835 17
Irondale, AL $48.63 $0.00 – $59.40 91,913 3
Tustin, CA $60.21 $2.39 – $357.43 91,920 34
Myrtle Beach, SC $88.43 $0.00 – $166.58 92,226 60
Aiken, SC $151.21 $0.52 – $188.12 92,274 22
Madera, CA $53.07 $0.00 – $339.38 92,400 20
Murrieta, CA $116.64 $0.31 – $460.58 92,672 69
La Mesa, CA $37.65 $0.00 – $134.83 92,754 41

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.