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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
Chesterfield, VA $73.89 $14.21 – $172.88 92,787 45
Steubenville, OH $86.37 $14.47 – $166.05 93,022 88
Englewood, CO $69.71 $0.00 – $272.52 93,114 62
Jacksonville, FL $47.08 $0.00 – $389.37 93,115 160
West Orange, NJ $88.73 $1.90 – $197.02 93,328 15
Walnut Creek, CA $60.68 $0.00 – $314.02 93,582 57
Suffolk, VA $84.66 $12.25 – $132.21 93,707 66
Batesville, AR $70.78 $0.00 – $108.66 93,848 45
Jasper, AL $75.23 $2.39 – $141.85 93,907 22
Aurora, IL $42.26 $0.00 – $164.94 93,964 30
Peabody, MA $63.36 $0.00 – $139.34 94,218 26
Covina, CA $148.89 $0.00 – $381.06 94,238 60
Newport, VT $62.83 $6.99 – $92.93 94,346 25
Bath, NY $120.26 $1.05 – $718.54 94,418 21
Stoughton, MA $80.42 $16.83 – $126.30 94,522 16
Encino, CA $69.31 $0.00 – $266.66 94,527 53
Madison, TN $79.32 $0.01 – $116.71 94,569 24
Beaufort, SC $161.78 $25.27 – $303.96 94,658 14
Danielson, CT $42.31 $0.00 – $92.64 94,766 30
Fairfield, OH $73.24 $5.73 – $171.57 94,926 96
Coeur D Alene, ID $56.45 $0.00 – $123.32 95,176 90
Kennewick, WA $64.17 $0.00 – $159.40 95,393 108
Georgetown, KY $65.14 $0.00 – $131.48 95,489 37
Southfield, MI $65.79 $0.00 – $133.98 95,980 53
Richland, WA $54.41 $0.00 – $468.14 96,115 89
Mount Vernon, OH $63.78 $1.48 – $111.13 96,150 90
Cherry Hill, NJ $103.12 $0.00 – $381.12 96,206 46
Harrisonburg, VA $73.33 $0.00 – $162.88 96,287 85
Jacksonville, AR $63.27 $0.41 – $120.00 96,412 72
Westlake, OH $65.42 $7.63 – $139.89 96,512 65
Plattsburgh, NY $108.77 $19.29 – $149.92 96,574 37
Gloversville, NY $118.93 $66.28 – $121.77 96,709 9
Loveland, CO $89.89 $0.00 – $368.75 96,791 67
Ketchikan, AK $85.56 $0.00 – $589.79 96,828 24
Mason, MI $78.05 $35.35 – $108.42 96,939 10
Lynwood, CA $113.89 $0.00 – $409.72 96,969 41
Woodbridge, VA $77.92 $0.00 – $239.38 96,984 62
Lyons, NY $139.39 $0.73 – $140.37 97,088 6
Beaverton, OR $136.31 $0.00 – $828.83 97,208 177
Taylorsville, UT $115.13 $0.00 – $615.36 97,245 55
Sherman Oaks, CA $50.15 $0.00 – $205.17 97,254 40
Oak Ridge, TN $50.51 $9.67 – $75.17 97,308 31
Saint Johns, MI $79.05 $78.92 – $83.89 97,463 2
Nampa, ID $63.44 $0.00 – $122.11 97,463 113
Hempstead, NY $104.59 $0.00 – $197.59 97,655 31
Bridgeport, WV $56.96 $0.00 – $124.30 97,698 33
Arvada, CO $94.94 $0.00 – $353.55 97,723 51
Salisbury, NC $59.08 $0.00 – $130.26 97,772 70
Garden City, NY $89.64 $0.00 – $152.17 97,981 31
Brookfield, WI $59.63 $0.00 – $118.61 98,021 66

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.