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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
Grants Pass, OR $27.36 $0.00 – $224.52 106,913 122
Fitchburg, MA $84.86 $5.51 – $875.16 106,917 46
Parkersburg, WV $65.45 $0.15 – $125.35 107,261 56
Mountainside, NJ $89.55 $18.95 – $271.22 107,461 5
Malvern, AR $70.10 $10.20 – $112.46 107,604 44
Alpena, MI $113.98 $2.95 – $224.85 107,820 14
Pawtucket, RI $69.48 $0.00 – $290.71 108,093 90
Hicksville, NY $136.97 $30.29 – $203.99 108,107 38
Petoskey, MI $147.57 $7.90 – $186.30 108,132 12
La Crosse, WI $51.86 $0.00 – $134.84 108,336 124
Madisonville, KY $50.66 $24.96 – $178.29 108,347 31
Abingdon, VA $63.20 $7.11 – $174.55 108,439 67
Grass Valley, CA $109.96 $0.00 – $432.63 108,539 48
Olympia, WA $93.05 $0.00 – $476.12 108,565 191
Corvallis, OR $118.67 $0.00 – $385.53 108,659 164
Danville, VA $72.67 $8.60 – $164.79 108,720 57
Niagara Falls, NY $89.88 $34.60 – $129.43 108,942 21
Woodbury, NJ $84.10 $0.00 – $261.81 109,255 22
Sumter, SC $158.47 $59.57 – $194.61 109,398 21
Chula Vista, CA $65.62 $0.00 – $305.32 109,508 84
Cambridge, OH $70.42 $0.00 – $115.35 109,569 67
Stockbridge, GA $81.25 $0.00 – $241.25 109,818 18
Passaic, NJ $82.30 $0.00 – $434.97 109,834 39
Bozeman, MT $69.47 $0.00 – $125.92 109,894 105
Guntersville, AL $91.26 $0.00 – $138.20 109,934 12
Hemet, CA $166.73 $0.42 – $523.03 110,112 38
Hopkinsville, KY $60.87 $7.73 – $223.27 110,197 45
Wausau, WI $67.61 $0.00 – $152.95 110,291 132
Palm Desert, CA $134.32 $0.00 – $450.88 110,738 54
Amityville, NY $92.46 $1.19 – $308.79 110,851 36
Inkster, MI $103.95 $2.65 – $127.95 111,253 7
Springfield, OR $111.26 $0.00 – $235.46 111,673 129
Wethersfield, CT $69.20 $1.05 – $111.06 111,815 42
Pomona, CA $186.78 $0.00 – $375.54 112,184 59
Le Mars, IA $86.48 $0.00 – $167.87 112,285 18
South Burlington, VT $62.12 $0.00 – $98.82 112,409 52
Norwell, MA $75.22 $2.28 – $125.69 112,631 21
Van Nuys, CA $135.90 $0.00 – $410.83 112,635 63
Maryville, TN $56.25 $0.45 – $188.62 112,753 40
Haverhill, MA $71.00 $0.26 – $131.56 113,085 54
Martinsburg, WV $44.11 $0.00 – $163.67 113,145 64
Janesville, WI $67.97 $0.00 – $116.24 113,190 120
Redmond, OR $142.34 $2.94 – $268.01 113,356 115
Searcy, AR $77.25 $0.00 – $120.23 113,785 89
Bowie, MD $81.54 $0.00 – $180.40 114,046 73
Pine Bluff, AR $64.58 $21.47 – $107.20 114,485 49
Germantown, MD $112.37 $0.00 – $134.59 114,782 22
Gadsden, AL $64.34 $0.00 – $137.44 114,843 39
Oxnard, CA $106.57 $0.00 – $327.67 115,665 58
Spencer, IA $91.65 $12.26 – $120.00 115,834 29

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.