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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
Salem, MA $74.80 $2.21 – $149.36 128,183 57
Silver City, NM $80.86 $4.91 – $221.46 128,691 61
Wytheville, VA $97.71 $2.82 – $168.75 128,731 31
Portland, ME $51.01 $0.00 – $269.22 128,856 134
Toms River, NJ $83.39 $0.00 – $525.97 128,862 41
Petersburg, VA $59.62 $15.26 – $173.59 128,975 57
Branford, CT $52.70 $0.00 – $121.95 129,094 57
Durango, CO $136.09 $0.00 – $431.36 129,125 60
Novi, MI $143.08 $0.00 – $200.63 129,447 15
Tempe, AZ $95.13 $0.00 – $247.32 129,513 120
Brattleboro, VT $59.69 $0.00 – $204.79 130,070 99
Dearborn, MI $104.90 $0.40 – $163.17 130,115 27
Hyde Park, NY $100.14 $66.28 – $109.67 130,371 5
Sandusky, OH $78.08 $0.00 – $127.64 130,688 94
Wasilla, AK $136.90 $0.00 – $935.05 130,773 68
Anniston, AL $65.54 $1.51 – $121.68 130,779 30
Costa Mesa, CA $56.97 $0.00 – $345.08 131,084 48
Oxford, MS $79.77 $23.41 – $118.20 131,205 23
Colts Neck, NJ $89.89 $7.26 – $91.10 131,378 3
Monticello, KY $55.23 $3.18 – $87.24 131,708 24
Yonkers, NY $97.13 $0.16 – $315.42 131,855 68
Snow Hill, MD $95.59 $42.55 – $99.48 132,458 5
Huntington Beach, CA $43.95 $0.00 – $195.46 132,903 40
Dubuque, IA $64.62 $0.00 – $127.91 133,016 87
Ashtabula, OH $56.83 $2.45 – $115.16 133,241 94
Bentonville, AR $72.84 $0.00 – $112.46 133,291 112
Charlottesville, VA $94.87 $0.00 – $263.92 133,388 123
Westampton, NJ $117.46 $0.00 – $415.42 133,409 19
Valdosta, GA $80.12 $14.00 – $128.24 133,504 39
Northridge, CA $154.60 $0.00 – $389.25 133,796 55
Waukesha, WI $46.69 $0.00 – $143.91 133,861 149
Monticello, AR $69.67 $0.00 – $115.10 134,353 42
Bayville, NJ $107.53 $32.23 – $237.49 134,425 8
Fairfield, CT $79.93 $0.00 – $856.19 134,681 70
Naugatuck, CT $68.88 $0.00 – $127.22 135,568 42
Mardela Springs, MD $110.81 $110.81 – $110.81 135,603 1
Fort Lauderdale, FL $23.53 $0.00 – $252.20 135,918 64
Kent, OH $75.59 $2.62 – $118.79 137,205 117
Gardena, CA $139.37 $0.00 – $404.57 137,218 82
Marion, OH $53.80 $0.00 – $117.91 138,287 119
Plymouth, MI $71.98 $54.83 – $84.54 138,512 12
Hackettstown, NJ $94.87 $9.06 – $99.31 138,676 7
Florence, AL $65.30 $0.00 – $136.85 138,905 34
Joplin, MO $26.61 $0.00 – $205.15 139,890 129
Jackson, KY $34.33 $26.89 – $134.51 140,271 15
Southgate, MI $104.07 $69.33 – $104.09 140,596 3
Caguas, PR $13.07 $0.00 – $65.48 140,815 106
Newburgh, NY $106.11 $13.92 – $189.42 141,186 48
Highland, NY $90.62 $0.20 – $126.44 141,474 12
Glendale, AZ $73.44 $0.00 – $222.72 141,613 89

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.