Skip to content
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
Newark, DE $65.22 $-0.21 – $257.04 160,800 80
Farmington, CT $41.61 $0.00 – $296.72 160,914 74
Leesburg, VA $42.53 $10.21 – $148.44 161,061 66
Gwynn Oak, MD $116.45 $55.27 – $122.49 161,211 9
Apple Valley, CA $150.48 $0.00 – $421.80 161,343 71
Tukwila, WA $6.73 $0.00 – $144.38 161,940 91
Lakewood, CO $82.23 $0.00 – $300.31 162,036 158
Glasgow, KY $63.24 $16.47 – $96.51 162,308 60
North Las Vegas, NV $77.79 $0.00 – $425.55 162,656 125
Roseburg, OR $118.33 $3.98 – $222.41 162,792 157
Enfield, CT $48.26 $0.00 – $126.19 162,921 89
Eau Claire, WI $62.56 $0.00 – $147.94 164,120 175
Alexandria, LA $29.60 $0.00 – $87.25 164,183 117
New Brockton, AL $44.61 $40.09 – $44.62 164,206 2
Elmira, NY $96.51 $40.77 – $510.12 164,274 79
Long Island City, NY $101.53 $3.46 – $328.79 164,413 41
Bristol, CT $44.25 $0.00 – $829.52 164,520 67
Oswego, NY $113.31 $0.00 – $266.75 165,074 42
Miami, FL $23.00 $0.00 – $198.34 165,142 184
Boulder, CO $80.57 $0.00 – $445.24 165,246 129
Boardman, OH $60.01 $1.58 – $140.36 165,358 90
Littleton, CO $63.72 $0.00 – $320.20 165,915 174
Noblesville, IN $52.62 $3.17 – $135.54 166,260 39
Longview, WA $87.96 $0.00 – $302.23 166,548 154
Fairbanks, AK $117.84 $0.00 – $831.90 167,096 49
Portsmouth, VA $60.40 $15.12 – $743.84 167,418 63
Holland, MI $114.61 $3.42 – $340.58 167,546 36
Laconia, NH $65.01 $0.00 – $132.85 168,049 28
Fort Myers, FL $43.10 $0.00 – $430.65 168,581 104
Jacksonville, NC $63.49 $10.00 – $215.28 168,782 148
Escondido, CA $36.59 $0.00 – $294.14 169,226 73
Vicksburg, MS $74.91 $0.00 – $273.50 170,077 23
Anaheim, CA $70.26 $0.00 – $421.00 170,198 89
Oak Park, IL $44.47 $0.00 – $142.29 170,372 29
Marlborough, MA $70.13 $8.30 – $158.50 170,755 22
Duluth, MN $107.46 $1.48 – $710.06 170,778 218
Atlanta, GA $85.88 $0.00 – $284.99 171,679 170
Rock Hill, SC $139.59 $28.07 – $358.59 171,950 53
Decatur, AL $79.81 $0.00 – $154.06 172,293 39
Keene, NH $65.86 $6.98 – $160.00 173,106 36
Charleston, WV $42.94 $0.00 – $178.03 173,211 83
Rockford, IL $72.52 $0.00 – $191.48 173,407 74
Fort Worth, TX $87.08 $0.00 – $837.83 173,495 232
Mason City, IA $72.80 $0.19 – $151.06 173,529 60
Conway, AR $73.13 $0.00 – $119.76 174,244 137
Hamilton, NJ $96.04 $0.00 – $259.82 174,367 19
Columbia, KY $34.27 $10.24 – $134.93 174,538 27
Kingsport, TN $51.17 $11.37 – $184.14 175,169 47
Hamden, CT $59.30 $0.00 – $124.29 175,373 91
Morristown, TN $50.06 $1.35 – $108.99 175,508 40

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.