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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
Rochester, NH $55.81 $0.00 – $144.56 175,539 29
Taylor, MI $66.35 $0.00 – $89.20 175,635 11
Opelika, AL $77.27 $0.00 – $141.80 176,145 13
Ottumwa, IA $44.17 $0.00 – $218.40 176,714 29
Scottsdale, AZ $88.45 $0.00 – $305.55 177,123 126
Center Moriches, NY $70.14 $58.53 – $81.61 177,150 12
Anderson, SC $139.78 $0.00 – $165.89 177,736 34
Henderson, NV $74.67 $0.00 – $372.04 178,132 202
Landover, MD $109.18 $33.57 – $135.19 178,410 14
Greenwood, IN $51.89 $4.05 – $126.13 178,552 42
Medford, OR $133.25 $0.00 – $468.52 178,835 269
Geneseo, NY $91.83 $72.16 – $162.12 179,079 4
Puyallup, WA $74.62 $0.00 – $193.09 179,128 143
Traverse City, MI $121.83 $0.00 – $236.30 180,284 54
Farmingville, NY $92.48 $65.79 – $164.70 180,836 6
Fremont, OH $34.48 $0.00 – $113.80 180,840 44
Hampton, VA $73.77 $0.00 – $162.50 181,153 133
Eureka, CA $75.04 $0.00 – $346.95 181,517 143
Springdale, AR $72.80 $6.74 – $117.58 181,888 115
Birmingham, MI $68.50 $8.43 – $88.30 181,924 4
Topeka, KS $71.67 $0.00 – $404.59 183,021 219
Ventura, CA $101.67 $0.00 – $332.33 183,872 138
Santa Maria, CA $74.82 $0.00 – $437.69 184,750 77
Winchester, VA $67.60 $16.44 – $190.93 185,967 69
Ironton, OH $68.36 $0.00 – $119.24 186,018 169
Newark, OH $71.67 $0.00 – $296.00 186,026 187
Lexington, SC $139.71 $55.05 – $154.57 186,171 32
Falmouth, MA $80.84 $0.00 – $137.40 187,265 32
Easton, MD $90.39 $0.30 – $132.28 187,517 44
Schenectady, NY $94.70 $11.31 – $215.06 187,720 69
Goshen, NY $75.55 $45.31 – $173.01 187,921 15
Oxon Hill, MD $115.42 $0.00 – $161.02 188,301 14
South Bend, IN $67.17 $0.00 – $155.51 188,449 70
Westland, MI $129.57 $6.04 – $181.58 189,138 16
Greenville, NC $66.20 $0.00 – $181.63 189,711 209
Butte, MT $59.07 $0.00 – $327.21 189,895 88
Jersey City, NJ $79.30 $0.10 – $480.47 191,248 42
Stockton, CA $83.67 $0.00 – $357.02 192,442 125
Columbia, MO $41.63 $0.00 – $325.93 192,672 212
Murfreesboro, TN $42.07 $0.00 – $120.80 192,992 74
New Brunswick, NJ $208.07 $0.00 – $348.37 193,414 19
Thornton, CO $53.90 $0.00 – $151.49 193,460 117
Shelbyville, TN $72.53 $2.45 – $93.57 194,034 10
Woonsocket, RI $59.35 $0.00 – $130.00 194,771 108
Cranston, RI $76.67 $0.00 – $175.07 195,060 132
Morgantown, WV $70.14 $0.00 – $188.87 195,282 86
Perth Amboy, NJ $77.46 $0.02 – $248.26 195,578 16
Lakewood, WA $96.81 $0.00 – $205.97 196,061 137
Rego Park, NY $77.39 $5.37 – $156.68 196,277 47
Danville, KY $60.33 $0.00 – $110.19 197,141 45

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.