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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
Cortland, NY $111.74 $49.43 – $154.33 198,095 25
Windsor Mill, MD $91.38 $16.42 – $133.31 198,389 27
Pasadena, CA $131.76 $0.00 – $410.52 198,676 163
Middletown, NY $105.46 $1.00 – $313.86 199,025 67
Gary, IN $72.78 $37.04 – $107.07 199,026 16
Santa Ana, CA $108.33 $0.00 – $331.20 199,638 117
West Hartford, CT $55.21 $0.00 – $336.24 199,828 143
Logan, UT $110.90 $0.00 – $158.62 199,875 16
West Point, MS $76.25 $56.43 – $99.74 200,597 3
Lorain, OH $68.76 $2.36 – $145.95 200,757 221
New Hyde Park, NY $136.69 $32.28 – $188.46 201,012 27
Parkville, MD $104.21 $30.99 – $179.24 201,284 29
Kansas City, MO $49.15 $0.00 – $358.43 202,054 344
Southbridge, MA $79.54 $6.14 – $116.51 202,198 32
Jamestown, NY $127.33 $0.00 – $177.48 203,062 44
Marion, IN $61.92 $12.51 – $125.43 203,331 36
Largo, MD $113.20 $24.34 – $156.87 203,535 31
Austin, TX $51.41 $0.00 – $287.39 203,621 245
Newport Beach, CA $66.36 $0.00 – $210.55 203,664 62
Greenwood, MS $95.45 $1.44 – $112.97 203,944 4
Chico, CA $118.47 $0.00 – $436.35 204,129 138
Cheshire, CT $60.76 $0.00 – $114.14 205,011 82
Maywood, IL $62.70 $20.98 – $327.93 205,101 39
Spring Valley, NY $90.91 $0.15 – $167.72 205,415 15
Bloomington, IN $57.97 $0.00 – $162.33 205,962 103
Burlington, VT $54.22 $0.00 – $145.25 206,009 183
Oklahoma City, OK $44.67 $0.00 – $640.00 208,351 219
North Haven, CT $33.34 $0.00 – $150.67 209,324 52
Dothan, AL $62.28 $9.38 – $170.26 209,450 67
Wooster, OH $75.40 $8.12 – $143.05 209,461 247
Tacoma, WA $77.06 $0.00 – $466.88 209,581 266
Henderson, KY $45.72 $4.96 – $88.31 210,479 31
Mesa, AZ $62.85 $0.00 – $334.41 210,494 162
Bayonne, NJ $49.41 $2.38 – $82.45 210,609 9
Wauwatosa, WI $78.17 $0.00 – $171.99 211,256 123
Clifton Springs, NY $94.09 $39.36 – $249.98 212,286 9
Chesapeake, VA $69.28 $0.00 – $181.90 213,360 159
Ansonia, CT $49.56 $0.00 – $126.04 214,363 34
Cookeville, TN $39.29 $8.02 – $129.97 214,740 65
Milford, CT $60.51 $0.00 – $112.11 215,158 88
Portsmouth, NH $59.93 $0.00 – $144.41 215,815 36
Ponce, PR $18.40 $0.00 – $130.50 217,440 137
Madison, WI $58.08 $0.00 – $328.69 217,475 378
Beachwood, OH $56.59 $1.94 – $147.39 218,246 177
West Springfield, MA $57.13 $0.00 – $154.45 218,326 75
Dublin, OH $61.91 $4.77 – $336.40 218,765 273
Lumberton, NJ $104.16 $17.47 – $124.80 218,950 6
Morehead, KY $66.39 $22.07 – $112.52 219,322 30
Taos, NM $88.89 $5.35 – $173.88 221,481 79
Flushing, NY $99.96 $3.35 – $214.04 221,509 58

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.