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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
Lincoln, NE $104.91 $0.00 – $293.49 290,718 373
Pikesville, MD $94.97 $0.00 – $193.78 291,660 47
Yakima, WA $29.46 $0.00 – $294.87 292,205 207
Waterloo, IA $73.45 $0.06 – $206.04 295,888 104
Poughkeepsie, NY $89.96 $0.00 – $290.50 296,033 76
Wilmington, DE $47.31 $0.00 – $161.85 297,416 199
Layton, UT $100.94 $0.00 – $455.27 297,937 42
Santa Cruz, CA $65.40 $0.00 – $391.42 298,214 111
Chillicothe, OH $74.37 $0.00 – $150.93 299,078 241
Paterson, NJ $95.58 $6.97 – $250.11 299,850 37
Beverly, MA $76.31 $1.19 – $148.31 300,001 59
Bellingham, WA $66.60 $0.00 – $312.41 301,238 215
Zanesville, OH $54.87 $0.00 – $150.40 303,605 156
Davenport, IA $69.12 $0.00 – $246.72 306,159 125
Montgomery, AL $62.47 $0.00 – $142.44 306,502 97
Mansfield, OH $65.15 $0.01 – $185.99 307,940 238
Oakland, CA $80.84 $0.00 – $442.54 309,098 276
Crown Point, IN $27.30 $2.85 – $79.82 309,192 65
Council Bluffs, IA $70.55 $0.00 – $186.47 310,267 104
Lafayette, IN $51.61 $0.00 – $165.15 310,280 73
Boise, ID $63.01 $-0.29 – $186.25 312,501 348
Roslindale, MA $97.17 $15.28 – $159.69 312,995 34
Lima, OH $44.82 $0.00 – $154.72 315,369 192
Johnson City, TN $39.41 $0.00 – $162.88 315,792 138
Jackson, TN $47.13 $0.00 – $152.78 318,568 88
St George, UT $134.75 $3.59 – $255.33 318,630 61
Bloomfield, IN $21.83 $21.83 – $67.40 320,711 2
Windsor, CT $58.29 $0.00 – $98.11 322,278 37
Elizabeth, NJ $108.09 $3.93 – $615.58 323,822 31
Florence, SC $136.66 $3.85 – $169.00 326,021 77
Asheville, NC $51.60 $0.00 – $603.03 327,532 486
Ann Arbor, MI $65.81 $0.00 – $191.06 329,512 74
Hot Springs, AR $64.73 $0.00 – $155.62 335,770 182
Dallas, TX $63.21 $0.00 – $393.82 341,449 316
Clinton Township, MI $68.08 $5.19 – $228.25 341,463 21
Rio Rancho, NM $85.90 $0.40 – $177.14 341,578 173
Torrington, CT $57.01 $0.00 – $138.74 341,877 115
Elizabethtown, KY $60.09 $3.27 – $137.37 344,799 126
Laurel, MD $109.02 $0.00 – $180.69 346,864 82
Hyattsville, MD $121.34 $0.00 – $177.82 348,058 39
Sioux Falls, SD $63.31 $5.36 – $187.80 349,102 103
Hazard, KY $56.47 $0.00 – $152.14 349,213 94
Grand Junction, CO $110.54 $0.00 – $362.60 352,476 174
Winston Salem, NC $70.45 $0.00 – $1,116 352,495 317
Avon, IN $51.44 $1.88 – $102.60 353,769 25
Bend, OR $142.84 $0.00 – $271.45 353,868 410
Peekskill, NY $188.71 $50.05 – $261.79 354,494 14
Everett, WA $53.48 $0.00 – $425.01 356,782 305
El Paso, TX $77.38 $0.00 – $402.32 357,857 245
Bangor, ME $25.99 $2.23 – $176.97 358,754 128

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.