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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
Santa Fe, NM $113.28 $0.00 – $549.88 360,310 311
Lynchburg, VA $86.77 $0.00 – $198.48 362,722 195
Concord, NH $53.79 $0.00 – $142.40 364,793 99
Clarksville, TN $70.29 $0.00 – $129.25 365,051 85
Brandon, MS $91.93 $0.00 – $141.36 365,809 16
Monroe, LA $23.48 $0.00 – $106.35 366,894 171
Portsmouth, OH $70.72 $0.62 – $161.86 367,038 384
San Bernardino, CA $117.70 $0.00 – $409.69 367,796 189
Jeffersonville, IN $49.54 $0.01 – $191.72 370,483 82
Meriden, CT $36.18 $0.00 – $123.59 374,411 105
San Francisco, CA $166.68 $0.00 – $557.32 376,595 324
Concord, NC $37.53 $0.00 – $210.88 376,691 293
Fort Collins, CO $91.85 $0.00 – $405.05 377,018 333
Plainville, CT $25.63 $0.00 – $754.45 377,929 111
Jackson Heights, NY $112.72 $18.78 – $210.23 378,598 42
Lowell, MA $72.86 $0.00 – $149.44 380,689 128
Richmond Hill, NY $115.90 $0.01 – $253.55 381,916 14
Millersville, MD $119.29 $0.00 – $173.96 383,942 21
Manchester, NH $60.35 $0.00 – $443.10 384,302 124
Athens, OH $61.86 $0.52 – $132.82 384,984 273
Norwood, MA $75.05 $0.84 – $182.04 386,217 30
Great Falls, MT $51.07 $0.00 – $133.61 388,793 122
Fall River, MA $83.13 $0.00 – $212.24 393,458 192
Valparaiso, IN $72.11 $0.00 – $120.77 397,142 60
Mobile, AL $84.71 $0.00 – $192.54 401,656 76
Modesto, CA $104.16 $0.00 – $440.53 401,701 154
Jackson, MI $85.96 $0.33 – $217.39 403,365 63
Fayetteville, NC $73.49 $0.00 – $387.19 403,508 360
Ogden, UT $107.76 $0.00 – $291.38 404,844 68
Cleveland, TN $57.27 $0.00 – $144.55 405,200 57
Paducah, KY $64.99 $0.00 – $157.80 405,264 95
Warwick, RI $74.63 $0.00 – $230.75 405,525 227
Reno, NV $63.07 $0.00 – $583.73 406,788 341
Logansport, IN $75.86 $39.03 – $84.73 407,718 12
Columbia, MD $95.83 $0.00 – $171.88 409,381 84
Newark, NJ $86.15 $0.00 – $486.30 411,837 88
Gaithersburg, MD $110.54 $0.00 – $228.80 412,044 54
Lafayette, LA $24.96 $0.00 – $169.27 413,264 241
Wichita, KS $78.45 $0.00 – $176.98 414,324 540
Rosedale, MD $116.57 $0.00 – $159.88 416,570 21
Huntington, NY $105.60 $0.00 – $151.38 417,250 35
Columbus, IN $54.69 $14.75 – $142.78 417,933 35
Honolulu, HI $71.94 $0.00 – $392.70 420,919 307
Youngstown, OH $73.39 $1.63 – $163.16 422,998 398
Manchester, CT $64.07 $0.00 – $747.08 426,013 188
Covington, KY $70.00 $0.11 – $124.04 429,534 97
Stamford, CT $40.86 $0.00 – $171.65 431,081 121
Blue Ash, OH $68.33 $4.18 – $108.57 431,643 197
Tupelo, MS $96.65 $8.76 – $125.59 432,422 50
Norwich, CT $29.36 $0.00 – $361.65 434,230 194

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.