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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
Bowling Green, KY $59.81 $0.00 – $190.86 632,026 183
Corbin, KY $57.11 $0.00 – $212.82 633,318 148
New Britain, CT $48.79 $0.00 – $431.18 639,918 204
Columbia, SC $122.40 $5.79 – $567.53 643,281 195
Fresno, CA $87.42 $0.00 – $384.62 644,740 321
Muncie, IN $53.91 $0.04 – $152.74 650,436 108
Lanham, MD $110.58 $0.00 – $273.87 653,967 61
Woburn, MA $82.99 $7.86 – $143.11 660,094 35
Getzville, NY $109.95 $39.99 – $125.31 661,725 4
Baton Rouge, LA $24.05 $0.00 – $186.37 665,007 417
Greenfield, MA $73.91 $0.00 – $135.61 675,880 56
Danbury, CT $66.50 $0.00 – $139.46 697,494 158
Waterbury, CT $54.22 $0.00 – $337.52 722,245 278
Buffalo, NY $135.39 $0.97 – $866.84 730,584 194
Las Cruces, NM $91.15 $0.00 – $203.83 733,455 387
Raleigh, NC $74.92 $0.00 – $928.72 754,370 727
Bridgeport, CT $46.71 $0.00 – $178.63 766,042 209
Mentor, OH $35.16 $7.96 – $158.76 769,379 297
Staten Island, NY $136.47 $0.00 – $470.01 770,133 170
Goshen, IN $64.53 $13.69 – $95.53 772,452 26
Milwaukee, WI $52.93 $0.00 – $330.33 777,531 581
Eugene, OR $118.51 $0.00 – $268.31 778,009 783
Cedar Rapids, IA $80.03 $0.00 – $251.21 782,796 212
Little Rock, AR $64.46 $0.00 – $161.73 792,347 492
Forest Hills, NY $118.44 $0.84 – $251.71 804,282 87
Phoenix, AZ $71.26 $0.00 – $344.93 829,772 694
Frederick, MD $111.82 $0.00 – $217.55 844,228 98
Billings, MT $65.27 $0.00 – $255.26 854,643 335
Springfield, MO $33.77 $0.00 – $284.28 879,231 659
Richmond, VA $67.73 $0.00 – $303.93 880,940 500
Des Moines, IA $74.70 $0.00 – $178.64 882,204 402
Akron, OH $80.57 $0.00 – $245.07 885,433 741
San Antonio, TX $48.09 $0.00 – $219.80 889,042 634
Denver, CO $80.53 $0.00 – $483.53 905,608 943
Nashville, TN $58.51 $0.00 – $646.31 924,083 351
South Ozone Park, NY $103.67 $44.65 – $117.17 939,252 14
Fort Wayne, IN $62.23 $0.00 – $158.58 945,008 294
Boston, MA $73.99 $0.00 – $480.05 945,332 435
New Bedford, MA $66.99 $0.00 – $134.20 946,426 178
Somerset, KY $59.24 $0.00 – $143.14 948,676 140
San Diego, CA $62.99 $0.00 – $599.05 954,520 677
Washington, DC $79.50 $-3.58 – $374.72 959,132 614
Jackson, MS $87.28 $0.00 – $142.85 960,994 125
Houston, TX $52.25 $0.00 – $378.93 976,567 919
Toledo, OH $71.49 $0.00 – $187.50 981,620 941
Dayton, OH $74.24 $0.00 – $400.62 998,423 876
Worcester, MA $73.77 $0.00 – $423.35 1,006,360 288
Salt Lake City, UT $131.05 $0.00 – $568.80 1,009,239 383
Syracuse, NY $119.44 $0.00 – $422.82 1,038,180 219
Portland, OR $127.77 $0.00 – $484.71 1,060,187 1688

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.