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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
Jacksonville, NC $63.49 $10.00 – $215.28 168,782 148
Fort Myers, FL $43.10 $0.00 – $430.65 168,581 104
Laconia, NH $65.01 $0.00 – $132.85 168,049 28
Holland, MI $114.61 $3.42 – $340.58 167,546 36
Portsmouth, VA $60.40 $15.12 – $743.84 167,418 63
Fairbanks, AK $117.84 $0.00 – $831.90 167,096 49
Longview, WA $87.96 $0.00 – $302.23 166,548 154
Noblesville, IN $52.62 $3.17 – $135.54 166,260 39
Littleton, CO $63.72 $0.00 – $320.20 165,915 174
Boardman, OH $60.01 $1.58 – $140.36 165,358 90
Boulder, CO $80.57 $0.00 – $445.24 165,246 129
Miami, FL $23.00 $0.00 – $198.34 165,142 184
Oswego, NY $113.31 $0.00 – $266.75 165,074 42
Bristol, CT $44.25 $0.00 – $829.52 164,520 67
Long Island City, NY $101.53 $3.46 – $328.79 164,413 41
Elmira, NY $96.51 $40.77 – $510.12 164,274 79
New Brockton, AL $44.61 $40.09 – $44.62 164,206 2
Alexandria, LA $29.60 $0.00 – $87.25 164,183 117
Eau Claire, WI $62.56 $0.00 – $147.94 164,120 175
Enfield, CT $48.26 $0.00 – $126.19 162,921 89
Roseburg, OR $118.33 $3.98 – $222.41 162,792 157
North Las Vegas, NV $77.79 $0.00 – $425.55 162,656 125
Glasgow, KY $63.24 $16.47 – $96.51 162,308 60
Lakewood, CO $82.23 $0.00 – $300.31 162,036 158
Tukwila, WA $6.73 $0.00 – $144.38 161,940 91
Apple Valley, CA $150.48 $0.00 – $421.80 161,343 71
Gwynn Oak, MD $116.45 $55.27 – $122.49 161,211 9
Leesburg, VA $42.53 $10.21 – $148.44 161,061 66
Farmington, CT $41.61 $0.00 – $296.72 160,914 74
Newark, DE $65.22 $-0.21 – $257.04 160,800 80
Tampa, FL $32.79 $0.00 – $228.53 159,987 165
Spokane Valley, WA $53.61 $0.00 – $184.12 159,916 112
Cerritos, CA $114.98 $0.00 – $363.57 159,824 44
Benton, AR $57.54 $0.00 – $113.94 158,911 91
Auburn, NY $119.27 $5.01 – $189.06 158,606 27
Union, NJ $92.64 $0.00 – $190.80 158,480 19
Houma, LA $16.51 $0.00 – $96.13 158,005 81
Appleton, WI $32.81 $0.00 – $127.91 157,706 171
Roswell, NM $83.51 $5.30 – $178.72 157,225 73
Conway, NH $55.22 $0.28 – $77.94 156,827 16
Egg Harbor Township, NJ $78.95 $0.00 – $369.35 156,627 14
Hilo, HI $84.68 $0.00 – $218.85 156,351 104
El Cajon, CA $31.60 $0.00 – $305.50 155,761 69
New Albany, IN $65.97 $1.17 – $132.43 155,533 42
Derry, NH $72.54 $6.90 – $140.03 155,323 16
East Boston, MA $59.28 $0.79 – $89.84 155,304 30
Berea, OH $79.20 $19.79 – $111.77 154,598 58
Needham, MA $66.41 $1.12 – $138.26 154,517 36
Orlando, FL $46.51 $0.00 – $173.13 153,662 146
Tulsa, OK $67.62 $0.00 – $676.20 153,028 193

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.