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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
Vineland, NJ $86.69 $0.00 – $115.66 153,017 13
Port Chester, NY $123.66 $0.00 – $130.73 152,738 17
Beckley, WV $56.66 $0.00 – $145.43 151,948 67
Kent, WA $10.01 $0.00 – $139.82 151,822 89
Willimantic, CT $36.30 $0.00 – $107.87 151,614 60
Clinton Twp, MI $243.47 $28.53 – $252.98 151,522 6
Northampton, MA $65.18 $0.62 – $147.83 151,069 81
Red Bank, NJ $34.32 $0.00 – $243.35 150,465 24
Santa Barbara, CA $103.31 $0.00 – $314.22 150,374 133
Rockville, MD $101.44 $0.00 – $236.16 150,215 72
Ithaca, NY $129.72 $22.60 – $201.23 149,037 36
Stratford, CT $33.55 $0.00 – $111.43 148,863 39
Greeley, CO $80.90 $0.00 – $352.82 148,641 95
Dundalk, MD $116.49 $0.00 – $162.61 147,993 16
Dayville, CT $67.31 $0.00 – $136.21 147,557 34
Visalia, CA $99.41 $0.00 – $477.32 147,535 69
Catonsville, MD $86.62 $0.00 – $242.66 147,409 48
Palm Springs, CA $109.67 $0.00 – $453.93 147,086 62
Arcadia, FL $11.93 $0.00 – $101.32 146,964 78
Hickory, NC $71.47 $0.00 – $181.57 146,568 154
Mount Vernon, NY $96.88 $0.73 – $275.00 145,791 33
Olney, MD $124.35 $0.00 – $125.69 145,560 11
Kenosha, WI $57.44 $0.00 – $109.53 145,514 119
Bel Air, MD $98.85 $7.83 – $174.60 145,247 53
Fort Dodge, IA $59.42 $0.00 – $223.08 144,016 46
Kingston, NY $86.72 $26.69 – $349.88 143,853 71
Merced, CA $122.72 $0.00 – $413.21 143,639 50
Vincennes, IN $43.53 $0.00 – $164.49 143,428 30
Monsey, NY $66.65 $33.44 – $125.64 143,348 30
Mooresville, NC $71.06 $2.46 – $639.79 141,784 140
Glendale, AZ $73.44 $0.00 – $222.72 141,613 89
Highland, NY $90.62 $0.20 – $126.44 141,474 12
Newburgh, NY $106.11 $13.92 – $189.42 141,186 48
Caguas, PR $13.07 $0.00 – $65.48 140,815 106
Southgate, MI $104.07 $69.33 – $104.09 140,596 3
Jackson, KY $34.33 $26.89 – $134.51 140,271 15
Joplin, MO $26.61 $0.00 – $205.15 139,890 129
Florence, AL $65.30 $0.00 – $136.85 138,905 34
Hackettstown, NJ $94.87 $9.06 – $99.31 138,676 7
Plymouth, MI $71.98 $54.83 – $84.54 138,512 12
Marion, OH $53.80 $0.00 – $117.91 138,287 119
Gardena, CA $139.37 $0.00 – $404.57 137,218 82
Kent, OH $75.59 $2.62 – $118.79 137,205 117
Fort Lauderdale, FL $23.53 $0.00 – $252.20 135,918 64
Mardela Springs, MD $110.81 $110.81 – $110.81 135,603 1
Naugatuck, CT $68.88 $0.00 – $127.22 135,568 42
Fairfield, CT $79.93 $0.00 – $856.19 134,681 70
Bayville, NJ $107.53 $32.23 – $237.49 134,425 8
Monticello, AR $69.67 $0.00 – $115.10 134,353 42
Waukesha, WI $46.69 $0.00 – $143.91 133,861 149

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.