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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
Northridge, CA $154.60 $0.00 – $389.25 133,796 55
Valdosta, GA $80.12 $14.00 – $128.24 133,504 39
Westampton, NJ $117.46 $0.00 – $415.42 133,409 19
Charlottesville, VA $94.87 $0.00 – $263.92 133,388 123
Bentonville, AR $72.84 $0.00 – $112.46 133,291 112
Ashtabula, OH $56.83 $2.45 – $115.16 133,241 94
Dubuque, IA $64.62 $0.00 – $127.91 133,016 87
Huntington Beach, CA $43.95 $0.00 – $195.46 132,903 40
Snow Hill, MD $95.59 $42.55 – $99.48 132,458 5
Yonkers, NY $97.13 $0.16 – $315.42 131,855 68
Monticello, KY $55.23 $3.18 – $87.24 131,708 24
Colts Neck, NJ $89.89 $7.26 – $91.10 131,378 3
Oxford, MS $79.77 $23.41 – $118.20 131,205 23
Costa Mesa, CA $56.97 $0.00 – $345.08 131,084 48
Anniston, AL $65.54 $1.51 – $121.68 130,779 30
Wasilla, AK $136.90 $0.00 – $935.05 130,773 68
Sandusky, OH $78.08 $0.00 – $127.64 130,688 94
Hyde Park, NY $100.14 $66.28 – $109.67 130,371 5
Dearborn, MI $104.90 $0.40 – $163.17 130,115 27
Brattleboro, VT $59.69 $0.00 – $204.79 130,070 99
Tempe, AZ $95.13 $0.00 – $247.32 129,513 120
Novi, MI $143.08 $0.00 – $200.63 129,447 15
Durango, CO $136.09 $0.00 – $431.36 129,125 60
Branford, CT $52.70 $0.00 – $121.95 129,094 57
Petersburg, VA $59.62 $15.26 – $173.59 128,975 57
Toms River, NJ $83.39 $0.00 – $525.97 128,862 41
Portland, ME $51.01 $0.00 – $269.22 128,856 134
Wytheville, VA $97.71 $2.82 – $168.75 128,731 31
Silver City, NM $80.86 $4.91 – $221.46 128,691 61
Salem, MA $74.80 $2.21 – $149.36 128,183 57
Flemington, NJ $78.39 $34.43 – $305.48 127,970 14
East Lansing, MI $77.16 $28.13 – $134.27 127,877 35
Staunton, VA $63.81 $0.00 – $140.81 127,857 49
Lewiston, ME $20.14 $0.19 – $106.87 126,935 42
Ames, IA $74.22 $0.00 – $108.16 126,852 62
Gulfport, MS $53.87 $0.00 – $127.21 126,757 58
Medford, MA $69.66 $2.91 – $130.29 126,755 42
Moncks Corner, SC $146.67 $6.77 – $292.14 126,716 24
Las Vegas, NM $90.08 $0.00 – $185.09 126,238 69
Roxbury, MA $65.31 $0.00 – $130.91 126,098 32
Glendale, CA $115.14 $0.00 – $436.67 126,020 90
Greenwood, SC $150.25 $30.29 – $162.39 125,874 19
West Chester, OH $67.74 $11.83 – $211.48 125,645 125
Troy, NY $125.97 $29.96 – $308.31 125,457 37
New Rochelle, NY $77.85 $12.73 – $1,161 125,206 68
Auburn, WA $44.60 $0.00 – $210.82 125,070 101
Putnam, CT $54.00 $0.00 – $93.49 125,062 38
Ypsilanti, MI $165.58 $4.68 – $239.98 124,896 22
Salinas, CA $124.17 $0.00 – $286.48 124,493 64
Salina, KS $63.86 $0.00 – $198.03 124,021 80

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.