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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
Amityville, NY $92.46 $1.19 – $308.79 110,851 36
Palm Desert, CA $134.32 $0.00 – $450.88 110,738 54
Wausau, WI $67.61 $0.00 – $152.95 110,291 132
Hopkinsville, KY $60.87 $7.73 – $223.27 110,197 45
Hemet, CA $166.73 $0.42 – $523.03 110,112 38
Guntersville, AL $91.26 $0.00 – $138.20 109,934 12
Bozeman, MT $69.47 $0.00 – $125.92 109,894 105
Passaic, NJ $82.30 $0.00 – $434.97 109,834 39
Stockbridge, GA $81.25 $0.00 – $241.25 109,818 18
Cambridge, OH $70.42 $0.00 – $115.35 109,569 67
Chula Vista, CA $65.62 $0.00 – $305.32 109,508 84
Sumter, SC $158.47 $59.57 – $194.61 109,398 21
Woodbury, NJ $84.10 $0.00 – $261.81 109,255 22
Niagara Falls, NY $89.88 $34.60 – $129.43 108,942 21
Danville, VA $72.67 $8.60 – $164.79 108,720 57
Corvallis, OR $118.67 $0.00 – $385.53 108,659 164
Olympia, WA $93.05 $0.00 – $476.12 108,565 191
Grass Valley, CA $109.96 $0.00 – $432.63 108,539 48
Abingdon, VA $63.20 $7.11 – $174.55 108,439 67
Madisonville, KY $50.66 $24.96 – $178.29 108,347 31
La Crosse, WI $51.86 $0.00 – $134.84 108,336 124
Petoskey, MI $147.57 $7.90 – $186.30 108,132 12
Hicksville, NY $136.97 $30.29 – $203.99 108,107 38
Pawtucket, RI $69.48 $0.00 – $290.71 108,093 90
Alpena, MI $113.98 $2.95 – $224.85 107,820 14
Malvern, AR $70.10 $10.20 – $112.46 107,604 44
Mountainside, NJ $89.55 $18.95 – $271.22 107,461 5
Parkersburg, WV $65.45 $0.15 – $125.35 107,261 56
Fitchburg, MA $84.86 $5.51 – $875.16 106,917 46
Grants Pass, OR $27.36 $0.00 – $224.52 106,913 122
Fargo, ND $83.77 $0.00 – $565.61 106,839 165
Bristol, TN $57.71 $0.00 – $168.28 106,590 37
Mamou, LA $0.12 $0.06 – $35.56 106,228 2
Alamogordo, NM $119.79 $12.05 – $176.31 105,967 61
Wallingford, CT $61.57 $0.00 – $108.65 105,847 37
Grand Island, NE $104.87 $1.38 – $228.51 105,835 97
Carmel, IN $46.75 $0.00 – $137.50 105,700 68
Brookline, MA $69.42 $0.00 – $178.62 105,479 43
Watsonville, CA $65.31 $0.00 – $346.72 105,083 26
Greeneville, TN $54.34 $1.39 – $89.83 105,018 36
Saratoga Springs, NY $107.09 $0.00 – $260.74 104,948 70
Klamath Falls, OR $130.62 $0.00 – $626.39 104,862 124
Torrance, CA $115.57 $0.00 – $390.51 104,795 85
Shaker Heights, OH $61.99 $0.60 – $180.69 104,702 93
Goldsboro, NC $69.00 $0.00 – $143.12 104,663 112
Chino, CA $103.95 $0.00 – $351.86 104,210 44
Amarillo, TX $53.42 $0.00 – $201.10 104,203 78
Brazil, IN $79.31 $3.88 – $83.84 104,106 4
St Louis Park, MN $89.66 $13.21 – $211.52 104,021 128
Fremont, CA $125.44 $0.00 – $340.67 103,371 57

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.