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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
Hoboken, NJ $89.17 $12.91 – $147.53 103,094 9
Mankato, MN $91.34 $0.00 – $357.77 102,982 122
Cary, NC $51.01 $1.89 – $206.39 102,803 98
East Meadow, NY $117.30 $0.26 – $178.77 102,464 22
Munfordville, KY $61.54 $19.76 – $91.67 102,413 9
Annapolis, MD $92.79 $0.00 – $197.98 102,257 45
East Liverpool, OH $72.24 $0.00 – $133.66 101,933 74
Denville, NJ $99.52 $26.30 – $211.39 101,905 5
Arcata, CA $47.16 $0.00 – $174.24 101,893 63
Tuscaloosa, AL $57.31 $0.00 – $149.10 101,547 24
Lebanon, NH $72.72 $0.00 – $263.43 101,493 39
Orangeburg, SC $152.18 $0.00 – $262.35 101,487 24
Glens Falls, NY $83.69 $26.69 – $269.98 101,231 53
Glastonbury, CT $63.42 $0.00 – $116.66 100,866 60
Yuba City, CA $91.01 $0.00 – $373.34 100,777 44
Indio, CA $137.14 $0.00 – $524.70 100,569 46
Medina, OH $62.73 $0.00 – $110.29 100,493 119
Atmore, AL $49.65 $0.00 – $50.78 100,237 4
New Iberia, LA $10.90 $0.00 – $97.10 100,227 30
West Memphis, AR $65.12 $0.00 – $113.35 100,151 38
Lapeer, MI $126.72 $6.38 – $172.94 99,974 11
Mandeville, LA $15.77 $0.00 – $108.95 99,705 62
Russellville, AR $75.81 $17.70 – $133.10 99,544 78
New City, NY $107.57 $3.42 – $140.65 99,236 26
Richmond, IN $64.95 $11.06 – $234.97 99,091 58
Harrisburg, PA $72.15 $0.00 – $351.41 98,980 34
Columbus, GA $54.84 $8.09 – $125.70 98,831 59
Abingdon, MD $123.89 $51.89 – $168.02 98,361 12
Mount Clemens, MI $62.73 $5.36 – $233.59 98,340 13
Peru, IN $36.01 $7.43 – $110.30 98,203 9
Brookfield, WI $59.63 $0.00 – $118.61 98,021 66
Garden City, NY $89.64 $0.00 – $152.17 97,981 31
Salisbury, NC $59.08 $0.00 – $130.26 97,772 70
Arvada, CO $94.94 $0.00 – $353.55 97,723 51
Bridgeport, WV $56.96 $0.00 – $124.30 97,698 33
Hempstead, NY $104.59 $0.00 – $197.59 97,655 31
Saint Johns, MI $79.05 $78.92 – $83.89 97,463 2
Nampa, ID $63.44 $0.00 – $122.11 97,463 113
Oak Ridge, TN $50.51 $9.67 – $75.17 97,308 31
Sherman Oaks, CA $50.15 $0.00 – $205.17 97,254 40
Taylorsville, UT $115.13 $0.00 – $615.36 97,245 55
Beaverton, OR $136.31 $0.00 – $828.83 97,208 177
Lyons, NY $139.39 $0.73 – $140.37 97,088 6
Woodbridge, VA $77.92 $0.00 – $239.38 96,984 62
Lynwood, CA $113.89 $0.00 – $409.72 96,969 41
Mason, MI $78.05 $35.35 – $108.42 96,939 10
Ketchikan, AK $85.56 $0.00 – $589.79 96,828 24
Loveland, CO $89.89 $0.00 – $368.75 96,791 67
Gloversville, NY $118.93 $66.28 – $121.77 96,709 9
Plattsburgh, NY $108.77 $19.29 – $149.92 96,574 37

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.