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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
Westlake, OH $65.42 $7.63 – $139.89 96,512 65
Jacksonville, AR $63.27 $0.41 – $120.00 96,412 72
Harrisonburg, VA $73.33 $0.00 – $162.88 96,287 85
Cherry Hill, NJ $103.12 $0.00 – $381.12 96,206 46
Mount Vernon, OH $63.78 $1.48 – $111.13 96,150 90
Richland, WA $54.41 $0.00 – $468.14 96,115 89
Southfield, MI $65.79 $0.00 – $133.98 95,980 53
Georgetown, KY $65.14 $0.00 – $131.48 95,489 37
Kennewick, WA $64.17 $0.00 – $159.40 95,393 108
Coeur D Alene, ID $56.45 $0.00 – $123.32 95,176 90
Fairfield, OH $73.24 $5.73 – $171.57 94,926 96
Danielson, CT $42.31 $0.00 – $92.64 94,766 30
Beaufort, SC $161.78 $25.27 – $303.96 94,658 14
Madison, TN $79.32 $0.01 – $116.71 94,569 24
Encino, CA $69.31 $0.00 – $266.66 94,527 53
Stoughton, MA $80.42 $16.83 – $126.30 94,522 16
Bath, NY $120.26 $1.05 – $718.54 94,418 21
Newport, VT $62.83 $6.99 – $92.93 94,346 25
Covina, CA $148.89 $0.00 – $381.06 94,238 60
Peabody, MA $63.36 $0.00 – $139.34 94,218 26
Aurora, IL $42.26 $0.00 – $164.94 93,964 30
Jasper, AL $75.23 $2.39 – $141.85 93,907 22
Batesville, AR $70.78 $0.00 – $108.66 93,848 45
Suffolk, VA $84.66 $12.25 – $132.21 93,707 66
Walnut Creek, CA $60.68 $0.00 – $314.02 93,582 57
West Orange, NJ $88.73 $1.90 – $197.02 93,328 15
Jacksonville, FL $47.08 $0.00 – $389.37 93,115 160
Englewood, CO $69.71 $0.00 – $272.52 93,114 62
Steubenville, OH $86.37 $14.47 – $166.05 93,022 88
Chesterfield, VA $73.89 $14.21 – $172.88 92,787 45
La Mesa, CA $37.65 $0.00 – $134.83 92,754 41
Murrieta, CA $116.64 $0.31 – $460.58 92,672 69
Madera, CA $53.07 $0.00 – $339.38 92,400 20
Aiken, SC $151.21 $0.52 – $188.12 92,274 22
Myrtle Beach, SC $88.43 $0.00 – $166.58 92,226 60
Tustin, CA $60.21 $2.39 – $357.43 91,920 34
Irondale, AL $48.63 $0.00 – $59.40 91,913 3
Corona, NY $88.36 $70.79 – $221.08 91,835 17
Clovis, NM $89.76 $0.00 – $190.18 91,702 79
Saint Albans, VT $41.90 $0.00 – $106.98 91,516 51
Centennial, CO $83.05 $0.00 – $354.53 91,411 84
Albion, NY $109.12 $59.56 – $274.33 91,363 10
Willmar, MN $125.89 $14.31 – $350.87 91,351 90
Vista, CA $21.54 $0.00 – $366.38 91,322 45
La Grange, KY $65.62 $0.84 – $162.70 91,207 21
Quincy, IL $8.55 $0.00 – $120.69 91,207 36
Dedham, MA $83.13 $0.00 – $121.99 91,078 14
Morganton, NC $71.97 $7.84 – $147.28 90,990 88
Avon, CT $25.93 $0.00 – $136.50 90,776 48
Marrero, LA $13.55 $0.00 – $124.74 90,750 33

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.