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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
Paw Paw, MI $139.98 $4.81 – $172.63 83,738 8
Bedford, IN $49.35 $7.94 – $74.72 83,727 31
Lumberton, NC $69.99 $0.00 – $112.14 83,722 60
Springfield, IL $36.31 $0.00 – $257.50 83,710 75
Prince Frederick, MD $98.15 $40.96 – $149.54 83,694 20
Mcallen, TX $76.50 $12.79 – $166.21 83,409 60
Riverdale, MD $85.92 $14.87 – $169.58 83,352 9
Leitchfield, KY $59.40 $0.00 – $98.53 83,229 15
Midland, MI $82.88 $0.00 – $99.45 83,153 16
Urbandale, IA $71.15 $0.00 – $156.53 83,140 49
Hillsboro, OR $103.82 $0.00 – $292.12 82,886 117
Statesville, NC $58.39 $0.00 – $135.66 82,871 72
Lubbock, TX $69.04 $0.00 – $420.85 82,826 72
Decatur, GA $77.64 $0.00 – $125.21 82,684 39
Irvington, NJ $82.38 $7.54 – $406.14 82,409 17
Andalusia, AL $65.90 $32.87 – $142.05 82,164 13
Roseville, CA $95.25 $0.00 – $414.41 82,028 83
Bay Shore, NY $76.65 $7.43 – $190.08 81,698 28
Price, UT $96.78 $0.00 – $154.06 81,655 9
Enterprise, AL $55.50 $23.35 – $146.53 81,654 22
Niles, OH $77.53 $12.55 – $137.97 81,564 94
Randallstown, MD $83.01 $0.00 – $156.34 81,339 24
Phillipsburg, NJ $94.95 $65.86 – $271.51 81,199 8
Bellevue, WA $34.98 $0.00 – $198.42 81,161 150
Mission Viejo, CA $59.33 $0.00 – $327.71 80,891 41
Thibodaux, LA $28.72 $0.00 – $75.87 80,865 52
Cabot, AR $77.50 $12.28 – $111.75 80,817 59
Fairlawn, OH $63.84 $8.08 – $105.50 80,759 63
Wenatchee, WA $33.39 $0.00 – $270.25 80,748 117
Waterloo, NY $142.15 $66.15 – $149.35 80,704 7
Seven Hills, OH $12.19 $8.52 – $73.48 80,687 13
Harlan, KY $53.17 $14.52 – $77.48 80,579 12
Reisterstown, MD $92.44 $5.19 – $225.27 80,579 13
Saint Cloud, MN $94.67 $10.38 – $213.07 80,569 104
Miles City, MT $73.24 $0.00 – $98.12 80,450 21
Lakewood, OH $69.04 $3.77 – $112.94 80,438 43
Seymour, IN $42.74 $13.42 – $83.35 80,326 15
Monroe, MI $150.36 $0.56 – $360.32 80,310 40
Bowling Green, OH $68.81 $0.00 – $102.37 80,241 102
Dorchester, MA $70.64 $0.00 – $148.18 80,039 44
Waianae, HI $191.97 $70.17 – $371.02 80,036 37
Albany, OR $92.38 $0.00 – $389.93 79,998 102
Raeford, NC $73.70 $34.63 – $129.86 79,894 48
Santa Teresa, NM $98.77 $22.17 – $178.74 79,890 22
Ivel, KY $30.89 $15.97 – $40.79 79,877 2
Rapid City, SD $77.63 $13.01 – $411.19 79,808 39
Monroe, NY $77.95 $0.00 – $139.33 79,778 22
Nevada, MO $27.16 $0.00 – $307.32 79,671 46
Montpelier, VT $65.73 $0.00 – $102.25 79,598 56
Marshalltown, IA $75.92 $0.01 – $194.67 79,528 31

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.