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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
Richmond, VA $67.73 $0.00 – $303.93 880,940 500
Springfield, MO $33.77 $0.00 – $284.28 879,231 659
Billings, MT $65.27 $0.00 – $255.26 854,643 335
Frederick, MD $111.82 $0.00 – $217.55 844,228 98
Phoenix, AZ $71.26 $0.00 – $344.93 829,772 694
Forest Hills, NY $118.44 $0.84 – $251.71 804,282 87
Little Rock, AR $64.46 $0.00 – $161.73 792,347 492
Cedar Rapids, IA $80.03 $0.00 – $251.21 782,796 212
Eugene, OR $118.51 $0.00 – $268.31 778,009 783
Milwaukee, WI $52.93 $0.00 – $330.33 777,531 581
Goshen, IN $64.53 $13.69 – $95.53 772,452 26
Staten Island, NY $136.47 $0.00 – $470.01 770,133 170
Mentor, OH $35.16 $7.96 – $158.76 769,379 297
Bridgeport, CT $46.71 $0.00 – $178.63 766,042 209
Raleigh, NC $74.92 $0.00 – $928.72 754,370 727
Las Cruces, NM $91.15 $0.00 – $203.83 733,455 387
Buffalo, NY $135.39 $0.97 – $866.84 730,584 194
Waterbury, CT $54.22 $0.00 – $337.52 722,245 278
Danbury, CT $66.50 $0.00 – $139.46 697,494 158
Greenfield, MA $73.91 $0.00 – $135.61 675,880 56
Baton Rouge, LA $24.05 $0.00 – $186.37 665,007 417
Getzville, NY $109.95 $39.99 – $125.31 661,725 4
Woburn, MA $82.99 $7.86 – $143.11 660,094 35
Lanham, MD $110.58 $0.00 – $273.87 653,967 61
Muncie, IN $53.91 $0.04 – $152.74 650,436 108
Fresno, CA $87.42 $0.00 – $384.62 644,740 321
Columbia, SC $122.40 $5.79 – $567.53 643,281 195
New Britain, CT $48.79 $0.00 – $431.18 639,918 204
Corbin, KY $57.11 $0.00 – $212.82 633,318 148
Bowling Green, KY $59.81 $0.00 – $190.86 632,026 183
Canton, OH $70.83 $0.00 – $224.52 631,711 532
Seattle, WA $26.75 $0.00 – $729.38 630,689 909
New Orleans, LA $22.14 $0.00 – $185.05 629,926 531
Riverside, CA $143.51 $0.00 – $1,630 622,053 377
Terre Haute, IN $58.51 $0.00 – $119.94 618,401 77
Missoula, MT $64.41 $0.00 – $323.30 600,296 303
Provo, UT $107.81 $0.00 – $172.35 594,211 61
Omaha, NE $101.13 $0.00 – $333.40 593,020 763
Greenville, SC $129.23 $0.00 – $236.42 592,938 187
Jonesboro, AR $68.16 $0.00 – $344.28 577,865 330
Holyoke, MA $82.95 $0.00 – $174.13 568,889 134
Flint, MI $86.45 $0.00 – $413.48 565,906 80
Sacramento, CA $99.16 $0.00 – $548.32 561,297 473
Kalamazoo, MI $75.96 $0.00 – $161.75 559,338 89
Birmingham, AL $70.14 $0.00 – $204.05 558,146 183
Minneapolis, MN $127.90 $0.00 – $671.80 556,330 740
White Plains, NY $124.57 $0.42 – $247.90 549,866 72
Evansville, IN $44.55 $0.73 – $132.28 549,583 137
Ashland, KY $56.27 $0.00 – $163.68 547,575 113
Memphis, TN $19.48 $0.00 – $202.08 544,463 226

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.