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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
Winterville, NC $76.48 $19.18 – $109.49 66,542 25
Kapolei, HI $117.00 $0.00 – $283.40 66,421 23
Elyria, OH $72.67 $16.59 – $113.77 66,068 73
Farmington Hills, MI $66.05 $31.37 – $172.94 66,043 33
Soldotna, AK $104.55 $16.85 – $325.33 65,826 22
Edina, MN $95.33 $0.00 – $244.84 65,806 96
Pemberton, NJ $84.10 $65.93 – $226.74 65,720 2
Clinton, IA $72.61 $14.53 – $205.51 65,667 39
Salyersville, KY $41.47 $0.00 – $67.36 65,332 10
Port Angeles, WA $29.00 $0.00 – $173.38 65,225 78
Whittier, CA $144.75 $5.33 – $404.57 65,223 36
Tumwater, WA $41.68 $0.00 – $218.18 65,106 35
New York City, NY $133.41 $38.52 – $144.80 64,952 5
Alexandria, VA $63.18 $0.00 – $176.46 64,936 93
Ashland, OH $84.25 $34.06 – $145.95 64,803 65
Sterling, CO $215.74 $0.00 – $473.87 64,751 15
Bemidji, MN $152.45 $0.47 – $667.06 64,671 73
Southaven, MS $68.88 $12.17 – $116.60 64,222 40
Poplar Bluff, MO $45.25 $0.00 – $202.29 64,137 63
Hackensack, NJ $93.65 $8.08 – $327.89 64,110 27
Methuen, MA $86.18 $10.46 – $125.69 64,081 19
Siloam Springs, AR $73.45 $13.66 – $115.00 63,953 43
Pepper Pike, OH $80.94 $13.61 – $104.47 63,837 54
Dover, OH $71.86 $0.00 – $180.99 63,767 55
Parker, CO $58.81 $0.00 – $313.99 63,763 60
San Pedro, CA $118.87 $0.00 – $454.45 63,721 22
Brunswick, GA $79.77 $0.00 – $91.38 63,588 11
Peoria, AZ $26.78 $0.00 – $192.95 63,547 46
Oakland, MD $83.10 $4.70 – $98.01 63,481 13
Paris, TN $55.33 $5.83 – $283.74 63,465 23
Ozone Park, NY $76.61 $31.38 – $104.86 63,440 10
Naples, FL $55.83 $0.00 – $138.67 63,363 30
Pontiac, MI $152.66 $1.28 – $351.71 63,236 15
Wheeling, WV $82.18 $0.00 – $182.12 63,099 56
Hatch, NM $161.04 $21.12 – $162.00 63,098 3
Saint Charles, MO $34.97 $0.00 – $112.26 63,014 83
Arlington, VA $78.70 $0.00 – $223.16 62,987 54
Mccomb, MS $75.06 $0.00 – $121.40 62,928 21
East Haven, CT $53.50 $0.00 – $97.41 62,902 27
North Canton, OH $70.40 $11.67 – $115.77 62,866 55
Alma, MI $83.90 $31.95 – $88.45 62,819 6
Morrisville, VT $32.57 $0.00 – $99.02 62,684 33
Woodward, IA $54.15 $5.31 – $57.16 62,607 3
Williamsburg, VA $80.69 $2.17 – $138.08 62,585 80
Nevada City, CA $72.73 $0.00 – $139.42 62,523 39
Decorah, IA $79.85 $26.34 – $205.18 62,489 20
Queens Village, NY $126.22 $15.82 – $230.16 62,488 20
Shelton, CT $67.64 $0.00 – $131.93 62,425 39
Moreno Valley, CA $167.59 $0.00 – $538.26 62,418 34
Englewood, NJ $84.57 $0.82 – $149.83 62,283 15

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.