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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
Marshfield, WI $59.01 $0.00 – $124.49 62,251 56
Roanoke Rapids, NC $60.88 $0.00 – $159.23 62,235 31
South Boston, MA $101.98 $15.81 – $147.79 62,228 16
Kailua Kona, HI $87.08 $7.45 – $276.20 62,221 41
Lake Elsinore, CA $228.88 $0.00 – $534.13 62,170 31
Wayne, NJ $89.23 $0.89 – $179.07 62,022 18
Concord, CA $167.99 $0.00 – $385.60 61,995 55
Farmington, MO $36.43 $3.18 – $396.41 61,918 49
Shelby, NC $67.99 $0.00 – $277.44 61,796 54
Chelmsford, MA $77.67 $0.00 – $137.17 61,774 32
Havre, MT $44.20 $0.00 – $211.33 61,670 20
Culver City, CA $141.08 $0.00 – $406.06 61,635 42
Bridgewater, NJ $82.95 $0.45 – $438.17 61,552 15
Tigard, OR $131.17 $0.00 – $317.89 61,483 97
Brainerd, MN $99.10 $0.00 – $387.15 61,455 62
Camarillo, CA $84.33 $0.00 – $322.89 61,356 40
Clarksdale, MS $82.83 $47.42 – $116.83 61,274 4
Millville, NJ $72.49 $0.00 – $101.94 61,204 7
Leominster, MA $70.52 $0.00 – $207.38 61,180 49
Bethesda, MD $58.97 $0.00 – $221.88 61,034 36
Saint Joseph, MI $62.92 $19.43 – $78.79 60,866 12
Timonium, MD $80.65 $3.97 – $100.82 60,731 14
Arkadelphia, AR $69.90 $17.42 – $126.81 60,700 37
Hendersonville, NC $50.09 $0.00 – $140.94 60,464 78
Independence, MO $31.47 $0.00 – $145.36 60,430 96
Woodbury, MN $87.84 $22.07 – $583.25 60,411 94
Asheboro, NC $66.20 $0.00 – $109.84 60,405 51
Kirksville, MO $22.22 $0.00 – $156.56 60,389 32
Brownsville, TX $76.34 $10.12 – $220.36 60,260 37
Selma, AL $80.34 $8.45 – $148.73 60,226 6
Bremerton, WA $40.37 $0.00 – $172.62 60,098 67
Orem, UT $71.06 $3.14 – $268.20 59,991 41
Clovis, CA $30.93 $0.00 – $395.93 59,906 31
Weirton, WV $45.37 $2.19 – $96.59 59,822 21
Mt Sterling, KY $47.91 $18.32 – $142.65 59,792 27
Washington, NJ $79.18 $0.00 – $97.41 59,769 4
Springfield, VT $49.22 $0.00 – $139.23 59,764 36
Delano, CA $71.17 $0.00 – $258.53 59,753 19
Gainesville, GA $52.90 $32.07 – $149.16 59,752 16
Clinton, MO $10.73 $0.00 – $167.91 59,558 33
Whitesburg, KY $29.64 $0.01 – $70.89 59,541 12
Laguna Hills, CA $73.59 $0.00 – $285.27 59,483 33
Sault Sainte Marie, MI $131.66 $13.88 – $217.38 59,473 11
Beverly Hills, CA $43.23 $0.00 – $299.52 59,442 41
Amesbury, MA $79.60 $8.30 – $150.50 59,291 20
Ammon, ID $48.03 $4.62 – $67.13 59,020 33
Waterford, MI $67.23 $4.97 – $131.56 58,967 17
Calera, AL $69.15 $0.47 – $69.99 58,833 4
Chapel Hill, NC $57.28 $0.84 – $217.58 58,789 138
Rancho Mirage, CA $51.77 $0.00 – $225.99 58,782 30

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.