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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
West Allis, WI $55.70 $14.41 – $113.11 58,772 57
Newport, TN $63.49 $0.00 – $93.56 58,713 11
Bloomfield, CT $41.93 $0.35 – $119.19 58,592 42
Valley Stream, NY $79.06 $11.95 – $261.18 58,585 29
Harrisville, MI $25.69 $25.69 – $25.69 58,584 1
Yreka, CA $78.39 $0.00 – $298.59 58,445 25
Austintown, OH $72.32 $20.75 – $128.05 58,434 53
Kenner, LA $29.76 $0.00 – $70.77 58,348 23
Saint Joseph, MO $61.17 $0.00 – $148.22 58,306 66
Mission, TX $74.71 $40.99 – $130.19 58,095 31
Garner, NC $77.97 $24.17 – $106.16 57,885 26
North Platte, NE $107.00 $46.54 – $240.54 57,875 41
South Jordan, UT $134.94 $0.00 – $301.47 57,866 24
Chestertown, MD $88.44 $63.85 – $137.28 57,731 13
Leon, IA $2.37 $0.00 – $106.70 57,617 6
Russell Springs, KY $58.26 $5.64 – $75.76 57,577 14
Sylmar, CA $43.71 $0.00 – $350.60 57,356 17
Fullerton, CA $97.21 $0.00 – $315.93 57,324 37
Upper Marlboro, MD $93.51 $0.00 – $179.64 57,288 41
Emporia, KS $56.55 $0.00 – $325.91 57,225 50
Wellsville, NY $102.11 $62.91 – $117.62 57,164 7
Hesperia, CA $109.17 $0.00 – $163.78 57,098 27
Wichita Falls, TX $60.27 $0.00 – $139.88 57,058 53
Marion, AR $81.49 $0.09 – $105.97 57,049 24
Princeton, WV $65.27 $0.00 – $120.78 57,013 32
Barbourville, KY $48.55 $2.30 – $84.40 56,996 14
Burlington, NC $68.02 $0.00 – $208.20 56,922 55
Edgewater, MD $87.45 $68.85 – $87.61 56,883 3
Neptune, NJ $73.88 $1.08 – $445.25 56,878 20
Cadillac, MI $65.68 $0.78 – $88.47 56,830 20
Rockville Centre, NY $86.66 $21.87 – $245.67 56,716 27
Euclid, OH $79.64 $14.87 – $130.76 56,702 36
Berea, KY $61.35 $6.92 – $94.05 56,669 27
Newport, OR $104.23 $0.00 – $198.63 56,423 52
Wailuku, HI $79.55 $0.00 – $364.84 56,419 46
Malden, MA $73.20 $2.04 – $149.64 56,382 19
Hollywood, MD $91.71 $71.38 – $92.14 56,366 2
Lockport, NY $133.33 $79.54 – $209.45 56,320 10
Greenwich, CT $31.60 $0.00 – $97.77 56,243 20
San Mateo, CA $179.14 $0.00 – $523.45 56,216 43
Celina, OH $77.53 $42.66 – $109.58 56,190 47
Walla Walla, WA $60.21 $0.00 – $127.67 56,188 57
Windsor, MO $36.43 $22.56 – $311.55 56,073 15
Norwalk, OH $76.07 $20.28 – $117.72 55,705 58
Crystal Lake, IL $99.28 $8.70 – $188.80 55,690 25
Goodyear, AZ $28.74 $0.00 – $326.85 55,473 21
Bloomington, MN $93.71 $0.00 – $279.12 55,458 77
Beloit, WI $60.31 $0.00 – $103.42 55,337 40
Pembroke, NC $68.75 $42.92 – $115.30 55,336 30
Olean, NY $158.70 $39.12 – $170.51 55,302 18

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.