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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
Kenton, OH $34.26 $1.18 – $109.31 55,212 22
Saranac Lake, NY $100.26 $76.76 – $129.29 55,122 6
Colton, CA $176.28 $0.00 – $676.25 55,037 45
Tallahassee, FL $17.01 $0.00 – $196.71 54,952 43
Folsom, CA $64.80 $0.00 – $365.54 54,919 50
Vallejo, CA $36.44 $0.00 – $345.99 54,904 31
Cheektowaga, NY $88.70 $53.28 – $203.53 54,892 22
Coos Bay, OR $123.33 $0.00 – $232.98 54,827 58
Temple, TX $54.42 $0.00 – $392.49 54,786 68
Palmdale, CA $181.50 $0.00 – $407.25 54,754 46
Livonia, MI $119.41 $2.42 – $598.56 54,754 28
Princeton, NJ $84.07 $0.74 – $412.49 54,573 15
Clayton, NJ $77.99 $65.10 – $391.27 54,543 3
Ogdensburg, NY $171.98 $0.00 – $296.11 54,447 12
Glassboro, NJ $75.27 $0.00 – $96.27 54,331 6
Troy, MI $48.39 $25.33 – $94.30 54,322 22
Rock Island, IL $64.95 $0.00 – $179.68 54,297 35
Oceanside, NY $128.16 $46.84 – $166.96 54,232 11
Brewster, NY $36.95 $21.86 – $274.86 54,224 15
Southington, CT $62.64 $0.00 – $135.25 54,102 35
Danvers, MA $82.30 $7.39 – $238.65 53,994 36
Centreville, MD $104.44 $53.22 – $114.68 53,943 7
South Boston, VA $43.09 $5.75 – $85.18 53,792 18
Winchester, KY $45.80 $17.35 – $88.95 53,728 23
Alamosa, CO $216.62 $0.00 – $453.22 53,492 34
Fairfield, IA $85.19 $0.00 – $105.69 53,482 15
Chesterfield, MI $78.79 $17.03 – $85.58 53,479 4
Parma, OH $60.35 $0.00 – $125.79 53,465 63
Mystic, CT $47.87 $0.00 – $95.72 53,392 15
Jefferson City, MO $39.80 $0.00 – $247.90 53,362 85
Ashland, WI $66.70 $13.31 – $102.05 53,310 29
Ashland City, TN $85.11 $47.92 – $91.09 53,303 5
Gonzales, LA $19.76 $0.00 – $133.55 53,288 33
Garfield Heights, OH $75.60 $10.62 – $130.45 53,213 45
Ethel, LA $30.77 $24.46 – $54.08 53,177 3
Thomasville, GA $90.55 $0.46 – $143.78 53,173 13
St Johnsbury, VT $62.21 $0.00 – $91.84 53,170 31
Turlock, CA $96.40 $0.00 – $358.71 53,161 26
Vacaville, CA $60.80 $0.00 – $323.89 53,070 56
Sugar Land, TX $78.53 $0.00 – $252.53 53,049 43
Racine, WI $47.66 $20.30 – $129.01 52,995 53
Farmville, VA $79.13 $13.68 – $124.01 52,964 29
Woodbridge, CT $80.76 $0.00 – $708.05 52,900 28
Lisbon, OH $75.34 $23.79 – $117.91 52,867 45
Gresham, OR $147.30 $0.00 – $312.64 52,758 95
Gautier, MS $63.08 $1.58 – $94.16 52,727 7
Kettering, OH $77.60 $22.18 – $106.30 52,676 45
Greenwood Village, CO $79.12 $0.00 – $141.63 52,674 35
Porterville, CA $44.55 $0.00 – $398.76 52,662 22
Greenville, MI $74.04 $1.29 – $96.47 52,648 11

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.