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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
Oakdale, MN $198.31 $18.33 – $346.45 47,755 50
Pine City, MN $93.36 $56.83 – $120.42 47,740 32
Fremont, NE $106.67 $17.34 – $217.97 47,725 39
New Milford, CT $56.92 $0.18 – $124.93 47,657 26
Savannah, GA $82.29 $18.94 – $233.83 47,637 36
Lexington, NC $60.80 $11.80 – $147.79 47,621 58
Burlington, WI $52.67 $6.97 – $69.00 47,559 18
Wayne, MI $85.22 $3.02 – $216.86 47,514 7
Hannibal, MO $23.74 $0.00 – $89.21 47,442 35
Lakeport, CA $30.23 $0.00 – $476.35 47,402 16
Clinton, IN $42.24 $30.33 – $80.14 47,330 9
Bayside, NY $80.15 $8.49 – $119.14 47,328 18
Attalla, AL $60.92 $44.14 – $61.03 47,320 2
Henrico, VA $70.70 $13.02 – $189.56 47,319 46
Richmond, CA $101.76 $0.00 – $376.17 47,304 33
Johnston, IA $68.85 $6.44 – $128.99 47,200 31
Wappingers Falls, NY $78.84 $17.69 – $107.26 47,156 18
Cedar Bluff, VA $63.19 $17.56 – $101.10 47,145 27
Anthony, NM $123.98 $9.52 – $193.04 47,138 33
Mcdonough, GA $84.42 $71.94 – $116.54 47,057 18
Denham Springs, LA $32.83 $0.00 – $77.53 46,919 36
Marysville, CA $46.86 $0.00 – $343.58 46,896 21
Elk Grove, CA $122.08 $0.00 – $321.70 46,893 46
Absecon, NJ $91.05 $4.65 – $91.63 46,865 2
Nutley, NJ $70.01 $2.26 – $178.87 46,857 8
Westfield, NJ $78.86 $78.30 – $92.13 46,809 2
Midvale, UT $103.56 $2.73 – $181.32 46,795 19
Howell, MI $225.19 $21.19 – $292.09 46,782 8
Gloucester City, NJ $65.09 $4.08 – $70.67 46,689 3
Hilliard, OH $67.79 $13.43 – $135.26 46,671 55
Versailles, KY $33.78 $9.18 – $120.32 46,526 12
Tawas City, MI $241.85 $88.29 – $241.99 46,504 2
Cypress, TX $23.34 $0.00 – $121.13 46,398 18
Lodi, CA $111.39 $0.00 – $284.70 46,224 29
Colville, WA $5.33 $0.00 – $86.60 46,142 37
La Habra, CA $36.71 $0.00 – $112.46 45,986 18
New London, NH $67.49 $16.64 – $81.32 45,888 17
West Warwick, RI $49.37 $0.00 – $110.00 45,860 27
La Plata, MD $119.74 $43.87 – $146.17 45,843 9
Whitehall, OH $72.80 $20.01 – $115.35 45,817 67
West Plains, MO $50.91 $2.49 – $213.61 45,672 51
Mckinney, TX $47.01 $0.00 – $213.44 45,603 45
Rocky River, OH $56.10 $17.77 – $103.53 45,553 43
Keansburg, NJ $68.65 $68.58 – $168.29 45,461 4
South Charleston, WV $66.28 $0.00 – $105.00 45,297 17
Franklin, KY $64.25 $25.60 – $74.28 45,146 6
Baxter, MN $98.62 $28.58 – $175.31 45,127 56
San Pablo, CA $145.77 $0.05 – $404.28 45,059 20
Port Jefferson, NY $131.93 $21.84 – $525.92 44,944 21
Lufkin, TX $43.82 $0.13 – $140.10 44,930 29

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.