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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
Wentzville, MO $16.32 $0.00 – $109.58 44,928 83
Federal Way, WA $53.58 $0.00 – $153.62 44,896 65
Winona, MN $102.29 $16.21 – $177.05 44,882 39
Pembroke Pines, FL $18.02 $0.00 – $144.92 44,796 22
Batavia, OH $59.84 $0.20 – $108.76 44,669 49
Augusta, GA $81.09 $0.25 – $180.96 44,569 39
Santa Paula, CA $115.30 $8.09 – $354.68 44,536 16
Ruston, LA $14.98 $0.00 – $87.43 44,493 37
San Carlos, CA $172.75 $0.00 – $416.73 44,470 16
Schoharie, NY $146.10 $79.38 – $158.62 44,454 6
Dansville, NY $116.84 $56.28 – $120.70 44,452 10
Minnetonka, MN $99.30 $20.44 – $562.91 44,437 75
Fairborn, OH $65.96 $22.70 – $116.02 44,415 48
El Centro, CA $146.72 $0.13 – $457.55 44,399 32
Sonora, CA $106.53 $0.00 – $424.33 44,384 32
Newton, KS $67.86 $0.00 – $176.45 44,358 51
Hastings, NE $98.36 $18.30 – $166.99 44,255 39
Manati, PR $5.11 $0.00 – $40.30 44,161 22
Somerville, NJ $50.87 $0.00 – $284.65 44,092 11
Orland Park, IL $80.89 $1.73 – $121.36 44,085 23
Lewisville, TX $62.61 $14.35 – $119.82 44,041 20
North Hollywood, CA $169.25 $0.00 – $422.34 44,038 38
Batavia, NY $153.26 $27.50 – $251.47 43,937 16
Fridley, MN $72.00 $1.98 – $258.60 43,814 51
Morrison, TN $33.66 $30.66 – $123.41 43,777 8
Radcliff, KY $60.05 $27.72 – $215.26 43,734 13
El Monte, CA $196.46 $0.00 – $393.99 43,616 28
Perris, CA $229.23 $0.00 – $491.24 43,584 28
Belpre, OH $44.36 $0.00 – $91.43 43,568 24
Lawrenceville, NJ $63.04 $15.56 – $118.88 43,512 7
Middletown, RI $69.97 $0.00 – $119.32 43,483 33
Beavercreek, OH $69.61 $20.99 – $387.10 43,468 40
Marana, AZ $16.65 $0.00 – $112.51 43,421 19
Wyckoff, NJ $47.20 $46.19 – $74.92 43,399 2
Harahan, LA $84.07 $11.88 – $84.13 43,212 4
Milford, OH $66.48 $7.12 – $134.52 43,159 41
Red Bluff, CA $67.03 $0.00 – $459.69 43,112 33
New Castle, IN $46.10 $12.40 – $99.23 43,089 22
Platteville, WI $70.15 $0.00 – $107.61 43,088 28
Colonial Heights, VA $56.95 $8.53 – $100.74 43,074 11
Dover Foxcroft, ME $5.53 $3.84 – $227.14 43,066 4
Manchester, KY $41.18 $0.00 – $77.31 43,012 14
Springfield, VA $84.68 $54.95 – $134.08 43,001 23
Warrenton, VA $64.77 $51.36 – $159.61 42,974 13
Bennetsville, SC $170.55 $170.55 – $170.55 42,956 1
Rochester Hills, MI $76.78 $15.74 – $100.58 42,956 16
Morristown, NJ $56.07 $0.00 – $176.86 42,954 17
Matthews, NC $61.13 $6.03 – $157.00 42,917 60
Chino Hills, CA $87.18 $0.00 – $173.49 42,913 31
Brentwood, TN $28.52 $0.00 – $308.21 42,899 38

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.