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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
Redding, CA $50.57 $0.00 – $500.25 540,138 276
Providence, RI $71.24 $0.00 – $320.79 531,502 503
Charleston, SC $153.64 $0.00 – $258.53 519,793 93
Saginaw, MI $95.12 $0.00 – $305.92 517,058 67
Salem, OR $144.63 $0.00 – $719.00 516,066 486
Hagerstown, MD $102.16 $0.00 – $325.30 509,775 84
Greenbelt, MD $117.39 $43.54 – $171.78 499,388 33
Chattanooga, TN $55.64 $0.00 – $151.33 496,871 170
Sioux City, IA $70.45 $0.00 – $263.61 487,919 159
Owensboro, KY $62.26 $0.00 – $181.60 487,571 138
Clarkston, MI $60.37 $17.45 – $102.12 485,187 21
Greensboro, NC $71.08 $0.00 – $212.71 482,989 374
Aurora, CO $66.36 $0.00 – $731.18 478,104 489
Albany, NY $113.81 $0.00 – $282.57 474,025 225
Vancouver, WA $106.08 $0.00 – $453.64 473,275 524
Lansing, MI $156.23 $0.00 – $373.75 472,385 65
Durham, NC $65.37 $0.00 – $326.25 472,359 398
Silver Spring, MD $94.09 $0.00 – $196.04 468,812 91
Roanoke, VA $71.61 $0.00 – $221.43 465,691 265
Anchorage, AK $134.83 $0.00 – $918.75 465,465 217
Lakewood, NJ $63.08 $0.00 – $454.60 461,366 45
Glen Burnie, MD $109.10 $0.00 – $159.51 461,276 75
Virginia Beach, VA $70.53 $0.00 – $206.40 460,966 340
Middletown, CT $39.99 $0.00 – $259.56 459,562 163
Tucson, AZ $63.70 $0.00 – $304.46 455,744 421
Lawrence, MA $74.66 $0.00 – $164.41 447,839 99
Long Beach, CA $130.30 $0.00 – $409.72 444,581 258
Quincy, MA $74.96 $0.00 – $143.89 440,999 102
Wilmington, NC $41.28 $0.00 – $161.80 438,201 384
Bakersfield, CA $101.15 $0.00 – $308.98 438,103 205
Norwich, CT $29.36 $0.00 – $361.65 434,230 194
Tupelo, MS $96.65 $8.76 – $125.59 432,422 50
Blue Ash, OH $68.33 $4.18 – $108.57 431,643 197
Stamford, CT $40.86 $0.00 – $171.65 431,081 121
Covington, KY $70.00 $0.11 – $124.04 429,534 97
Manchester, CT $64.07 $0.00 – $747.08 426,013 188
Youngstown, OH $73.39 $1.63 – $163.16 422,998 398
Honolulu, HI $71.94 $0.00 – $392.70 420,919 307
Columbus, IN $54.69 $14.75 – $142.78 417,933 35
Huntington, NY $105.60 $0.00 – $151.38 417,250 35
Rosedale, MD $116.57 $0.00 – $159.88 416,570 21
Wichita, KS $78.45 $0.00 – $176.98 414,324 540
Lafayette, LA $24.96 $0.00 – $169.27 413,264 241
Gaithersburg, MD $110.54 $0.00 – $228.80 412,044 54
Newark, NJ $86.15 $0.00 – $486.30 411,837 88
Columbia, MD $95.83 $0.00 – $171.88 409,381 84
Logansport, IN $75.86 $39.03 – $84.73 407,718 12
Reno, NV $63.07 $0.00 – $583.73 406,788 341
Warwick, RI $74.63 $0.00 – $230.75 405,525 227
Paducah, KY $64.99 $0.00 – $157.80 405,264 95

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.