Skip to content
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
Hendersonville, TN $43.53 $0.00 – $97.27 42,894 20
Compton, CA $248.45 $0.00 – $430.78 42,861 28
Wilson, NC $51.61 $0.00 – $116.31 42,859 58
Coventry, RI $69.51 $10.32 – $107.35 42,852 13
Sparks, NV $76.30 $0.00 – $354.03 42,837 43
Huntington, IN $61.86 $15.96 – $112.52 42,808 14
Wyoming, MI $67.38 $2.17 – $109.45 42,708 15
Rock Falls, IL $0.71 $0.00 – $0.71 42,646 3
Smithtown, NY $59.79 $5.27 – $267.76 42,632 32
Clarinda, IA $61.10 $34.35 – $136.24 42,621 18
Guilford, CT $50.75 $0.00 – $102.54 42,560 30
Lenoir, NC $70.57 $4.61 – $118.98 42,545 29
Sheridan, AR $79.91 $57.93 – $115.90 42,517 25
Owatonna, MN $135.05 $2.26 – $282.35 42,473 45
Pierre, SD $92.49 $37.12 – $93.22 42,414 5
Dunn, NC $66.96 $0.00 – $105.58 42,355 20
Menasha, WI $22.66 $0.00 – $91.09 42,336 58
Crawfordsville, IN $76.63 $5.65 – $86.71 42,297 8
La Porte, IN $67.34 $35.73 – $89.20 42,274 11
Riverside, RI $75.13 $0.00 – $181.25 42,253 49
Maplewood, MN $83.24 $16.05 – $127.05 42,235 40
Wilkesboro, NC $64.40 $40.63 – $99.50 42,208 27
Prairieville, LA $45.45 $0.00 – $61.60 42,204 14
Keokuk, IA $73.69 $0.00 – $191.33 42,169 14
Bryan, OH $59.15 $1.76 – $108.27 42,167 21
Brewer, ME $8.61 $0.00 – $26.56 42,085 9
Troy, OH $75.29 $13.89 – $200.00 42,056 50
Grand Blanc, MI $82.74 $46.04 – $105.58 42,052 14
Middleburg Heights, OH $65.56 $21.64 – $97.79 42,030 40
Shelby Township, MI $73.93 $72.71 – $92.33 41,952 4
Owego, NY $134.49 $65.76 – $140.10 41,890 6
Brookfield, CT $68.97 $2.57 – $100.57 41,722 28
Sebastopol, CA $38.33 $0.00 – $482.21 41,692 39
Shelton, WA $65.10 $0.00 – $177.62 41,641 28
Martinez, CA $124.08 $4.23 – $339.25 41,573 22
Streamwood, IL $80.23 $37.38 – $161.84 41,478 14
Des Plaines, IL $71.78 $0.00 – $146.21 41,466 23
Lebanon, KY $59.26 $36.33 – $76.18 41,417 19
Raceland, LA $33.53 $0.00 – $91.10 41,407 19
Champaign, IL $49.19 $0.00 – $178.04 41,374 62
Heber City, UT $73.67 $61.29 – $134.85 41,323 5
Ashland, OR $133.55 $0.00 – $259.96 41,267 62
Glendora, CA $116.90 $0.00 – $403.97 41,264 37
Mount Pleasant, MI $82.41 $43.28 – $85.83 41,254 11
Highland Heights, KY $51.97 $15.01 – $71.84 41,221 15
Coldwater, MI $103.88 $13.82 – $112.94 41,219 10
West Brentwood, NY $213.29 $47.99 – $257.58 41,177 7
Havertown, PA $61.26 $60.66 – $65.19 41,118 2
Rexburg, ID $63.65 $0.00 – $95.68 41,066 26
Erlanger, KY $32.04 $0.11 – $92.65 41,022 19

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.