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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
West Sacramento, CA $53.36 $0.00 – $443.48 37,494 26
Lebanon, CT $46.71 $26.42 – $92.17 37,485 7
Alexandria, MN $91.81 $54.87 – $178.06 37,382 47
Turnersville, NJ $68.52 $0.00 – $231.90 37,300 7
National City, CA $9.14 $0.00 – $94.79 37,287 22
Lordsburg, NM $187.48 $75.97 – $222.80 37,266 4
Santa Clarita, CA $266.05 $0.00 – $389.60 37,260 29
Fishers, IN $50.77 $22.23 – $127.94 37,229 24
Fordyce, AR $80.50 $43.13 – $95.02 37,205 13
Crestview Hills, KY $43.32 $18.42 – $122.36 37,160 31
Mineola, NY $97.17 $5.77 – $133.46 37,143 16
Mexico, MO $65.42 $0.00 – $179.39 37,108 27
Lutherville, MD $34.67 $0.00 – $157.80 37,053 20
Cleveland Heights, OH $73.85 $17.22 – $161.19 37,051 36
Easthampton, MA $91.10 $0.00 – $191.08 37,030 27
Fairmont, WV $87.21 $26.36 – $127.69 36,953 17
Chelsea, MA $74.53 $0.00 – $170.89 36,949 41
South Point, OH $73.34 $0.00 – $111.11 36,940 50
Burlington City, NJ $59.59 $0.00 – $65.97 36,884 4
Springfield Gardens, NY $88.21 $46.94 – $91.60 36,883 4
Atascadero, CA $147.37 $0.00 – $262.68 36,868 29
Broomfield, CO $73.29 $0.00 – $445.24 36,836 42
Spring, TX $60.15 $0.00 – $117.81 36,740 32
Bolivar, MO $68.28 $0.00 – $297.75 36,733 23
Centralia, WA $62.27 $0.00 – $288.29 36,648 48
Northfield, NJ $77.83 $4.62 – $381.32 36,588 8
Middle Village, NY $79.25 $56.09 – $140.71 36,578 9
Lafayette, CO $51.83 $0.00 – $363.97 36,528 65
Ankeny, IA $70.38 $9.69 – $133.79 36,477 52
Manalapan, NJ $129.50 $1.93 – $144.35 36,403 7
Polson, MT $78.85 $0.00 – $97.99 36,401 21
Forest, MS $36.40 $35.64 – $151.89 36,398 4
Gardner, MA $80.12 $7.12 – $119.63 36,396 22
Martinez, GA $78.83 $73.86 – $110.72 36,378 11
New Philadelphia, OH $76.29 $43.68 – $274.01 36,365 39
Monrovia, IN $72.44 $72.44 – $72.44 36,290 1
Guayama, PR $19.50 $0.00 – $227.14 36,199 22
Cedarhurst, NY $61.96 $0.42 – $115.42 36,190 13
Selma, CA $115.33 $0.00 – $353.16 36,164 8
Lewiston, ID $56.10 $7.07 – $130.58 36,155 31
Ville Platte, LA $12.52 $0.00 – $64.48 36,150 12
Independence, KS $34.74 $0.00 – $97.84 36,128 31
Surprise, AZ $34.46 $0.00 – $304.54 36,122 27
Pittsburg, CA $127.36 $0.00 – $389.23 36,054 27
Effingham, IL $41.17 $0.00 – $125.41 36,046 13
Lenoir City, TN $55.36 $0.00 – $106.08 36,029 17
Truth Or Consequences, NM $98.50 $0.00 – $192.88 35,983 22
Villalba, PR $29.25 $0.00 – $74.03 35,935 19
Zionsville, IN $53.13 $0.52 – $118.29 35,901 9
Richlands, VA $62.15 $40.37 – $162.77 35,846 7

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.