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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
Camp Springs, MD $129.60 $0.00 – $157.80 35,832 7
Union, MO $13.48 $0.00 – $118.90 35,799 45
Waco, TX $51.21 $0.97 – $320.50 35,793 52
Braintree, MA $86.00 $0.00 – $134.53 35,760 26
Avon, OH $74.52 $47.11 – $99.60 35,583 6
Aiea, HI $48.08 $0.00 – $125.36 35,581 20
Middlebury, CT $64.13 $0.00 – $94.98 35,570 23
Wauseon, OH $73.37 $17.74 – $99.39 35,566 24
N Charleston, SC $88.76 $22.40 – $112.05 35,550 5
Chandler, AZ $63.97 $0.00 – $296.36 35,544 53
Longmeadow, MA $35.45 $0.00 – $69.73 35,540 9
Latham, NY $82.93 $0.00 – $169.12 35,512 54
Northglenn, CO $68.64 $1.18 – $126.08 35,511 25
Glen Cove, NY $124.92 $4.97 – $211.33 35,436 10
Arlington Heights, IL $71.62 $0.00 – $149.64 35,377 18
Denton, MD $91.03 $3.28 – $102.72 35,346 6
Lebanon, MO $26.72 $0.00 – $183.93 35,302 31
Highland Park, NJ $89.26 $89.26 – $89.26 35,287 1
Hillsboro, OH $77.09 $0.00 – $117.77 35,275 31
Plainfield, NJ $96.30 $0.00 – $312.69 35,160 9
San Rafael, CA $51.60 $0.00 – $427.54 35,151 53
Burbank, CA $45.57 $0.00 – $166.03 35,108 32
The Dalles, OR $101.13 $0.00 – $204.42 35,032 58
Mount Airy, NC $57.75 $11.64 – $133.63 35,009 29
Essex, CT $47.90 $0.00 – $138.94 34,980 21
Darien, CT $44.74 $0.00 – $130.28 34,978 21
Hurricane, WV $37.52 $0.00 – $106.48 34,920 14
Bucksport, ME $5.18 $0.00 – $5.18 34,804 2
Pittsburg, KS $108.98 $0.00 – $221.73 34,783 34
Manistee, MI $243.56 $6.63 – $256.96 34,769 4
Milwaukie, OR $131.96 $3.68 – $270.94 34,756 51
Severna Park, MD $89.81 $26.28 – $114.55 34,743 14
Pasco, WA $38.96 $0.00 – $413.24 34,719 42
Statesboro, GA $70.26 $1.12 – $87.79 34,711 15
Raymore, MO $17.79 $0.00 – $152.61 34,664 71
Saint Clair Shores, MI $60.99 $14.06 – $87.06 34,601 14
Bellefontaine, OH $56.93 $0.61 – $102.31 34,588 29
Gainesville, FL $43.62 $0.00 – $789.87 34,555 64
Woodburn, OR $122.71 $18.55 – $208.61 34,475 35
Oak Bluffs, MA $75.52 $16.35 – $132.67 34,454 5
Oak Brook, IL $72.86 $0.14 – $139.56 34,452 27
Mountlake Terrace, WA $44.68 $0.00 – $325.02 34,413 26
Ottawa, KS $64.70 $0.00 – $100.24 34,406 30
Charlotte, MI $86.67 $0.00 – $112.19 34,384 9
Gretna, LA $30.19 $0.00 – $113.56 34,379 39
Antioch, CA $176.85 $0.00 – $1,379 34,281 38
Yellow Springs, OH $56.32 $18.72 – $96.63 34,103 29
Brandenburg, KY $74.60 $8.68 – $90.22 34,012 7
Cromwell, CT $60.89 $0.00 – $108.78 34,009 21
Carolina, PR $9.15 $0.00 – $108.96 33,947 30

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.