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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
Potsdam, NY $105.47 $0.00 – $143.26 33,924 11
Baytown, TX $42.40 $0.00 – $106.70 33,911 31
Sedalia, MO $43.39 $1.61 – $177.42 33,869 27
Wilmington, OH $64.98 $0.00 – $104.25 33,845 46
Loranger, LA $0.42 $0.00 – $10.69 33,830 16
Mount Vernon, WA $81.35 $0.00 – $224.91 33,806 39
Thomasville, NC $71.62 $18.37 – $106.36 33,754 27
Belen, NM $99.14 $19.03 – $155.87 33,752 13
Marion, VA $75.50 $14.60 – $185.26 33,728 23
Bryn Mawr, PA $74.59 $0.00 – $101.96 33,697 6
Trumbull, CT $46.40 $0.00 – $94.14 33,689 23
West Lafayette, IN $37.94 $14.22 – $171.06 33,658 10
El Dorado, AR $61.28 $0.00 – $110.33 33,628 34
Morgan City, LA $32.71 $2.09 – $96.66 33,622 20
Madison, CT $58.74 $0.00 – $107.37 33,528 27
Fontana, CA $126.46 $0.00 – $329.94 33,476 58
Carencro, LA $22.81 $8.94 – $42.88 33,469 8
Bronxville, NY $87.87 $60.64 – $154.03 33,465 7
La Quinta, CA $143.10 $19.39 – $469.76 33,464 18
Mora, MN $96.26 $33.26 – $193.01 33,444 16
Superior, WI $55.47 $0.00 – $136.16 33,423 36
Alcoa, TN $56.82 $24.02 – $91.86 33,416 13
Watertown, SD $84.90 $1.51 – $141.82 33,400 13
Maspeth, NY $82.23 $71.52 – $121.16 33,380 7
Midwest City, OK $56.66 $42.68 – $160.47 33,370 8
West Palm Beach, FL $25.87 $0.00 – $92.97 33,347 29
Bradenton, FL $28.86 $0.00 – $127.42 33,259 50
Garfield Hts, OH $32.51 $17.24 – $111.11 33,243 10
Cloquet, MN $271.09 $31.19 – $655.21 33,214 27
Monterey Park, CA $26.36 $0.00 – $79.54 33,188 13
North Bergen, NJ $102.23 $10.23 – $110.75 33,176 5
Arecibo, PR $4.85 $0.00 – $90.28 33,175 40
Villas, NJ $78.29 $12.65 – $99.33 33,174 5
North Vernon, IN $67.47 $35.16 – $92.50 33,163 7
Park Ridge, IL $55.18 $4.17 – $162.81 33,159 30
Manitowoc, WI $28.12 $0.00 – $55.78 33,126 27
Berwyn, IL $69.30 $0.07 – $160.00 33,080 16
Strongsville, OH $63.36 $21.22 – $136.99 32,951 30
Newton, MA $59.93 $0.00 – $255.47 32,899 38
Pittsburgh, PA $88.48 $0.00 – $192.51 32,879 50
Sartell, MN $71.96 $32.70 – $154.56 32,877 31
Clackamas, OR $145.80 $0.00 – $301.76 32,867 39
Belmont, MA $64.16 $0.00 – $150.58 32,813 20
Humboldt, TN $27.61 $15.32 – $37.08 32,793 5
Parsons, KS $72.48 $0.00 – $128.85 32,754 21
Berlin, CT $68.75 $0.00 – $95.65 32,752 14
Arcadia, CA $78.23 $0.00 – $277.57 32,683 24
Lincoln, ME $1.74 $1.58 – $36.31 32,664 3
Blue Bell, PA $55.24 $0.00 – $55.77 32,626 4
Woodmere, NY $41.51 $20.80 – $109.71 32,623 12

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.