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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
Fredericktown, MO $45.62 $20.36 – $107.13 31,432 9
West Union, OH $57.61 $17.83 – $102.31 31,339 28
Burkesville, KY $51.49 $0.00 – $86.20 31,337 10
Denver, NC $52.16 $0.00 – $97.89 31,332 15
Long Beach, NY $103.69 $6.41 – $134.32 31,292 8
Grafton, WI $35.02 $1.31 – $87.94 31,271 13
Woodside, NY $86.63 $0.00 – $316.34 31,242 23
Barberton, OH $55.49 $0.00 – $186.83 31,194 36
Murray, KY $57.38 $11.18 – $79.52 31,177 16
Canfield, OH $72.44 $23.76 – $126.14 31,160 24
Hibbing, MN $99.51 $26.96 – $411.54 31,160 27
Lompoc, CA $103.57 $0.00 – $315.87 31,144 28
Grandville, MI $69.46 $38.15 – $88.04 31,130 11
Hampstead, MD $90.01 $31.72 – $104.44 31,037 3
Harlingen, TX $92.88 $0.00 – $336.47 30,972 33
Cranford, NJ $89.00 $1.84 – $318.53 30,967 13
Temperance, MI $7.80 $1.78 – $111.11 30,904 6
Cape Coral, FL $54.22 $0.00 – $110.45 30,882 25
Abbeville, LA $7.69 $0.00 – $54.49 30,881 7
Luling, LA $16.01 $0.00 – $53.32 30,837 17
Cumming, GA $63.33 $26.97 – $98.66 30,779 18
Blackfoot, ID $55.80 $0.00 – $86.55 30,777 20
Aguadilla, PR $4.36 $0.00 – $35.00 30,750 27
Davis, CA $30.84 $0.00 – $172.94 30,690 28
Chester, VA $80.37 $3.77 – $171.69 30,663 16
Helena, AR $56.38 $15.43 – $113.68 30,656 14
Fort Washington, MD $123.67 $30.16 – $150.31 30,646 11
Cape May Court House, NJ $85.39 $0.00 – $135.50 30,631 11
Naranjito, PR $10.24 $0.00 – $92.09 30,562 11
Chaparral, NM $87.62 $19.36 – $187.19 30,545 7
San Juan Capistrano, CA $73.35 $0.00 – $111.92 30,502 9
Menomonie, WI $59.79 $10.93 – $109.58 30,485 47
Blaine, WA $78.03 $55.47 – $135.25 30,461 7
Bucyrus, OH $67.09 $0.00 – $128.10 30,424 23
Mount Sterling, KY $50.05 $8.44 – $95.10 30,356 15
Sandy Hook, CT $47.87 $0.00 – $89.86 30,345 18
Centerville, OH $80.04 $0.00 – $104.31 30,318 40
Thousand Oaks, CA $111.66 $0.00 – $291.67 30,302 27
Elko, NV $39.43 $0.00 – $244.76 30,300 21
Middleburg Hts, OH $73.55 $16.77 – $74.43 30,294 2
Dover, NH $29.65 $0.00 – $119.79 30,288 40
Summit, NJ $64.52 $0.00 – $203.09 30,241 11
Agoura Hills, CA $66.42 $0.00 – $164.95 30,232 19
Moca, PR $2.75 $0.00 – $20.15 30,215 17
Beaumont, TX $66.95 $0.00 – $168.48 30,175 48
Medford, NY $124.52 $0.00 – $190.28 30,159 16
Wakefield, RI $53.11 $1.28 – $139.69 30,111 27
La Grande, OR $32.84 $0.00 – $215.30 30,095 33
Minden, LA $45.44 $0.00 – $64.20 30,070 20
Walton, NY $116.92 $47.74 – $169.45 29,997 6

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.