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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
Cleveland, TN $57.27 $0.00 – $144.55 405,200 57
Ogden, UT $107.76 $0.00 – $291.38 404,844 68
Fayetteville, NC $73.49 $0.00 – $387.19 403,508 360
Jackson, MI $85.96 $0.33 – $217.39 403,365 63
Modesto, CA $104.16 $0.00 – $440.53 401,701 154
Mobile, AL $84.71 $0.00 – $192.54 401,656 76
Valparaiso, IN $72.11 $0.00 – $120.77 397,142 60
Fall River, MA $83.13 $0.00 – $212.24 393,458 192
Great Falls, MT $51.07 $0.00 – $133.61 388,793 122
Norwood, MA $75.05 $0.84 – $182.04 386,217 30
Athens, OH $61.86 $0.52 – $132.82 384,984 273
Manchester, NH $60.35 $0.00 – $443.10 384,302 124
Millersville, MD $119.29 $0.00 – $173.96 383,942 21
Richmond Hill, NY $115.90 $0.01 – $253.55 381,916 14
Lowell, MA $72.86 $0.00 – $149.44 380,689 128
Jackson Heights, NY $112.72 $18.78 – $210.23 378,598 42
Plainville, CT $25.63 $0.00 – $754.45 377,929 111
Fort Collins, CO $91.85 $0.00 – $405.05 377,018 333
Concord, NC $37.53 $0.00 – $210.88 376,691 293
San Francisco, CA $166.68 $0.00 – $557.32 376,595 324
Meriden, CT $36.18 $0.00 – $123.59 374,411 105
Jeffersonville, IN $49.54 $0.01 – $191.72 370,483 82
San Bernardino, CA $117.70 $0.00 – $409.69 367,796 189
Portsmouth, OH $70.72 $0.62 – $161.86 367,038 384
Monroe, LA $23.48 $0.00 – $106.35 366,894 171
Brandon, MS $91.93 $0.00 – $141.36 365,809 16
Clarksville, TN $70.29 $0.00 – $129.25 365,051 85
Concord, NH $53.79 $0.00 – $142.40 364,793 99
Lynchburg, VA $86.77 $0.00 – $198.48 362,722 195
Santa Fe, NM $113.28 $0.00 – $549.88 360,310 311
Bangor, ME $25.99 $2.23 – $176.97 358,754 128
El Paso, TX $77.38 $0.00 – $402.32 357,857 245
Everett, WA $53.48 $0.00 – $425.01 356,782 305
Peekskill, NY $188.71 $50.05 – $261.79 354,494 14
Bend, OR $142.84 $0.00 – $271.45 353,868 410
Avon, IN $51.44 $1.88 – $102.60 353,769 25
Winston Salem, NC $70.45 $0.00 – $1,116 352,495 317
Grand Junction, CO $110.54 $0.00 – $362.60 352,476 174
Hazard, KY $56.47 $0.00 – $152.14 349,213 94
Sioux Falls, SD $63.31 $5.36 – $187.80 349,102 103
Hyattsville, MD $121.34 $0.00 – $177.82 348,058 39
Laurel, MD $109.02 $0.00 – $180.69 346,864 82
Elizabethtown, KY $60.09 $3.27 – $137.37 344,799 126
Torrington, CT $57.01 $0.00 – $138.74 341,877 115
Rio Rancho, NM $85.90 $0.40 – $177.14 341,578 173
Clinton Township, MI $68.08 $5.19 – $228.25 341,463 21
Dallas, TX $63.21 $0.00 – $393.82 341,449 316
Hot Springs, AR $64.73 $0.00 – $155.62 335,770 182
Ann Arbor, MI $65.81 $0.00 – $191.06 329,512 74
Asheville, NC $51.60 $0.00 – $603.03 327,532 486

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.