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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
College Park, MD $125.05 $108.52 – $159.32 26,642 3
North Kingstown, RI $69.24 $29.58 – $165.16 26,615 47
Pomeroy, OH $35.50 $0.00 – $110.59 26,549 16
Avondale, AZ $98.04 $0.00 – $327.79 26,544 40
Juana Diaz, PR $27.36 $0.00 – $147.07 26,533 16
Canton, NY $120.44 $40.89 – $307.56 26,512 8
Spindale, NC $83.29 $15.40 – $111.47 26,510 21
Baker City, OR $28.18 $0.00 – $308.22 26,502 33
Crescent City, CA $45.23 $0.00 – $398.01 26,491 26
Tulare, CA $284.23 $0.00 – $394.65 26,481 13
Longview, TX $59.00 $2.00 – $211.97 26,469 33
Waynesville, MO $43.19 $13.54 – $231.84 26,467 24
Thompson Falls, MT $88.91 $74.44 – $200.83 26,462 10
Charleston, IL $61.20 $0.00 – $125.11 26,442 10
New Port Richey, FL $42.36 $0.00 – $100.95 26,432 23
Avenel, NJ $91.34 $91.13 – $412.40 26,388 2
Saint Helens, OR $70.13 $0.00 – $737.65 26,356 48
Norwalk, CA $101.20 $0.00 – $396.98 26,334 35
Talbott, TN $59.99 $0.00 – $131.10 26,310 13
Payson, UT $78.23 $4.54 – $190.78 26,278 4
Williamstown, NJ $150.86 $53.87 – $236.98 26,271 4
Kirkland, WA $61.23 $0.00 – $215.92 26,270 37
Oroville, CA $75.45 $0.59 – $427.24 26,259 21
Monroe, NJ $109.53 $25.16 – $117.04 26,259 2
Lawrenceburg, KY $36.52 $20.73 – $132.41 26,244 10
Smithfield, NC $83.40 $15.87 – $628.69 26,223 33
Warner Robins, GA $76.66 $13.87 – $131.79 26,170 23
Rio Grande, NJ $87.34 $84.91 – $459.71 26,156 2
Altamonte Springs, FL $62.63 $0.00 – $127.15 26,136 10
Arlington, WA $69.71 $8.26 – $131.05 26,128 27
Elk River, MN $90.35 $18.22 – $212.73 26,100 30
Clearlake, CA $77.93 $0.08 – $486.37 26,088 13
Chicopee, MA $58.25 $9.91 – $185.87 26,040 28
Bohemia, NY $79.89 $26.04 – $113.68 26,039 17
Sterling, VA $59.06 $4.69 – $107.79 26,031 17
Grants, NM $132.22 $28.15 – $345.06 26,027 23
Boys Town, NE $103.67 $31.48 – $170.97 26,010 60
Berkley, MI $76.32 $64.03 – $77.97 25,985 4
Marion, IA $69.83 $36.47 – $112.02 25,935 22
Vandalia, OH $76.64 $3.44 – $96.63 25,899 26
Kannapolis, NC $71.21 $6.86 – $123.57 25,897 23
Springvale, ME $6.51 $0.00 – $32.16 25,874 8
Foley, AL $44.18 $28.85 – $85.26 25,867 6
League City, TX $41.01 $0.00 – $129.75 25,853 12
Plainfield, CT $65.32 $1.28 – $93.12 25,816 8
Neenah, WI $31.38 $1.24 – $104.92 25,750 29
Logan, WV $47.61 $0.00 – $109.12 25,720 18
Aibonito, PR $13.57 $0.00 – $113.05 25,719 24
Simi Valley, CA $140.22 $0.00 – $226.09 25,660 22
Portales, NM $80.10 $6.58 – $155.83 25,632 23

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.