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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
Lyndonville, VT $77.55 $5.72 – $92.11 25,629 8
Waynesboro, VA $61.77 $54.55 – $121.41 25,612 10
Crisfield, MD $118.92 $0.00 – $119.29 25,583 2
South Hill, VA $87.67 $49.61 – $96.30 25,564 6
Kihei, HI $64.29 $20.60 – $174.88 25,553 16
Gallup, NM $96.56 $17.95 – $250.57 25,552 18
Missouri City, TX $66.71 $0.00 – $148.10 25,538 17
Toa Baja, PR $2.39 $0.00 – $12.62 25,537 19
Yucca Valley, CA $106.07 $0.00 – $328.11 25,531 16
Hudson, WI $45.61 $0.29 – $194.37 25,523 30
Pullman, WA $18.48 $0.00 – $99.28 25,502 29
Millsboro, DE $37.25 $0.00 – $116.49 25,500 12
Star, ID $56.69 $12.38 – $78.24 25,496 5
Coal City, IL $71.54 $53.35 – $102.30 25,463 6
Leonardtown, MD $106.91 $17.42 – $190.87 25,455 15
Penn Valley, CA $27.27 $21.53 – $122.41 25,438 3
Rocky Mount, NC $46.92 $0.00 – $168.03 25,427 50
Hoffman Estates, IL $79.95 $18.45 – $129.33 25,417 16
Texarkana, TX $60.95 $14.18 – $105.87 25,402 14
Williston, VT $69.52 $0.00 – $93.48 25,397 16
North Royalton, OH $67.04 $27.10 – $109.04 25,344 11
Festus, MO $34.66 $0.00 – $110.57 25,307 49
Pearland, TX $100.96 $2.98 – $240.01 25,291 38
Gladstone, OR $105.91 $0.00 – $261.41 25,267 39
Crossett, AR $31.98 $18.97 – $89.15 25,244 7
Grove City, OH $74.41 $22.49 – $132.77 25,240 48
Seaford, NY $84.28 $0.00 – $99.48 25,232 6
Hiawatha, IA $72.02 $25.05 – $145.05 25,202 26
Lake Worth, FL $24.73 $0.00 – $209.69 25,188 11
North Tonawanda, NY $88.97 $53.44 – $120.95 25,182 8
Yuma, AZ $110.31 $0.00 – $286.99 25,135 29
Bellevue, NE $116.28 $7.34 – $233.81 25,131 29
West Linn, OR $152.39 $0.00 – $203.27 25,124 22
Alton, IL $32.97 $0.00 – $386.12 25,100 23
Nashville, AR $69.71 $20.47 – $108.95 25,091 25
Hopewell, VA $108.42 $37.03 – $160.71 25,062 15
Washington, NC $63.74 $1.11 – $108.07 25,041 34
Cape Girardeau, MO $52.36 $0.00 – $127.09 24,981 47
Bristow, VA $84.55 $44.71 – $122.18 24,940 7
Gillette, WY $56.16 $0.00 – $108.83 24,925 30
Socorro, NM $137.72 $31.06 – $177.40 24,922 12
Lewisburg, TN $52.94 $19.23 – $92.51 24,895 15
Fairview Heights, IL $75.89 $39.59 – $89.66 24,863 4
Sequim, WA $81.06 $0.00 – $147.65 24,847 14
Londonderry, NH $61.42 $0.00 – $88.95 24,784 12
Madisonville, LA $42.39 $0.02 – $55.38 24,783 2
Newburgh, IN $70.76 $0.00 – $111.63 24,781 18
Trenton, MO $9.40 $0.00 – $47.38 24,780 15
Margate City, NJ $84.89 $2.01 – $86.39 24,736 3
Longwood, FL $51.64 $0.00 – $207.21 24,713 24

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.