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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
Portsmouth, RI $58.80 $38.06 – $240.57 24,677 27
Omak, WA $18.19 $0.00 – $124.76 24,653 28
Fallon, NV $30.76 $0.00 – $204.53 24,554 8
Lexington, VA $76.76 $13.85 – $91.19 24,513 11
Kennett, MO $9.21 $0.00 – $85.19 24,506 22
Dunbar, WV $43.93 $0.00 – $96.77 24,482 5
Newton, NC $14.79 $6.57 – $95.29 24,436 7
New Carlisle, OH $30.45 $0.37 – $108.69 24,430 9
Arroyo Grande, CA $98.61 $1.01 – $322.46 24,429 13
Wellington, KS $43.50 $0.00 – $106.45 24,422 20
Columbus, MS $88.81 $9.74 – $153.47 24,413 13
Clarksville, VA $84.11 $36.56 – $95.04 24,402 5
Little Falls, MN $110.75 $26.51 – $233.09 24,352 22
Streetsboro, OH $67.62 $42.74 – $83.46 24,341 4
Saint Cloud, FL $22.90 $0.00 – $111.21 24,328 12
Paintsville, KY $50.17 $0.04 – $74.86 24,327 13
Hardinsburg, KY $65.32 $36.49 – $74.49 24,301 6
Goochland, VA $58.11 $46.35 – $127.98 24,274 9
Seward, AK $67.03 $19.07 – $196.49 24,264 7
Watertown, CT $52.23 $3.90 – $94.63 24,183 12
Martinsville, IN $56.58 $25.71 – $193.39 24,180 7
Two Rivers, WI $33.62 $13.05 – $110.30 24,168 17
Fairmont, MN $87.11 $38.23 – $98.27 24,164 10
Clermont, FL $61.34 $0.00 – $133.03 24,159 16
Hoxie, AR $76.80 $29.69 – $113.71 24,149 14
Winooski, VT $74.90 $0.00 – $92.36 24,139 9
Waterville, ME $37.07 $1.51 – $182.68 24,103 32
Grand Jct, CO $97.35 $50.86 – $107.18 24,085 8
Selma, IN $73.39 $13.24 – $73.75 24,036 3
Miamisburg, OH $57.37 $23.09 – $106.51 24,006 35
Hato Rey, PR $3.23 $0.18 – $24.35 23,985 7
Bedford, VA $89.81 $44.07 – $115.16 23,968 18
Mendota Heights, MN $112.04 $59.73 – $134.22 23,949 20
Marysville, OH $73.07 $4.84 – $135.00 23,926 46
Knightdale, NC $79.98 $7.97 – $143.87 23,925 24
Elm Grove, WI $32.58 $0.00 – $145.04 23,870 19
Canaan, NY $132.42 $132.42 – $132.42 23,868 1
Keyser, WV $51.38 $24.61 – $108.74 23,854 14
Jarratt, VA $53.24 $31.29 – $103.48 23,819 6
Palatine, IL $67.35 $0.00 – $110.03 23,813 9
Niantic, CT $73.26 $0.00 – $89.09 23,729 10
Adel, GA $55.77 $55.77 – $55.77 23,713 1
Hallandale Beach, FL $29.39 $1.30 – $89.33 23,712 5
Granbury, TX $34.14 $12.41 – $131.06 23,695 13
Kailua, HI $71.27 $0.00 – $188.09 23,691 34
Morrilton, AR $74.58 $11.76 – $117.85 23,675 22
Ponca City, OK $57.99 $12.58 – $104.60 23,620 9
Montebello, CA $54.47 $0.87 – $361.12 23,619 12
Harlan, IA $67.42 $12.09 – $131.43 23,598 10
Bridgeton, MO $64.35 $0.00 – $131.14 23,560 21

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.