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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
Warren, AR $39.29 $0.72 – $99.10 21,195 6
Laramie, WY $63.40 $0.00 – $111.70 21,156 21
Central City, KY $37.16 $4.20 – $79.79 21,112 10
Deer Park, WA $33.99 $0.00 – $98.61 21,109 8
Baltimore City, MD $135.94 $126.85 – $151.70 21,108 2
Great Neck, NY $82.13 $18.27 – $144.56 21,087 23
Fuquay Varina, NC $81.33 $24.83 – $225.66 21,072 18
West Brookfield, MA $91.31 $87.17 – $95.69 21,062 4
Highland Park, IL $34.55 $0.03 – $113.26 21,042 10
Ozark, AL $71.61 $26.93 – $142.31 21,012 17
Brookings, OR $41.68 $1.57 – $188.74 21,011 17
West Burlington, IA $26.65 $1.15 – $123.26 20,991 13
Troy, MO $28.39 $0.00 – $97.85 20,946 25
Vega Alta, PR $4.60 $0.00 – $60.00 20,941 9
Rome, NY $97.95 $26.69 – $203.59 20,938 20
St Petersburg, FL $18.63 $0.00 – $290.50 20,928 36
Madawaska, ME $7.94 $2.22 – $61.81 20,904 4
Rhinelander, WI $49.40 $6.73 – $99.06 20,893 33
Williamstown, KY $85.44 $63.55 – $133.86 20,893 5
Milford, MI $68.23 $11.41 – $79.88 20,880 7
Prospect, CT $53.50 $0.11 – $78.86 20,878 11
Leesburg, FL $23.23 $0.92 – $124.99 20,856 13
Newport, KY $63.50 $14.60 – $159.92 20,802 24
Downers Grove, IL $76.81 $2.63 – $143.62 20,780 19
Jasonville, IN $9.96 $9.96 – $9.96 20,776 1
Lebanon, OR $47.62 $0.00 – $185.69 20,773 20
Clearwater, FL $43.75 $0.00 – $224.15 20,745 34
Aberdeen, NC $90.64 $37.42 – $112.82 20,698 9
Wickliffe, OH $55.50 $15.75 – $91.36 20,694 7
Briarcliff Manor, NY $20.52 $20.13 – $140.31 20,687 2
Forest, VA $104.14 $50.66 – $232.12 20,685 17
Holland, OH $71.41 $21.80 – $99.86 20,666 22
West Hollywood, CA $100.89 $0.00 – $441.70 20,665 24
Palmer, AK $201.95 $19.48 – $925.51 20,660 22
Northfield, IL $91.86 $25.08 – $199.00 20,636 12
Sheridan, WY $78.83 $7.24 – $339.71 20,635 19
Citrus Heights, CA $141.13 $0.00 – $321.52 20,632 14
Venice, CA $61.14 $0.00 – $398.32 20,610 17
Clanton, AL $73.99 $1.90 – $135.34 20,594 22
Lignum, VA $38.79 $6.93 – $99.07 20,579 5
Flora, IL $0.07 $0.00 – $0.08 20,577 3
Lyndhurst, NJ $70.17 $0.58 – $79.02 20,572 3
Cass City, MI $54.64 $54.64 – $54.64 20,568 1
Flagstaff, AZ $73.20 $0.00 – $345.05 20,559 38
Litchfield, CT $30.08 $5.85 – $92.48 20,525 12
Brownwood, TX $58.76 $26.73 – $225.97 20,518 16
Clifton Park, NY $92.15 $26.69 – $242.80 20,485 28
Pittsboro, NC $76.61 $49.08 – $97.17 20,462 25
Tuskegee, AL $30.32 $0.00 – $153.10 20,458 4
Cheboygan, MI $48.85 $26.35 – $95.05 20,449 10

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.