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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
Florence, SC $136.66 $3.85 – $169.00 326,021 77
Elizabeth, NJ $108.09 $3.93 – $615.58 323,822 31
Windsor, CT $58.29 $0.00 – $98.11 322,278 37
Bloomfield, IN $21.83 $21.83 – $67.40 320,711 2
St George, UT $134.75 $3.59 – $255.33 318,630 61
Jackson, TN $47.13 $0.00 – $152.78 318,568 88
Johnson City, TN $39.41 $0.00 – $162.88 315,792 138
Lima, OH $44.82 $0.00 – $154.72 315,369 192
Roslindale, MA $97.17 $15.28 – $159.69 312,995 34
Boise, ID $63.01 $-0.29 – $186.25 312,501 348
Lafayette, IN $51.61 $0.00 – $165.15 310,280 73
Council Bluffs, IA $70.55 $0.00 – $186.47 310,267 104
Crown Point, IN $27.30 $2.85 – $79.82 309,192 65
Oakland, CA $80.84 $0.00 – $442.54 309,098 276
Mansfield, OH $65.15 $0.01 – $185.99 307,940 238
Montgomery, AL $62.47 $0.00 – $142.44 306,502 97
Davenport, IA $69.12 $0.00 – $246.72 306,159 125
Zanesville, OH $54.87 $0.00 – $150.40 303,605 156
Bellingham, WA $66.60 $0.00 – $312.41 301,238 215
Beverly, MA $76.31 $1.19 – $148.31 300,001 59
Paterson, NJ $95.58 $6.97 – $250.11 299,850 37
Chillicothe, OH $74.37 $0.00 – $150.93 299,078 241
Santa Cruz, CA $65.40 $0.00 – $391.42 298,214 111
Layton, UT $100.94 $0.00 – $455.27 297,937 42
Wilmington, DE $47.31 $0.00 – $161.85 297,416 199
Poughkeepsie, NY $89.96 $0.00 – $290.50 296,033 76
Waterloo, IA $73.45 $0.06 – $206.04 295,888 104
Yakima, WA $29.46 $0.00 – $294.87 292,205 207
Pikesville, MD $94.97 $0.00 – $193.78 291,660 47
Lincoln, NE $104.91 $0.00 – $293.49 290,718 373
Louisa, KY $37.24 $1.29 – $125.21 290,363 76
Pikeville, KY $55.70 $0.00 – $80.82 290,250 40
Paragould, AR $70.64 $13.84 – $115.10 289,939 117
Redlands, CA $150.58 $0.00 – $380.94 289,128 129
Elmhurst, NY $123.56 $12.00 – $435.89 288,848 45
New London, CT $59.21 $0.00 – $169.83 288,710 146
Cambridge, MD $92.85 $40.81 – $251.77 287,272 26
Orangeburg, NY $256.87 $7.75 – $299.38 286,188 12
Voorhees, NJ $87.68 $3.73 – $242.24 285,723 18
Clifton, NJ $89.03 $3.71 – $325.00 285,561 20
San Juan, PR $9.96 $0.00 – $115.83 280,724 197
Salisbury, MD $88.10 $0.00 – $171.40 280,667 118
Westminster, MD $107.64 $0.00 – $158.55 280,224 42
London, KY $43.43 $0.00 – $94.49 279,325 57
Waldorf, MD $113.96 $0.00 – $159.60 279,082 60
North Chesterfield, VA $74.42 $0.00 – $134.36 277,673 119
Wheat Ridge, CO $61.65 $0.00 – $443.77 276,894 159
Piscataway, NJ $51.70 $0.00 – $264.54 276,464 13
Saint Paul, MN $112.48 $4.19 – $695.27 276,220 369
Paramus, NJ $76.99 $0.00 – $871.41 275,506 37

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.