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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
Middletown, DE $48.69 $0.00 – $99.57 19,004 19
Fort Kent, ME $19.58 $1.22 – $59.50 18,991 9
Ballston Spa, NY $58.85 $45.51 – $90.00 18,988 8
Pewaukee, WI $27.21 $0.48 – $89.40 18,979 14
Alexandria Bay, NY $234.48 $43.38 – $241.58 18,978 3
Melville, NY $80.62 $0.00 – $248.50 18,969 20
Bothell, WA $75.43 $0.00 – $131.03 18,936 27
North Wilkesboro, NC $43.85 $24.97 – $197.97 18,933 19
Mission Hills, CA $61.23 $0.75 – $398.61 18,923 14
Beaumont, CA $99.12 $0.00 – $484.60 18,920 15
Selmer, TN $47.16 $0.70 – $54.88 18,907 8
Milaca, MN $85.92 $67.80 – $102.88 18,893 12
Mattoon, IL $16.36 $0.00 – $144.75 18,891 15
Elkhorn, NE $78.98 $52.80 – $126.43 18,863 13
Wisconsin Rapids, WI $56.18 $22.48 – $87.15 18,860 27
Cedar City, UT $278.58 $22.14 – $468.71 18,857 11
Columbia City, IN $70.80 $8.35 – $111.76 18,852 17
Lombard, IL $97.83 $9.34 – $130.24 18,814 12
Washington, IN $56.49 $11.49 – $97.56 18,807 13
Weston, WV $45.41 $0.00 – $152.89 18,798 13
Winfield, KS $64.64 $0.00 – $103.96 18,789 27
Mcconnelsville, OH $55.70 $19.76 – $101.87 18,787 13
Germantown, TN $38.97 $0.00 – $67.19 18,756 11
Dyersburg, TN $32.19 $11.10 – $79.95 18,753 13
Valhalla, NY $132.79 $0.68 – $254.87 18,721 30
Ottawa, IL $51.63 $0.00 – $140.54 18,692 19
Wagoner, OK $58.74 $46.50 – $60.87 18,676 3
Thomaston, CT $79.43 $28.00 – $93.61 18,659 13
Burlington, MA $58.47 $8.42 – $95.18 18,646 37
Mayfield, KY $63.97 $5.25 – $79.79 18,629 13
Morris Plains, NJ $82.83 $45.25 – $246.58 18,621 6
Manorville, NY $68.92 $59.80 – $118.06 18,610 4
Piggott, AR $71.24 $25.91 – $89.69 18,552 11
St Clair, MI $68.58 $68.58 – $68.58 18,532 1
Bogalusa, LA $20.33 $0.00 – $78.11 18,529 17
Tewksbury, MA $45.27 $21.19 – $86.57 18,491 6
Brookhaven, GA $65.08 $37.79 – $71.15 18,470 2
Oneida, TN $49.52 $23.03 – $87.07 18,467 9
Amite, LA $30.68 $0.00 – $51.83 18,459 9
Ludlow, MA $63.18 $14.92 – $105.49 18,456 11
Pomona, NY $95.17 $42.22 – $163.50 18,454 12
Brooklyn Park, MN $90.77 $9.57 – $192.52 18,441 41
Bessemer, AL $66.14 $8.95 – $76.19 18,437 9
Greenfield, OH $71.69 $28.29 – $87.02 18,432 8
North East, MD $118.37 $45.19 – $134.51 18,404 9
Forest City, NC $54.74 $22.36 – $106.79 18,338 17
Moriarty, NM $103.29 $16.90 – $132.55 18,307 8
Tracy, CA $101.55 $0.00 – $277.08 18,271 11
Pasadena, TX $62.45 $0.00 – $113.11 18,252 28
Nellis Afb, NV $61.52 $6.43 – $108.89 18,244 17

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.