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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
Marlboro, NY $86.31 $66.28 – $90.00 16,682 3
Boonton Township, NJ $109.56 $109.56 – $109.56 16,672 1
Sullivan, MO $14.77 $0.00 – $118.49 16,663 18
Greenfield, WI $59.19 $0.59 – $105.24 16,619 25
Gurabo, PR $4.31 $0.00 – $15.92 16,582 10
Rockaway, NJ $111.97 $88.06 – $213.11 16,557 4
Tarboro, NC $142.34 $0.00 – $175.87 16,556 13
Shawnee, KS $73.86 $0.65 – $110.00 16,556 18
Canoga Park, CA $132.02 $0.00 – $360.34 16,551 8
Paradise, CA $80.26 $2.16 – $325.10 16,534 17
Kuna, ID $70.68 $0.00 – $73.81 16,530 6
Pennsauken, NJ $77.92 $0.52 – $149.39 16,505 7
Box Elder, MT $0.85 $0.85 – $0.85 16,503 1
Lagrange, GA $68.22 $20.55 – $102.07 16,482 14
Andover, MA $78.11 $0.92 – $98.54 16,475 18
Brentwood, NH $16.46 $16.46 – $16.46 16,465 1
Sisters, OR $146.34 $60.85 – $307.66 16,462 14
Manhattan Beach, CA $35.72 $3.36 – $75.33 16,435 6
Booneville, KY $32.43 $16.16 – $47.24 16,429 8
Stow, OH $83.79 $7.78 – $104.99 16,414 14
Fortuna, CA $63.19 $0.00 – $286.11 16,396 12
Yadkinville, NC $64.61 $34.65 – $94.60 16,382 14
Cherokee, IA $52.60 $0.00 – $72.07 16,352 6
Marion, IL $38.40 $0.00 – $117.32 16,344 12
Kaneohe, HI $83.42 $0.27 – $190.87 16,342 15
Lillington, NC $66.29 $18.77 – $107.32 16,328 16
Port Washington, WI $35.10 $0.76 – $83.35 16,305 19
Lackawanna, NY $95.22 $71.30 – $99.65 16,295 4
Cortez, CO $81.36 $0.00 – $305.46 16,279 18
Fairhope, AL $27.51 $0.00 – $123.00 16,266 8
Clive, IA $77.45 $21.83 – $136.57 16,237 22
Tifton, GA $65.52 $0.00 – $105.68 16,224 12
Everett, MA $41.76 $1.07 – $86.81 16,183 14
Hinsdale, IL $102.33 $0.00 – $156.38 16,170 24
Grundy Center, IA $64.86 $64.83 – $65.31 16,159 2
Freehold, NJ $52.51 $0.00 – $182.16 16,148 21
Mulino, OR $107.18 $107.18 – $107.18 16,142 1
Seneca, SC $95.91 $35.13 – $110.54 16,135 8
Ledyard, CT $50.15 $7.14 – $94.63 16,069 5
Pembroke, MA $28.76 $11.85 – $123.05 16,060 13
Blanding, UT $104.40 $104.40 – $104.40 16,060 1
Barrington, RI $53.28 $34.88 – $107.99 16,039 19
Smith, KY $51.19 $51.19 – $51.19 16,029 1
North Providence, RI $81.10 $19.61 – $167.75 16,028 24
Hebron, CT $29.68 $5.88 – $80.87 16,005 6
Hayward, CA $131.95 $0.00 – $426.74 15,992 35
Greenbrae, CA $120.10 $0.00 – $332.44 15,990 8
Baker, WV $34.57 $0.00 – $81.66 15,989 8
Quebradillas, PR $3.57 $0.30 – $5.23 15,947 7
Hartford, VT $39.42 $0.00 – $98.43 15,940 12

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.