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 — 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 |
|---|---|---|---|---|
| Framingham, MA | $67.95 | $0.00 – $134.05 | 275,260 | 99 |
| Mt Pleasant, MI | $190.47 | $35.64 – $225.19 | 274,783 | 12 |
| Acton, MA | $94.10 | $8.24 – $97.68 | 274,493 | 15 |
| Nottingham, MD | $97.83 | $0.00 – $140.87 | 273,574 | 68 |
| Conway, SC | $126.00 | $19.20 – $186.84 | 273,351 | 31 |
| Binghamton, NY | $150.32 | $0.00 – $442.88 | 273,253 | 77 |
| Utica, NY | $105.72 | $0.00 – $347.33 | 272,745 | 98 |
| Franklin, TN | $68.99 | $0.00 – $203.97 | 272,378 | 64 |
| Gastonia, NC | $79.45 | $0.00 – $175.05 | 271,358 | 198 |
| Towson, MD | $81.15 | $0.00 – $208.41 | 271,101 | 108 |
| Spartanburg, SC | $129.73 | $0.00 – $238.05 | 269,505 | 97 |
| Shreveport, LA | $34.14 | $0.00 – $189.85 | 269,164 | 273 |
| Cumberland, MD | $100.55 | $0.00 – $136.74 | 268,643 | 52 |
| Frankfort, KY | $66.37 | $0.01 – $117.72 | 268,442 | 59 |
| Victorville, CA | $114.97 | $0.00 – $393.54 | 267,194 | 100 |
| Deer Park, NY | $152.97 | $2.78 – $172.04 | 266,371 | 7 |
| Owings Mills, MD | $103.50 | $17.52 – $165.65 | 265,155 | 64 |
| Suffern, NY | $49.42 | $4.98 – $191.50 | 265,066 | 12 |
| Farmington, NM | $110.82 | $0.00 – $407.60 | 264,489 | 108 |
| Lexington, MA | $66.70 | $7.26 – $172.70 | 264,193 | 16 |
| San Jose, CA | $194.09 | $0.00 – $678.73 | 264,184 | 201 |
| Huntsville, AL | $82.27 | $0.00 – $166.99 | 263,837 | 81 |
| Rhinebeck, NY | $140.04 | $88.50 – $140.35 | 262,951 | 6 |
| Idaho Falls, ID | $58.25 | $0.00 – $193.52 | 262,949 | 140 |
| Rancho Cucamonga, CA | $115.10 | $0.00 – $374.64 | 262,801 | 151 |
| Port Huron, MI | $158.44 | $13.03 – $215.06 | 262,796 | 28 |
| Morrisonville, NY | $110.54 | $73.16 – $128.78 | 259,879 | 5 |
| Battle Creek, MI | $59.67 | $0.00 – $98.34 | 259,677 | 32 |
| Auburn Hills, MI | $119.67 | $0.00 – $275.00 | 259,434 | 8 |
| Hattiesburg, MS | $79.64 | $0.04 – $403.36 | 258,890 | 49 |
| Temecula, CA | $82.24 | $0.00 – $515.65 | 256,737 | 123 |
| Nashua, NH | $61.65 | $0.00 – $249.97 | 256,547 | 98 |
| Elkton, MD | $99.69 | $0.00 – $140.77 | 253,689 | 21 |
| Muskegon, MI | $60.09 | $1.05 – $164.37 | 253,085 | 54 |
| Hamilton, OH | $75.06 | $0.00 – $132.08 | 252,958 | 267 |
| Meridian, MS | $75.63 | $0.00 – $143.36 | 249,825 | 38 |
| East Hartford, CT | $27.73 | $0.00 – $103.80 | 249,352 | 66 |
| Pueblo, CO | $161.68 | $0.00 – $487.86 | 246,742 | 148 |
| Trenton, NJ | $50.43 | $0.00 – $438.17 | 245,605 | 54 |
| Camden, NJ | $82.92 | $0.00 – $1,193 | 244,674 | 84 |
| Fayetteville, AR | $74.14 | $1.60 – $148.55 | 244,186 | 231 |
| Kalispell, MT | $59.76 | $0.00 – $208.93 | 242,185 | 137 |
| Bay City, MI | $99.21 | $22.06 – $223.83 | 240,929 | 26 |
| Anderson, IN | $49.54 | $9.97 – $121.81 | 239,870 | 65 |
| Westhampton Beach, NY | $79.85 | $68.53 – $80.27 | 239,050 | 3 |
| Mason, OH | $86.57 | $4.46 – $108.48 | 238,975 | 70 |
| Huntington, WV | $37.69 | $0.00 – $133.47 | 238,017 | 110 |
| Middletown, OH | $70.81 | $0.84 – $111.11 | 237,856 | 161 |
| Lake Charles, LA | $29.78 | $0.00 – $96.50 | 235,165 | 150 |
| Irvine, CA | $58.51 | $0.00 – $236.56 | 235,043 | 96 |
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.