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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
Santa Rosa, CA $37.81 $0.00 – $420.89 234,328 186
Merrillville, IN $70.12 $0.00 – $149.75 234,092 68
Willoughby, OH $32.54 $0.00 – $131.57 233,889 80
Watertown, NY $107.00 $26.69 – $184.14 233,751 48
Ewing, NJ $90.85 $0.00 – $255.44 233,548 30
Helena, MT $64.81 $0.00 – $212.66 233,254 132
Kokomo, IN $59.19 $0.00 – $212.61 233,105 64
Warren, OH $74.63 $0.00 – $255.22 232,816 232
Norfolk, VA $70.07 $0.00 – $215.65 232,773 218
West Des Moines, IA $67.87 $4.44 – $163.99 232,722 139
Corinth, MS $81.97 $77.13 – $111.61 230,969 7
Moraine, OH $68.82 $0.00 – $126.74 230,759 173
Lynn, MA $66.76 $0.00 – $143.29 230,394 64
Corona, CA $105.33 $0.00 – $499.34 230,264 102
East Orange, NJ $87.84 $0.00 – $292.44 229,679 29
Lancaster, OH $67.44 $0.00 – $306.16 228,531 212
Richmond, KY $59.44 $0.00 – $165.85 227,989 76
Norwalk, CT $55.13 $0.00 – $345.96 227,981 99
Dalton, GA $75.48 $0.00 – $102.70 227,928 17
Cambridge, MA $54.53 $0.00 – $165.01 227,557 107
Pittsfield, MA $73.67 $0.00 – $220.10 226,329 130
Springfield, OH $64.64 $0.00 – $146.22 226,139 192
Aberdeen, MD $78.99 $33.13 – $192.09 225,259 24
Fort Smith, AR $66.89 $0.00 – $114.52 224,558 212
Newport News, VA $84.32 $0.00 – $192.57 223,175 141
Saint Louis, MO $51.60 $0.00 – $310.94 222,569 353
Greenfield, IN $41.41 $3.11 – $136.10 222,541 28
Far Rockaway, NY $88.81 $17.48 – $768.00 221,944 37
Green Bay, WI $33.18 $0.00 – $236.03 221,790 209
West Haven, CT $34.21 $0.00 – $107.77 221,555 62
Flushing, NY $99.96 $3.35 – $214.04 221,509 58
Taos, NM $88.89 $5.35 – $173.88 221,481 79
Morehead, KY $66.39 $22.07 – $112.52 219,322 30
Lumberton, NJ $104.16 $17.47 – $124.80 218,950 6
Dublin, OH $61.91 $4.77 – $336.40 218,765 273
West Springfield, MA $57.13 $0.00 – $154.45 218,326 75
Beachwood, OH $56.59 $1.94 – $147.39 218,246 177
Madison, WI $58.08 $0.00 – $328.69 217,475 378
Ponce, PR $18.40 $0.00 – $130.50 217,440 137
Portsmouth, NH $59.93 $0.00 – $144.41 215,815 36
Milford, CT $60.51 $0.00 – $112.11 215,158 88
Cookeville, TN $39.29 $8.02 – $129.97 214,740 65
Ansonia, CT $49.56 $0.00 – $126.04 214,363 34
Chesapeake, VA $69.28 $0.00 – $181.90 213,360 159
Clifton Springs, NY $94.09 $39.36 – $249.98 212,286 9
Wauwatosa, WI $78.17 $0.00 – $171.99 211,256 123
Bayonne, NJ $49.41 $2.38 – $82.45 210,609 9
Mesa, AZ $62.85 $0.00 – $334.41 210,494 162
Henderson, KY $45.72 $4.96 – $88.31 210,479 31
Tacoma, WA $77.06 $0.00 – $466.88 209,581 266

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.