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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
Schenectady, NY $94.70 $11.31 – $215.06 187,720 69
Easton, MD $90.39 $0.30 – $132.28 187,517 44
Falmouth, MA $80.84 $0.00 – $137.40 187,265 32
Lexington, SC $139.71 $55.05 – $154.57 186,171 32
Newark, OH $71.67 $0.00 – $296.00 186,026 187
Ironton, OH $68.36 $0.00 – $119.24 186,018 169
Winchester, VA $67.60 $16.44 – $190.93 185,967 69
Santa Maria, CA $74.82 $0.00 – $437.69 184,750 77
Ventura, CA $101.67 $0.00 – $332.33 183,872 138
Topeka, KS $71.67 $0.00 – $404.59 183,021 219
Birmingham, MI $68.50 $8.43 – $88.30 181,924 4
Springdale, AR $72.80 $6.74 – $117.58 181,888 115
Eureka, CA $75.04 $0.00 – $346.95 181,517 143
Hampton, VA $73.77 $0.00 – $162.50 181,153 133
Fremont, OH $34.48 $0.00 – $113.80 180,840 44
Farmingville, NY $92.48 $65.79 – $164.70 180,836 6
Traverse City, MI $121.83 $0.00 – $236.30 180,284 54
Puyallup, WA $74.62 $0.00 – $193.09 179,128 143
Geneseo, NY $91.83 $72.16 – $162.12 179,079 4
Medford, OR $133.25 $0.00 – $468.52 178,835 269
Greenwood, IN $51.89 $4.05 – $126.13 178,552 42
Landover, MD $109.18 $33.57 – $135.19 178,410 14
Henderson, NV $74.67 $0.00 – $372.04 178,132 202
Anderson, SC $139.78 $0.00 – $165.89 177,736 34
Center Moriches, NY $70.14 $58.53 – $81.61 177,150 12
Scottsdale, AZ $88.45 $0.00 – $305.55 177,123 126
Ottumwa, IA $44.17 $0.00 – $218.40 176,714 29
Opelika, AL $77.27 $0.00 – $141.80 176,145 13
Taylor, MI $66.35 $0.00 – $89.20 175,635 11
Rochester, NH $55.81 $0.00 – $144.56 175,539 29
Morristown, TN $50.06 $1.35 – $108.99 175,508 40
Hamden, CT $59.30 $0.00 – $124.29 175,373 91
Kingsport, TN $51.17 $11.37 – $184.14 175,169 47
Columbia, KY $34.27 $10.24 – $134.93 174,538 27
Hamilton, NJ $96.04 $0.00 – $259.82 174,367 19
Conway, AR $73.13 $0.00 – $119.76 174,244 137
Mason City, IA $72.80 $0.19 – $151.06 173,529 60
Fort Worth, TX $87.08 $0.00 – $837.83 173,495 232
Rockford, IL $72.52 $0.00 – $191.48 173,407 74
Charleston, WV $42.94 $0.00 – $178.03 173,211 83
Keene, NH $65.86 $6.98 – $160.00 173,106 36
Decatur, AL $79.81 $0.00 – $154.06 172,293 39
Rock Hill, SC $139.59 $28.07 – $358.59 171,950 53
Atlanta, GA $85.88 $0.00 – $284.99 171,679 170
Duluth, MN $107.46 $1.48 – $710.06 170,778 218
Marlborough, MA $70.13 $8.30 – $158.50 170,755 22
Oak Park, IL $44.47 $0.00 – $142.29 170,372 29
Anaheim, CA $70.26 $0.00 – $421.00 170,198 89
Vicksburg, MS $74.91 $0.00 – $273.50 170,077 23
Escondido, CA $36.59 $0.00 – $294.14 169,226 73

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.