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Psychiatric Diagnostic Evaluation, No Medical Services

Arizona rates for HCPCS 90791

An in-depth first assessment of a person's mental health history, current symptoms and needs before treatment begins, covering the interview, review of history, a working diagnosis and an initial plan of care. It is the version that does not include medical services such as a physical examination or prescribing, and it may be carried out by any qualified mental health clinician, including a psychiatrist as well as a psychologist, counsellor or therapist.

Rates data updated July 2026.

How much does Psychiatric Diagnostic Evaluation, No Medical Services cost?

$138

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $138 for this service. The price depends on where it is billed: about $138 from a physician practice, and about $148 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$138$120 to $162
FacilityA hospital or hospital-owned outpatient department$148$129 to $174

How much rates vary

Facilitymedian $148 · 10th to 90th $112 to $245Professionalmedian $138 · 10th to 90th $105 to $195
$100$200$500facility $148professional $138

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$125.89
Typical High
$154.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$138.04
Typical High
$190.55
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$138.04
Typical High
$186.21
BCBS
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$125.89
Typical High
$141.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$169.82
Typical High
$218.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$239.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$147.91
Typical High
$251.19
Medica
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$162.18
Typical High
$269.15
Medica
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$173.78
Typical High
$1,096.48
United
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$162.18
Typical High
$269.15
United
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$144.54
Typical High
$239.88

Where Arizona sits

Rates are fairly even across states for this service. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Arizona· 47th of 51

$138

MN $174DE $132

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.