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Psychiatric Diagnostic Evaluation, No Medical Services

Colorado 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?

$145

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $145 for this service. The price depends on where it is billed: about $145 from a physician practice, and about $170 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 7 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$145$123 to $170
FacilityA hospital or hospital-owned outpatient department$170$148 to $209

How much rates vary

Facilitymedian $170 · 10th to 90th $132 to $275Professionalmedian $145 · 10th to 90th $110 to $214
$100$200$500facility $170professional $145

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
$123.03
Median
$162.18
Typical High
$398.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$144.54
Typical High
$208.93
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$131.83
Typical High
$204.17
Cigna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$151.36
Typical High
$251.19
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$173.78
Typical High
$263.03
Denver HMP
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$309.03
Typical High
$549.54
Select Health
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$158.49
Typical High
$338.84
Select Health
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$151.36
Typical High
$204.17
United
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$151.36
Typical High
$316.23
United
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$165.96
Typical High
$257.04

Where Colorado 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.

Colorado· 24th of 51

$145

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.