go back

Psychiatric Diagnostic Evaluation, No Medical Services

Connecticut 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?

$141

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $141 for this service. The price depends on where it is billed: about $141 from a physician practice, and about $166 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$141$123 to $166
FacilityA hospital or hospital-owned outpatient department$166$126 to $200

How much rates vary

Facilitymedian $166 · 10th to 90th $89 to $427Professionalmedian $141 · 10th to 90th $105 to $209
$50$100$200$500facility $166professional $141

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
$89.13
Median
$165.96
Typical High
$426.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$141.25
Typical High
$204.17
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$165.96
Typical High
$234.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$104.71
Typical High
$125.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$151.36
Typical High
$281.84
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$257.04
Health New England
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$144.54
Typical High
$380.19
Health New England
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$144.54
Typical High
$281.84
United
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$144.54
United
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$165.96
Typical High
$331.13

Where Connecticut 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.

Connecticut· 35th of 51

$141

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.