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Psychiatric Diagnostic Evaluation, No Medical Services

Delaware 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?

$132

Typical negotiated rate. In Delaware, July 2026.

Insurers have agreed to pay about $132 for this service. The price depends on where it is billed: about $132 from a physician practice, and about $132 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 4 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$132$115 to $151
FacilityA hospital or hospital-owned outpatient department$132$112 to $151

How much rates vary

Facilitymedian $132 · 10th to 90th $110 to $191Professionalmedian $132 · 10th to 90th $105 to $174
$100$200facility $132professional $132

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
$109.65
Median
$131.83
Typical High
$190.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$131.83
Typical High
$173.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$144.54
Typical High
$204.17
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$194.98
Typical High
$302.00
United
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$144.54
Typical High
$288.40

Where Delaware 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.

Delaware· 51st of 51

$132

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.