go back

Psychiatric Diagnostic Evaluation, No Medical Services

Iowa 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?

$151

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $151 for this service. The price depends on where it is billed: about $151 from a physician practice, and about $178 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 8 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$151$132 to $182
FacilityA hospital or hospital-owned outpatient department$178$148 to $257

How much rates vary

Facilitymedian $178 · 10th to 90th $129 to $302Professionalmedian $151 · 10th to 90th $115 to $257
$100$200$500facility $178professional $151

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
$177.83
Typical High
$302.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$147.91
Typical High
$251.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$173.78
Typical High
$371.54
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$177.83
Typical High
$245.47
Medica
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$177.83
Typical High
$275.42
Medica
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$213.80
Typical High
$954.99
Midlands
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$229.09
Typical High
$436.52
Midlands
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Midlands
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$213.80
Typical High
$251.19
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$776.25
Typical High
$776.25
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$173.78
Typical High
$302.00
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
United
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$181.97
Typical High
$346.74
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$186.21
Typical High
$234.42

Where Iowa 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.

Iowa· 8th of 51

$151

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.