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Psychiatric Diagnostic Evaluation, No Medical Services

Idaho 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?

$148

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $148 for this service. The price depends on where it is billed: about $148 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 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$148$126 to $174
FacilityA hospital or hospital-owned outpatient department$170$151 to $191

How much rates vary

Facilitymedian $170 · 10th to 90th $141 to $240Professionalmedian $148 · 10th to 90th $110 to $251
$100$200$500facility $170professional $148

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
$128.82
Median
$154.88
Typical High
$186.21
Aetna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$144.54
Typical High
$213.80
BCBS
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$275.42
Typical High
$309.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$295.12
Typical High
$346.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$147.91
Typical High
$275.42
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$169.82
Typical High
$251.19
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$288.40
Typical High
$346.74
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$165.96
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$309.03
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$190.55
Typical High
$263.03
Select Health
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$169.82
Typical High
$281.84
United
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$165.96
Typical High
$275.42

Where Idaho 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.

Idaho· 17th of 51

$148

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.