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Psychiatric Diagnostic Evaluation, No Medical Services

Maine 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 physician fee. In Maine, July 2026.

Insurers have agreed to pay about $145 for this service. Most negotiated rates run $123 to $170.

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.

How much rates vary

Facilitymedian $145 · 10th to 90th $87 to $302Professionalmedian $145 · 10th to 90th $107 to $214
$2$5$10$20$50$100$200facility $145professional $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
$87.10
Median
$144.54
Typical High
$302.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$141.25
Typical High
$186.21
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$162.18
Typical High
$208.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$138.04
Typical High
$245.47
Community Health Options
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$134.90
Typical High
$173.78
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$194.98
Typical High
$407.38
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$147.91
Typical High
$302.00
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$138.04
Typical High
$199.53
United
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$181.97
Typical High
$302.00

Where Maine 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.

Maine· 23rd 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.