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Psychiatric Diagnostic Evaluation, No Medical Services

Michigan 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 Michigan, 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 $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$151$129 to $182
FacilityA hospital or hospital-owned outpatient department$170$151 to $204

How much rates vary

Facilitymedian $170 · 10th to 90th $107 to $234Professionalmedian $151 · 10th to 90th $107 to $224
$100$200$500facility $170professional $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
$85.11
Median
$165.96
Typical High
$223.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$147.91
Typical High
$218.78
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$131.83
Typical High
$173.78
BCBS
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$194.98
Typical High
$234.42
BCBS
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$173.78
Typical High
$234.42
CareSource
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$107.15
Typical High
$181.97
CareSource
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$218.78
Typical High
$229.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$128.82
Typical High
$204.17
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$186.21
Typical High
$275.42
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$151.36
Typical High
$213.80
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$213.80
Typical High
$436.52
United
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$181.97
Typical High
$501.19
United
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$151.36
Typical High
$234.42

Where Michigan 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.

Michigan· 9th 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.