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Psychiatric Diagnostic Evaluation, No Medical Services

Missouri 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 Missouri, 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 $182 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 $186
FacilityA hospital or hospital-owned outpatient department$182$148 to $257

How much rates vary

Facilitymedian $182 · 10th to 90th $93 to $389Professionalmedian $151 · 10th to 90th $110 to $288
$100$200$500facility $182professional $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
$79.43
Median
$194.98
Typical High
$457.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$151.36
Typical High
$309.03
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$128.82
Typical High
$190.55
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$123.03
Typical High
$204.17
BCBS
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$186.21
Typical High
$269.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$154.88
Typical High
$263.03
Medica
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$173.78
Typical High
$309.03
Medica
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$173.78
Typical High
$954.99
Qualchoice
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$208.93
Typical High
$245.47
United
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$125.89
Typical High
$204.17
United
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$154.88
Typical High
$269.15

Where Missouri 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.

Missouri· 13th 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.