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Psychiatric Diagnostic Evaluation, No Medical Services

Montana 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 Montana, July 2026.

Insurers have agreed to pay about $151 for this service. The price depends on where it is billed: about $148 from a physician practice, and about $240 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 6 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$129 to $182
FacilityA hospital or hospital-owned outpatient department$240$182 to $263

How much rates vary

Facilitymedian $240 · 10th to 90th $151 to $302Professionalmedian $148 · 10th to 90th $112 to $251
$100$200$500facility $240professional $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
$316.23
Median
$316.23
Typical High
$316.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$147.91
Typical High
$223.87
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$64,565.42
Typical High
$89,125.09
BCBS
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$234.42
Typical High
$269.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$269.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$134.90
Typical High
$234.42
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$251.19
Typical High
$302.00
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$251.19
Typical High
$302.00
Providence
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$173.78
Typical High
$269.15
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$181.97
Typical High
$436.52
United
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$186.21
Typical High
$269.15

Where Montana 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.

Montana· 10th 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.