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Psychiatric Diagnostic Evaluation, No Medical Services

North Carolina 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 North Carolina, 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 $166 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$129 to $186
FacilityA hospital or hospital-owned outpatient department$166$145 to $200

How much rates vary

Facilitymedian $166 · 10th to 90th $89 to $269Professionalmedian $148 · 10th to 90th $110 to $316
$50$100$200$500facility $166professional $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
$63.10
Median
$144.54
Typical High
$269.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$147.91
Typical High
$316.23
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
$128.82
Typical High
$177.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$151.36
Typical High
$281.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$144.54
Typical High
$263.03
Medcost
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$177.83
Typical High
$263.03
Medcost
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$109.65
Typical High
$114.82
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$144.54
Typical High
$218.78
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$144.54
United
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$147.91
Typical High
$263.03
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$954.99
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,380.38

Where North Carolina 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.

North Carolina· 18th 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.