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Psychiatric Diagnostic Evaluation, No Medical Services

New Jersey 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?

$141

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $141 for this service. The price depends on where it is billed: about $141 from a physician practice, and about $162 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 7 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$141$120 to $166
FacilityA hospital or hospital-owned outpatient department$162$126 to $204

How much rates vary

Facilitymedian $162 · 10th to 90th $100 to $407Professionalmedian $141 · 10th to 90th $105 to $195
$100$200$500$1K$2Kfacility $162professional $141

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
$91.20
Median
$162.18
Typical High
$407.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$141.25
Typical High
$190.55
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$131.83
Typical High
$177.83
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
AmeriHealth
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$114.82
Typical High
$186.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$151.36
Typical High
$245.47
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$144.54
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$144.54
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$489.78
Typical High
$724.44
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$154.88
Typical High
$234.42
United
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$117.49
Typical High
$158.49
United
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$147.91
Typical High
$251.19

Where New Jersey 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.

New Jersey· 34th of 51

$141

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.