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New York rates for HCPCS 90791

Psychiatric diagnostic evaluation

Facilitymedian $151 · 10th–90th $110$4470%10%20%10th90th$151Professionalmedian $151 · 10th–90th $105$3090%20%10th90th$151$0.1$0.5$2.0$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$109.65 / $154.88 / $446.68
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $151.36 / $316.23
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$676.08 / $676.08 / $676.08
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $131.83 / $177.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.79 / $107.15 / $208.93
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$169.82 / $169.82 / $218.78
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $177.83 / $257.04
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95.50 / $151.36 / $245.47
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $154.88 / $323.59
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.10 / $0.10 / $100.00
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $100.00 / $144.54
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $117.49 / $151.36
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $181.97 / $354.81
Fidelis
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $125.89 / $177.83
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $154.88 / $489.78
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $162.18 / $190.55
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $177.83 / $354.81
Optum
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $151.36 / $213.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $117.49 / $436.52
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $165.96 / $302.00
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $128.82 / $181.97
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $181.97 / $354.81