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Psychiatric Diagnostic Evaluation, No Medical Services

Oregon 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?

$162

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $162 for this service. The price depends on where it is billed: about $158 from a physician practice, and about $245 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$158$129 to $219
FacilityA hospital or hospital-owned outpatient department$245$170 to $339

How much rates vary

Facilitymedian $245 · 10th to 90th $151 to $339Professionalmedian $158 · 10th to 90th $112 to $363
$100$200$500facility $245professional $158

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
$141.25
Median
$275.42
Typical High
$407.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$151.36
Typical High
$338.84
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$165.96
Typical High
$380.19
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$288.40
Typical High
$407.38
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$177.83
Typical High
$269.15
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$263.03
Typical High
$407.38
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$281.84
Typical High
$338.84
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
$208.93
Typical High
$398.11
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$239.88
Typical High
$398.11
United
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$223.87
Typical High
$363.08

Where Oregon 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.

Oregon· 4th of 51

$162

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.