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Psychiatric Diagnostic Evaluation, No Medical Services

South 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?

$145

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $145 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$123 to $170
FacilityA hospital or hospital-owned outpatient department$162$141 to $191

How much rates vary

Facilitymedian $162 · 10th to 90th $120 to $263Professionalmedian $141 · 10th to 90th $107 to $282
$100$200$500facility $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
$104.71
Median
$141.25
Typical High
$257.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$141.25
Typical High
$288.40
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$128.82
Typical High
$169.82
BCBS
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$169.82
Typical High
$218.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$144.54
Typical High
$229.09
Medcost
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$169.82
Typical High
$263.03
Medcost
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$100.00
Typical High
$138.04
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
United
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$151.36
Typical High
$245.47

Where South 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.

South Carolina· 22nd of 51

$145

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.