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Psychiatric Diagnostic Evaluation, No Medical Services

South Dakota 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?

$151

Typical physician fee. In South Dakota, July 2026.

Insurers have agreed to pay about $151 for this service. Most negotiated rates run $135 to $204.

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.

How much rates vary

Facilitymedian $148 · 10th to 90th $123 to $275Professionalmedian $151 · 10th to 90th $112 to $372
$100$200$500facility $148professional $151

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
$123.03
Median
$147.91
Typical High
$288.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$151.36
Typical High
$371.54
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
Avera
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$204.17
Typical High
$234.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$199.53
Typical High
$263.03
Medica
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$169.82
Typical High
$269.15
Medica
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$186.21
Typical High
$1,096.48
Midlands
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$316.23
Typical High
$436.52
Midlands
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$199.53
Typical High
$245.47
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$218.78
Typical High
$331.13
United
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$173.78
Typical High
$316.23
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$186.21
Typical High
$239.88

Where South Dakota 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 Dakota· 11th of 51

$151

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.