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Psychiatric Diagnostic Evaluation, No Medical Services

Texas 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 Texas, 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 $174 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 13 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 $166
FacilityA hospital or hospital-owned outpatient department$174$151 to $209

How much rates vary

Facilitymedian $174 · 10th to 90th $129 to $295Professionalmedian $141 · 10th to 90th $110 to $200
$50$100$200$500facility $174professional $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
$75.86
Median
$158.49
Typical High
$346.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$144.54
Typical High
$194.98
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$165.96
Median
$165.96
Typical High
$239.88
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$128.82
Typical High
$169.82
BCBS
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$141.25
Typical High
$204.17
Baylor Scott & White
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$181.97
Typical High
$257.04
Christus
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$131.83
Typical High
$162.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$144.54
Typical High
$229.09
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$954.99
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$1,096.48
Typical High
$1,380.38
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$173.78
Typical High
$263.03
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$234.42
Typical High
$316.23
Molina
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$109.65
Typical High
$138.04
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$457.09
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$151.36
Typical High
$208.93
Providence
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$173.78
Typical High
$263.03
Providence
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$144.54
Typical High
$229.09
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$131.83
Typical High
$288.40
United
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$147.91
Typical High
$234.42
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$169.82
Typical High
$239.88

Where Texas 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.

Texas· 36th 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.