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Psychiatric Diagnostic Evaluation, No Medical Services

Virginia 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?

$138

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $138 for this service. The price depends on where it is billed: about $138 from a physician practice, and about $151 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$138$112 to $162
FacilityA hospital or hospital-owned outpatient department$151$132 to $191

How much rates vary

Facilitymedian $151 · 10th to 90th $112 to $295Professionalmedian $138 · 10th to 90th $85 to $186
$20$50$100$200$500facility $151professional $138

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
$102.33
Median
$138.04
Typical High
$446.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$131.83
Typical High
$177.83
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$173.78
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$186.21
Typical High
$257.04
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$208.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$151.36
Typical High
$251.19
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$158.49
Typical High
$208.93
Medcost
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$323.59
Medcost
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$173.78
Typical High
$263.03
Medcost
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$109.65
Typical High
$138.04
Sentara
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$177.83
Typical High
$302.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$199.53
Typical High
$338.84
United
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$131.83
Typical High
$831.76
United
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$158.49
Typical High
$257.04

Where Virginia 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.

Virginia· 45th of 51

$138

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.