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Psychiatric Diagnostic Evaluation, No Medical Services

Vermont 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 physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $141 for this service. Most negotiated rates run $123 to $158.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $123 · 10th to 90th $107 to $191Professionalmedian $141 · 10th to 90th $107 to $182
$100$200facility $123professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$123.03
Typical High
$190.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$141.25
Typical High
$165.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$208.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$131.83
Typical High
$199.53
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$158.49
Typical High
$295.12
United
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$165.96
Typical High
$281.84

Where Vermont 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.

Vermont· 37th 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.