go back

Psychiatric Diagnostic Evaluation, No Medical Services

West 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?

$148

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $148 for this service. The price depends on where it is billed: about $148 from a physician practice, and about $347 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 5 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$148$123 to $204
FacilityA hospital or hospital-owned outpatient department$347$148 to $513

How much rates vary

Facilitymedian $347 · 10th to 90th $126 to $661Professionalmedian $148 · 10th to 90th $110 to $331
$100$200$500facility $347professional $148

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
$125.89
Median
$380.19
Typical High
$660.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$144.54
Typical High
$331.13
CareSource
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$141.25
Typical High
$169.82
CareSource
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$165.96
Typical High
$218.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$239.88
Typical High
$239.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$151.36
Typical High
$831.76
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$194.98
Typical High
$213.80
United
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$151.36
Typical High
$316.23
United
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$147.91
Typical High
$234.42

Where West 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.

West Virginia· 20th of 51

$148

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.