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Psychiatric Evaluation With Medical Assessment

Nationwide rates for HCPCS 90792

An in-depth first-time evaluation performed by a prescriber, such as a psychiatrist or psychiatric nurse practitioner, that combines a mental health assessment with a medical evaluation, including a review of physical health, medications, and other factors that could affect diagnosis and treatment. It's typically the starting point for care from a provider who can prescribe medication. It's more comprehensive than a routine follow-up visit.

Rates data updated July 2026.

How much does Psychiatric Evaluation With Medical Assessment cost?

$162

Typical negotiated rate. Nationwide, July 2026.

Insurers have agreed to pay about $162 for this service. The price depends on where it is billed: about $162 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 80 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$162$135 to $195
FacilityA hospital or hospital-owned outpatient department$174$141 to $219

How much rates vary

Facilitymedian $174 · 10th to 90th $117 to $324Professionalmedian $162 · 10th to 90th $123 to $288
$100$200$500facility $174professional $162

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
$104.71
Median
$165.96
Typical High
$331.13
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
Aetna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$158.49
Typical High
$263.03
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$104.71
Median
$173.78
Typical High
$354.81
BCBS
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$213.80
BCBS
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$158.49
Typical High
$275.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$275.42
Typical High
$676.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$181.97
Typical High
$389.05
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$177.83
Typical High
$316.23
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$177.83
Typical High
$363.08

What it costs in each state

The same service costs 1.5 times more in North Dakota than in Delaware. 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.

Touch or drag across the chart to see any state's rate.

ND $219DE $145

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.