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Psychiatric Evaluation With Medical Assessment

Colorado 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?

$158

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $158 for this service. The price depends on where it is billed: about $158 from a physician practice, and about $191 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 7 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$158$138 to $182
FacilityA hospital or hospital-owned outpatient department$191$166 to $224

How much rates vary

Facilitymedian $191 · 10th to 90th $145 to $288Professionalmedian $158 · 10th to 90th $123 to $224
$100$200$500facility $191professional $158

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
$128.82
Median
$165.96
Typical High
$457.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$158.49
Typical High
$213.80
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$141.25
Typical High
$229.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$190.55
Typical High
$316.23
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$194.98
Typical High
$281.84
Denver HMP
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$616.60
Typical High
$776.25
Select Health
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$186.21
Select Health
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$173.78
Typical High
$239.88
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$169.82
Typical High
$316.23
United
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$199.53
Typical High
$398.11

Where Colorado sits

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.

Colorado· 28th of 51

$158

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.