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Psychiatric Evaluation With Medical Assessment

Washington, DC 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 October 2026.

How much does Psychiatric Evaluation With Medical Assessment cost?

$158

Typical physician fee. In Washington, DC, October 2026.

Insurers have agreed to pay about $158 for this service. Most negotiated rates run $135 to $182.

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 $158 · 10th to 90th $117 to $407Professionalmedian $158 · 10th to 90th $117 to $182
$100$200$500facility $158professional $158

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$117.49
Median
$158.49
Typical High
$407.38
Aetna
Setting
Professional
Modifier
None
Typical Low
$117.49
Median
$151.36
Typical High
$181.97
CareFirst
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
Cigna
Setting
Professional
Modifier
None
Typical Low
$75.86
Median
$177.83
Typical High
$331.13
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$165.96
Typical High
$426.58
United
Setting
Professional
Modifier
None
Typical Low
$141.25
Median
$162.18
Typical High
$218.78

Where Washington, DC sits

The same service costs 2.2 times more in North Dakota than in Kentucky. 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.

Washington, DC· 25th of 51

$158

ND $295KY $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.