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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 July 2026.

How much does Psychiatric Evaluation With Medical Assessment cost?

$151

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

Insurers have agreed to pay about $151 for this service. Most negotiated rates run $135 to $170.

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 $135 · 10th to 90th $117 to $182Professionalmedian $151 · 10th to 90th $123 to $191
$100$200facility $135professional $151

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
$117.49
Median
$134.90
Typical High
$181.97
Aetna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$151.36
Typical High
$190.55
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$208.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$181.97
Typical High
$660.69
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$177.83
Typical High
$239.88
United
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$173.78
Typical High
$407.38

Where Washington, DC 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.

Washington, DC· 44th of 51

$151

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.