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Psychiatric Evaluation With Medical Assessment

Delaware 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?

$145

Typical negotiated rate. In Delaware, October 2026.

Insurers have agreed to pay about $145 for this service. The price depends on where it is billed: about $145 from a physician practice, and about $166 from a hospital or other facility.

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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$145$123 to $166
FacilityA hospital or hospital-owned outpatient department$166$141 to $178

How much rates vary

Facilitymedian $166 · 10th to 90th $126 to $245Professionalmedian $145 · 10th to 90th $110 to $182
$100$200facility $166professional $145

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
$123.03
Median
$165.96
Typical High
$177.83
Aetna
Setting
Professional
Modifier
None
Typical Low
$123.03
Median
$141.25
Typical High
$169.82
Cigna
Setting
Facility
Modifier
None
Typical Low
$199.53
Median
$199.53
Typical High
$275.42
Cigna
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$60.26
Typical High
$190.55
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$165.96
Median
$165.96
Typical High
$245.47
Highmark BCBS
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$218.78
Typical High
$363.08
United
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$147.91
Typical High
$194.98

Where Delaware 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.

Delaware· 42nd of 51

$145

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.