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Psychiatric Evaluation With Medical Assessment

Florida 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 negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $151 for this service. The price depends on where it is billed: about $151 from a physician practice, and about $105 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 8 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$151$129 to $182
FacilityA hospital or hospital-owned outpatient department$105$105 to $135

How much rates vary

Facilitymedian $105 · 10th to 90th $71 to $158Professionalmedian $151 · 10th to 90th $110 to $245
$100$200$500facility $105professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$104.71
Typical High
$158.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$151.36
Typical High
$239.88
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$104.71
Median
$104.71
Typical High
$104.71
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$165.96
Typical High
$223.87
AvMed
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$169.82
Typical High
$208.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$275.42
Typical High
$275.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$181.97
Typical High
$309.03
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$144.54
Typical High
$186.21
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$151.36
Typical High
$281.84
United
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$154.88
Typical High
$251.19
United
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$162.18
Typical High
$295.12
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$147.91
Typical High
$204.17

Where Florida 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.

Florida· 40th 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.