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Psychiatric Evaluation With Medical Assessment

Iowa 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?

$174

Typical negotiated rate. In Iowa, October 2026.

Insurers have agreed to pay about $174 for this service. The price depends on where it is billed: about $174 from a physician practice, and about $302 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$174$141 to $219
FacilityA hospital or hospital-owned outpatient department$302$245 to $490

How much rates vary

Facilitymedian $302 · 10th to 90th $155 to $2,570Professionalmedian $174 · 10th to 90th $135 to $282
$100$200$500$1K$2Kfacility $302professional $174

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$120.23
Median
$158.49
Typical High
$234.42
Aetna
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$154.88
Typical High
$181.97
Cigna
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$257.04
Typical High
$371.54
Hally Health
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$169.82
Typical High
$331.13
Medica
Setting
Facility
Modifier
None
Typical Low
$154.88
Median
$281.84
Typical High
$478.63
Medica
Setting
Professional
Modifier
None
Typical Low
$141.25
Median
$144.54
Typical High
$1,071.52
Midlands
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$218.78
Typical High
$251.19
Midlands
Setting
Professional
Modifier
None
Typical Low
$147.91
Median
$245.47
Typical High
$407.38
Oscar Health
Setting
Facility
Modifier
None
Typical Low
$436.52
Median
$1,202.26
Typical High
$3,388.44
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$141.25
Median
$144.54
Typical High
$223.87
United
Setting
Facility
Modifier
None
Typical Low
$263.03
Median
$446.68
Typical High
$562.34
United
Setting
Professional
Modifier
None
Typical Low
$141.25
Median
$144.54
Typical High
$223.87
Wellmark
Setting
Professional
Modifier
None
Typical Low
$173.78
Median
$218.78
Typical High
$245.47

Where Iowa 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.

Iowa· 15th of 51

$174

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.