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Psychiatric Evaluation With Medical Assessment

Maine 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?

$155

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $155 for this service. Most negotiated rates run $135 to $191.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $182 · 10th to 90th $126 to $537Professionalmedian $155 · 10th to 90th $120 to $240
$100$200$500facility $182professional $155

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
$125.89
Median
$181.97
Typical High
$537.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$147.91
Typical High
$194.98
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$186.21
Typical High
$229.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$162.18
Typical High
$380.19
Community Health Options
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$251.19
Typical High
$398.11
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$229.09
Typical High
$457.09
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$186.21
Typical High
$537.03
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$151.36
Typical High
$229.09
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$208.93
Typical High
$354.81

Where Maine 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.

Maine· 31st of 51

$155

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.