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?
$158
Typical physician fee. In Maine, October 2026.
Insurers have agreed to pay about $158 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 7 insurance carriers under federal price transparency rules.
How much rates vary
Facilitymedian $158 · 10th to 90th $120 to $288Professionalmedian $158 · 10th to 90th $120 to $214
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
Facility/Professional
Modifier
Typical LowTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
MedianTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Typical HighTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Aetna
Setting
Facility
Modifier
None
Typical Low
$120.23
Median
$158.49
Typical High
$323.59
Facility
None
$120.23
$158.49
$323.59
Aetna
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$158.49
Typical High
$213.80
Professional
None
$120.23
$158.49
$213.80
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$151.36
Typical High
$204.17
Professional
None
$120.23
$151.36
$204.17
Cigna
Setting
Professional
Modifier
None
Typical Low
$95.50
Median
$100.00
Typical High
$234.42
Professional
None
$95.50
$100.00
$234.42
Community Health Options
Setting
Professional
Modifier
None
Typical Low
$173.78
Median
$316.23
Typical High
$323.59
Professional
None
$173.78
$316.23
$323.59
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$147.91
Median
$165.96
Typical High
$213.80
Professional
None
$147.91
$165.96
$213.80
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$134.90
Typical High
$251.19
Facility
None
$125.89
$134.90
$251.19
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$134.90
Typical High
$158.49
Professional
None
$120.23
$134.90
$158.49
United
Setting
Professional
Modifier
None
Typical Low
$158.49
Median
$165.96
Typical High
$213.80
Professional
None
$158.49
$165.96
$213.80
1 more rate with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
Insurance Carrier
Facility/Professional
Modifier
Typical LowTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
MedianTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Typical HighTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Anthem BCBS
Setting
Professional
Modifier
HO · Master's level
Typical Low
$144.54
Median
$144.54
Typical High
$162.18
Professional
HO · Master's level
$144.54
$144.54
$162.18
Where Maine 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.