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Psychiatric Evaluation With Medical Assessment

Montana 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?

$200

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $200 for this service. The price depends on where it is billed: about $200 from a physician practice, and about $295 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$200$174 to $229
FacilityA hospital or hospital-owned outpatient department$295$269 to $347

How much rates vary

Facilitymedian $295 · 10th to 90th $224 to $372Professionalmedian $200 · 10th to 90th $151 to $275
$100$200facility $295professional $200

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
Professional
Modifier
None
Typical Low
$123.03
Median
$147.91
Typical High
$190.55
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$173.78
Median
$199.53
Typical High
$309.03
Cigna
Setting
Facility
Modifier
None
Typical Low
$269.15
Median
$269.15
Typical High
$363.08
Cigna
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$199.53
Typical High
$229.09
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$269.15
Median
$316.23
Typical High
$371.54
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$177.83
Median
$269.15
Typical High
$371.54
Providence
Setting
Facility
Modifier
None
Typical Low
$158.49
Median
$204.17
Typical High
$363.08
Providence
Setting
Professional
Modifier
None
Typical Low
$93.33
Median
$204.17
Typical High
$275.42
United
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$169.82
Typical High
$218.78

Where Montana 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.

Montana· 10th of 51

$200

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.