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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 July 2026.

How much does Psychiatric Evaluation With Medical Assessment cost?

$166

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $166 for this service. The price depends on where it is billed: about $166 from a physician practice, and about $234 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 6 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$166$141 to $200
FacilityA hospital or hospital-owned outpatient department$234$195 to $295

How much rates vary

Facilitymedian $234 · 10th to 90th $166 to $339Professionalmedian $166 · 10th to 90th $123 to $309
$100$200$500facility $234professional $166

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
Professional
Modifier
Global
Typical Low
$123.03
Median
$158.49
Typical High
$275.42
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$281.84
Median
$281.84
Typical High
$281.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$64,565.42
Typical High
$89,125.09
BCBS
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$269.15
Typical High
$309.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$309.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$177.83
Typical High
$346.74
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$288.40
Typical High
$338.84
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$288.40
Typical High
$338.84
Providence
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$194.98
Typical High
$275.42
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$234.42
Typical High
$524.81
United
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$213.80
Typical High
$380.19

Where Montana 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.

Montana· 19th of 51

$166

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.