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Psychiatric Evaluation With Medical Assessment

North Carolina 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 North Carolina, 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 $182 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 8 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 $204
FacilityA hospital or hospital-owned outpatient department$182$158 to $209

How much rates vary

Facilitymedian $182 · 10th to 90th $89 to $275Professionalmedian $166 · 10th to 90th $126 to $331
$100$200$500facility $182professional $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
Facility
Modifier
Global
Typical Low
$63.10
Median
$144.54
Typical High
$295.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$162.18
Typical High
$331.13
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$165.96
Typical High
$245.47
BCBS
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$173.78
Typical High
$302.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$173.78
Typical High
$331.13
Medcost
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$190.55
Typical High
$263.03
Medcost
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$134.90
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$165.96
Typical High
$245.47
United
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$147.91
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$158.49
Typical High
$302.00
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,071.52
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,548.82

Where North Carolina 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.

North Carolina· 11th 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.