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Psychiatric Evaluation With Medical Assessment

North Dakota 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?

$295

Typical negotiated rate. In North Dakota, October 2026.

Insurers have agreed to pay about $295 for this service. The price depends on where it is billed: about $309 from a physician practice, and about $158 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$309$178 to $372
FacilityA hospital or hospital-owned outpatient department$158$135 to $182

How much rates vary

Facilitymedian $158 · 10th to 90th $120 to $282Professionalmedian $309 · 10th to 90th $145 to $457
$100$200$500facility $158professional $309

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
Facility
Modifier
None
Typical Low
$120.23
Median
$134.90
Typical High
$257.04
Aetna
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$138.04
Typical High
$190.55
BCBS North Dakota
Setting
Facility
Modifier
None
Typical Low
$173.78
Median
$181.97
Typical High
$467.74
BCBS North Dakota
Setting
Professional
Modifier
None
Typical Low
$245.47
Median
$354.81
Typical High
$478.63
BCBS North Dakota
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$48.98
Median
$70.79
Typical High
$95.50
Cigna
Setting
Professional
Modifier
None
Typical Low
$295.12
Median
$371.54
Typical High
$457.09
Medica
Setting
Facility
Modifier
None
Typical Low
$158.49
Median
$158.49
Typical High
$457.09
Medica
Setting
Professional
Modifier
None
Typical Low
$147.91
Median
$177.83
Typical High
$288.40
United
Setting
Professional
Modifier
None
Typical Low
$147.91
Median
$177.83
Typical High
$234.42

Where North Dakota 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.

North Dakota· 1st of 51

$295

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.