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Psychiatric Evaluation With Medical Assessment

Nebraska 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 Nebraska, 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 $174 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 $209
FacilityA hospital or hospital-owned outpatient department$174$148 to $195

How much rates vary

Facilitymedian $174 · 10th to 90th $135 to $295Professionalmedian $166 · 10th to 90th $129 to $324
$100$200$500facility $174professional $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
$128.82
Median
$147.91
Typical High
$194.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$165.96
Typical High
$316.23
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$194.98
Typical High
$338.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$457.09
Typical High
$616.60
BCBS
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$269.15
Typical High
$380.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$302.00
Typical High
$489.78
Medica
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$194.98
Typical High
$323.59
Medica
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$213.80
Typical High
$1,071.52
Midlands
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$302.00
Typical High
$416.87
Midlands
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$389.05
Typical High
$436.52
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$1,348.96
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$186.21
Typical High
$331.13
United
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
United
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$213.80
Typical High
$398.11

Where Nebraska 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.

Nebraska· 17th 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.