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Psychiatric Evaluation With Medical Assessment

New Jersey 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?

$162

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $162 for this service. The price depends on where it is billed: about $162 from a physician practice, and about $186 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 7 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$162$135 to $186
FacilityA hospital or hospital-owned outpatient department$186$162 to $219

How much rates vary

Facilitymedian $186 · 10th to 90th $141 to $427Professionalmedian $162 · 10th to 90th $120 to $224
$100$200$500facility $186professional $162

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
$141.25
Median
$186.21
Typical High
$407.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$158.49
Typical High
$218.78
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$165.96
Typical High
$218.78
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
AmeriHealth
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$173.78
Typical High
$234.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$177.83
Typical High
$309.03
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$144.54
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$144.54
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$489.78
Typical High
$812.83
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$181.97
Typical High
$275.42
United
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$169.82
Typical High
$204.17
United
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$165.96
Typical High
$281.84

Where New Jersey 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.

New Jersey· 24th of 51

$162

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.