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Psychiatric Evaluation With Medical Assessment

Rhode Island 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?

$195

Typical negotiated rate. In Rhode Island, October 2026.

Insurers have agreed to pay about $195 for this service. The price depends on where it is billed: about $195 from a physician practice, and about $295 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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$195$155 to $251
FacilityA hospital or hospital-owned outpatient department$295$229 to $363

How much rates vary

Facilitymedian $295 · 10th to 90th $166 to $389Professionalmedian $195 · 10th to 90th $145 to $324
$100$200$500facility $295professional $195

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$144.54
Median
$165.96
Typical High
$194.98
Aetna
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$165.96
Typical High
$194.98
BCBS Rhode Island
Setting
Facility
Modifier
None
Typical Low
$223.87
Median
$295.12
Typical High
$363.08
BCBS Rhode Island
Setting
Professional
Modifier
None
Typical Low
$239.88
Median
$275.42
Typical High
$371.54
BCBS Rhode Island
Setting
Professional
Modifier
GC · Resident with teaching physician
Typical Low
$251.19
Median
$251.19
Typical High
$331.13
BCBS Rhode Island
Setting
Professional
Modifier
TU · Overtime rate
Typical Low
$338.84
Median
$389.05
Typical High
$524.81
Cigna
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$371.54
Typical High
$575.44
Cigna
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$54.95
Typical High
$208.93
United
Setting
Facility
Modifier
None
Typical Low
$389.05
Median
$389.05
Typical High
$389.05
United
Setting
Professional
Modifier
None
Typical Low
$154.88
Median
$154.88
Typical High
$204.17

Where Rhode Island 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.

Rhode Island· 11th of 51

$195

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.