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Psychiatric Evaluation With Medical Assessment

South 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 July 2026.

Facilitymedian $166 · 10th–90th $141$4570%10%20%10th90th$166Professionalmedian $178 · 10th–90th $135$4370%10%10th90th$178$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$162.18
Typical High
$457.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$173.78
Typical High
$436.52
Avera
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$263.03
Typical High
$275.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$323.59
Typical High
$446.68
Medica
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$186.21
Typical High
$295.12
Medica
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$208.93
Typical High
$1,230.27
Midlands
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$302.00
Typical High
$489.78
Midlands
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$199.53
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$245.47
Typical High
$380.19
United
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$194.98
Typical High
$363.08
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$218.78
Typical High
$281.84