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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.

How much does Psychiatric Evaluation With Medical Assessment cost?

$178

Typical physician fee. In South Dakota, July 2026.

Insurers have agreed to pay about $178 for this service. Most negotiated rates run $148 to $257.

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.

How much rates vary

Facilitymedian $166 · 10th to 90th $141 to $457Professionalmedian $178 · 10th to 90th $135 to $437
$100$200$500facility $166professional $178

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
$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

Where South Dakota 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.

South Dakota· 4th of 51

$178

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.