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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 October 2026.

How much does Psychiatric Evaluation With Medical Assessment cost?

$219

Typical physician fee. In South Dakota, October 2026.

Insurers have agreed to pay about $219 for this service. Most negotiated rates run $158 to $282.

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.

How much rates vary

Facilitymedian $269 · 10th to 90th $135 to $324Professionalmedian $214 · 10th to 90th $141 to $372
$100$200$500$1Kfacility $269professional $214

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
$120.23
Median
$141.25
Typical High
$190.55
Aetna
Setting
Professional
Modifier
None
Typical Low
$123.03
Median
$158.49
Typical High
$190.55
Cigna
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$295.12
Typical High
$426.58
Medica
Setting
Facility
Modifier
None
Typical Low
$154.88
Median
$281.84
Typical High
$323.59
Medica
Setting
Professional
Modifier
None
Typical Low
$158.49
Median
$158.49
Typical High
$1,230.27
Midlands
Setting
Professional
Modifier
None
Typical Low
$257.04
Median
$281.84
Typical High
$302.00
Midlands
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$199.53
Typical High
$398.11
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$177.83
Median
$223.87
Typical High
$371.54
United
Setting
Professional
Modifier
None
Typical Low
$154.88
Median
$158.49
Typical High
$208.93
Wellmark
Setting
Professional
Modifier
None
Typical Low
$173.78
Median
$218.78
Typical High
$281.84

Where South Dakota 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.

South Dakota· 6th of 51

$219

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.