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Psychiatric Evaluation With Medical Assessment

Tennessee 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?

$151

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $151 for this service. The price depends on where it is billed: about $151 from a physician practice, and about $151 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$151$132 to $182
FacilityA hospital or hospital-owned outpatient department$151$129 to $191

How much rates vary

Facilitymedian $151 · 10th to 90th $115 to $282Professionalmedian $151 · 10th to 90th $117 to $234
$100$200$500$1Kfacility $151professional $151

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
$114.82
Median
$128.82
Typical High
$151.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$151.36
Typical High
$229.09
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$223.87
Median
$223.87
Typical High
$234.42
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$165.96
Typical High
$245.47
BCBS
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$177.83
Typical High
$302.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$181.97
Typical High
$309.03
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,071.52
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,548.82
Typical High
$1,548.82
Optum
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$169.82
Typical High
$269.15
United
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$181.97
Typical High
$316.23
United
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$165.96
Typical High
$302.00

Where Tennessee 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.

Tennessee· 41st of 51

$151

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.