go back

Psychiatric Evaluation With Medical Assessment

Utah 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?

$178

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $178 for this service. The price depends on where it is billed: about $178 from a physician practice, and about $138 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$178$138 to $195
FacilityA hospital or hospital-owned outpatient department$138$117 to $316

How much rates vary

Facilitymedian $138 · 10th to 90th $105 to $389Professionalmedian $178 · 10th to 90th $105 to $224
$100$200$500facility $138professional $178

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$104.71
Median
$117.49
Typical High
$138.04
Aetna
Setting
Professional
Modifier
None
Typical Low
$104.71
Median
$117.49
Typical High
$138.04
Cigna
Setting
Professional
Modifier
None
Typical Low
$52.48
Median
$52.48
Typical High
$194.98
Molina
Setting
Professional
Modifier
None
Typical Low
$147.91
Median
$177.83
Typical High
$204.17
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$245.47
Median
$331.13
Typical High
$478.63
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$165.96
Median
$194.98
Typical High
$223.87
Select Health
Setting
Facility
Modifier
None
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
Select Health
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$158.49
Typical High
$199.53
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$218.78
Typical High
$302.00
United
Setting
Professional
Modifier
None
Typical Low
$147.91
Median
$147.91
Typical High
$194.98

Where Utah 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.

Utah· 14th of 51

$178

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.