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Psychiatric Evaluation With Medical Assessment

Virginia 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?

$155

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $155 for this service. The price depends on where it is billed: about $151 from a physician practice, and about $170 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 8 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$135 to $178
FacilityA hospital or hospital-owned outpatient department$170$148 to $204

How much rates vary

Facilitymedian $170 · 10th to 90th $135 to $295Professionalmedian $151 · 10th to 90th $117 to $209
$100$200$500facility $170professional $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
$128.82
Median
$158.49
Typical High
$380.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$151.36
Typical High
$194.98
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$354.81
Median
$354.81
Typical High
$354.81
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$229.09
Typical High
$316.23
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$239.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$173.78
Typical High
$309.03
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$186.21
Typical High
$239.88
Medcost
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$363.08
Medcost
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$190.55
Typical High
$275.42
Medcost
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$158.49
Sentara
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$181.97
Typical High
$338.84
Sentara
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$199.53
Typical High
$371.54
United
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$831.76
United
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$169.82
Typical High
$281.84

Where Virginia 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.

Virginia· 32nd of 51

$155

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.