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Psychiatric Evaluation With Medical Assessment

Vermont 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 physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $155 for this service. Most negotiated rates run $135 to $166.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $182 · 10th to 90th $120 to $214Professionalmedian $155 · 10th to 90th $120 to $191
$100$200facility $182professional $155

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. 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
Global
Typical Low
$120.23
Median
$181.97
Typical High
$213.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$154.88
Typical High
$190.55
BCBS
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$158.49
Typical High
$251.19
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$208.93
Typical High
$346.74
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$190.55
Typical High
$398.11

Where Vermont 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.

Vermont· 33rd 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.