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Psychiatric Review Of Records And Test Data

North Carolina rates for HCPCS 90885

Time a psychiatrist or other mental health specialist spends going through a person's existing paperwork — hospital charts, earlier psychiatric reports, and the results of psychological testing — in order to reach a diagnosis. It is record review rather than a meeting with the patient.

Rates data updated July 2026.

How much does Psychiatric Review Of Records And Test Data cost?

$46.77

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $46.77 for this service. The price depends on where it is billed: about $46.77 from a physician practice, and about $50.12 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 6 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$46.77$40.74 to $51.29
FacilityA hospital or hospital-owned outpatient department$50.12$46.77 to $61.66

How much rates vary

Facilitymedian $50 · 10th to 90th $42 to $81Professionalmedian $47 · 10th to 90th $35 to $66
$50$100$200facility $50professional $47

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
$47.86
Median
$47.86
Typical High
$117.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$47.86
Typical High
$60.26
BCBS
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$44.67
Typical High
$85.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$72.44
Typical High
$123.03
Medcost
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$70.79
Typical High
$74.13
Medcost
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$50.12
Typical High
$79.43
Medcost
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$40.74
Typical High
$40.74
United
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$56.23
United
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$52.48
Typical High
$97.72
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$380.19

Where North Carolina sits

Rates are fairly even across states for this service. 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.

North Carolina· 46th of 51

$46.77

ND $67.61DE $45.71

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.