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Psychiatric Review Of Records And Test Data

Pennsylvania 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?

$47.86

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $47.86 for this service. The price depends on where it is billed: about $47.86 from a physician practice, and about $22.91 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$47.86$44.67 to $51.29
FacilityA hospital or hospital-owned outpatient department$22.91$22.91 to $57.54

How much rates vary

Facilitymedian $23 · 10th to 90th $23 to $71Professionalmedian $48 · 10th to 90th $41 to $62
$50$100$200facility $23professional $48

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
Professional
Modifier
Global
Typical Low
$40.74
Median
$47.86
Typical High
$57.54
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$53.70
Typical High
$91.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$61.66
Typical High
$104.71
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$22.91
Typical High
$22.91
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$28.18
Typical High
$36.31
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$47.86
Typical High
$100.00
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$47.86
Typical High
$63.10
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
United
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$57.54
United
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$52.48
Typical High
$95.50

Where Pennsylvania 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.

Pennsylvania· 45th of 51

$47.86

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.