go back

Psychiatric Review Of Records And Test Data

Virginia 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?

$48.98

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $48.98 for this service. The price depends on where it is billed: about $48.98 from a physician practice, and about $52.48 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$48.98$44.67 to $53.70
FacilityA hospital or hospital-owned outpatient department$52.48$46.77 to $66.07

How much rates vary

Facilitymedian $52 · 10th to 90th $43 to $85Professionalmedian $49 · 10th to 90th $42 to $63
$50$100facility $52professional $49

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
$44.67
Median
$52.48
Typical High
$52.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$47.86
Typical High
$58.88
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$53.70
Typical High
$77.62
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$51.29
Typical High
$64.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$64.57
Typical High
$114.82
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$44.67
Typical High
$58.88
Medcost
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$74.13
Typical High
$83.18
Medcost
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$52.48
Typical High
$87.10
Medcost
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$40.74
Typical High
$40.74
Sentara
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$63.10
Typical High
$93.33
Sentara
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$63.10
Typical High
$93.33
United
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$57.54
Typical High
$100.00

Where Virginia 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.

Virginia· 31st of 51

$48.98

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.