# CPT 90791: Psychiatric diagnostic evaluation

Medicare CPT 90791 pays $173.35 in a non-facility setting and $137.28 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $166.76 in Arkansas to $240.07 in Alaska, a 44% spread.

Web page: https://www.med-reveal.com/rates/90791-cpt-fee-schedule
Section: Behavioral Health
Billed by: Child & Adolescent Psychiatry, Clinical Neuropsychologist, Counselor, Emergency Medicine, Marriage & Family Therapist, Psychiatry & Neurology, Psychoanalyst, Social Worker

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $173.35 |
| National facility | $137.28 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $240.07 | $201.65 |
| District of Columbia | $188.26 | $145.77 |
| California | $185.78 | $143.10 |
| New Jersey | $185.61 | $144.99 |
| New York | $184.81 | $144.56 |
| Washington | $183.47 | $142.35 |
| Massachusetts | $182.39 | $141.86 |
| Connecticut | $179.48 | $140.63 |
| Hawaii | $179.16 | $138.14 |
| Colorado | $177.59 | $139.20 |
| Rhode Island | $177.18 | $139.92 |
| Maryland | $176.96 | $139.36 |
| Oregon | $176.57 | $138.57 |
| New Hampshire | $175.09 | $137.54 |
| Minnesota | $174.17 | $137.05 |
| Florida | $174.13 | $137.94 |
| Puerto Rico | $173.83 | $137.36 |
| Virgin Islands | $173.83 | $137.36 |
| Pennsylvania | $173.64 | $138.31 |
| Delaware | $173.39 | $137.75 |
| Montana | $173.35 | $137.28 |
| Texas | $173.32 | $137.81 |
| Nevada | $173.28 | $137.17 |
| Wyoming | $173.18 | $137.10 |
| North Dakota | $172.95 | $136.88 |
| Illinois | $172.91 | $138.06 |
| South Dakota | $172.91 | $136.83 |
| Vermont | $172.58 | $136.86 |
| Virginia | $172.40 | $136.94 |
| Arizona | $171.88 | $136.92 |
| Georgia | $171.63 | $137.22 |
| Maine | $171.12 | $136.66 |
| Wisconsin | $171.02 | $136.46 |
| Michigan | $170.91 | $137.04 |
| Utah | $170.62 | $136.71 |
| North Carolina | $170.13 | $136.48 |
| South Carolina | $169.87 | $136.54 |
| New Mexico | $169.80 | $136.72 |
| Indiana | $169.76 | $136.32 |
| Missouri | $169.68 | $136.58 |
| Louisiana | $169.52 | $136.58 |
| Nebraska | $169.51 | $136.22 |
| Ohio | $169.49 | $136.56 |
| Idaho | $169.44 | $136.26 |
| Iowa | $169.17 | $136.17 |
| Tennessee | $169.00 | $136.21 |
| Kansas | $168.75 | $136.14 |
| Oklahoma | $168.45 | $136.24 |
| Kentucky | $168.36 | $136.29 |
| West Virginia | $167.82 | $136.47 |
| Alabama | $167.51 | $135.94 |
| Mississippi | $167.00 | $135.94 |
| Arkansas | $166.76 | $135.78 |

## Related codes

- 90792: Psychiatric diagnostic evaluation with medical services — https://www.med-reveal.com/rates/90792-cpt-fee-schedule
- 90889: Preparation of report of patient's psychiatric status for other agencies/individuals — https://www.med-reveal.com/rates/90889-cpt-fee-schedule
- 96127: Brief emotional/behavioral assessment, with scoring and documentation — https://www.med-reveal.com/rates/96127-cpt-fee-schedule
- H0002: Behavioral health screening to determine eligibility for services — https://www.med-reveal.com/rates/H0002-hcpcs-fee-schedule
- H0031: Mental health assessment, by non-physician — https://www.med-reveal.com/rates/H0031-hcpcs-fee-schedule
- H2000: Comprehensive multidisciplinary evaluation — https://www.med-reveal.com/rates/H2000-hcpcs-fee-schedule
- H2010: Comprehensive medication services, per 15 minutes — https://www.med-reveal.com/rates/H2010-hcpcs-fee-schedule

Commercial negotiated rates for 90791 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules