Water is a fundamental natural resource that affects human and social development, and also plays an important role in modern agricultural production and food security. In China, agricultural water consumption accounts for the majority of the total water consumption. For a long time, China has not fully implemented water pricing and payment for agricultural water, and the lower agricultural water cost have led to the waste of water resource and the rapid conversion of agricultural water to other industries. In order to avoid agricultural water waste and achieve the goal of agricultural sustainable development, the Chinese government has launched a comprehensive reform of agricultural water prices nationwide since 2016. According to the plan, nowadays, the reform will faces overall evaluation and acceptance in 2024 and 2025. However, there is a lack of a relatively unified and flexible nationwide evaluation index system and acceptance measures. In this study, a comparative research of the evaluation system for comprehensive reform of agricultural water prices was developed. Based on existing evaluation and acceptance measures issued by four typical provincial regions, this study compared and analyzed the compliance and similarities and differences of these acceptance measures with national reform policies and requirements. From the aspects of evaluation procedure and index system, a systematic comparative analysis was conducted on the integrity and differences in the four regions. At the same time, suggestions were given for policy-making of national evaluation process and standard. The comparative analysis results showed that the evaluation indices in the four provincial regions have met all the key points of national reform policies and have a complete system, but there were significant differences in the structure of the evaluation index system in different provincial regions. It is recommended to establish a simple, relatively unified and practical national evaluation and acceptance system as soon as possible. In addition, evaluation criteria for individual specific indices should be determined by region based on the differences in economic capacity and agricultural water conservancy facilities conditions.