insurance & Fees
Individual Therapy: between $150/50 min session - $165/50 min session (fees vary per therapist)
Couples/Family Therapy: $185/50 min session - $200/50 minute session (fees vary per therapist)
We are an “Out of Network” Provider which means that we do not directly accept any insurance. For session payment we accept all major credit cards, debit cards, HSA or FSA. Clients pay by keeping a card on file that is charged after each session.
We are able to provide you with a monthly invoice called a “superbill,” which is a receipt detailing your sessions. If you have Out of Network Benefits, this can be submitted for reimbursement for some or all of the session cost once you meet your Out of Network Deductible. We cannot guarantee reimbursement from your insurance. Rates vary by type of service and are listed below. Sliding scale is offered on a limited case by case basis.
Insurance companies require a psychiatric diagnosis to provide evidence for medical necessity of sessions before reimbursement. Your therapist is happy to discuss diagnosis with you in session.
The best way to verify if you have out of network benefits, is to call the member services number on the back of your insurance card.
What questions should I ask when calling the insurance company?:
Do I have out of network benefits for outpatient mental health services?
What is my Out of Network Deductible, is there a separate family and individual deductible?
We are a virtual practice, you would need to ask if telehealth services through a HIPAA compliant platform are eligible for reimbursement
Each session falls under a certain service code (CPT code) Here are some service codes we would use for therapy:
90791: Initial Assessment
90847: Conjoint Psychotherapy w/ client present 50 min
90834: Individual Psychotherapy Session 50 minA ‘usual and customary’ (UCR) rate is a rate that insurance companies set the average for a particular type of service, and may base reimbursement off of the UCR versus your therapist’s rate. You will want to ask what percentage of the fee will be reimbursed after deductible is met, and determine whether or not you will be reimbursed based on a UCR or the therapist’s actual rate.
GOOD FAITH ESTIMATEUnder Section 2799B-6 of the Public Health Service Act, health care providers and health care facilities are required to inform individuals who are not enrolled in a plan or coverage or a Federal health care program, or not seeking to file a claim with their plan or coverage both orally and in writing of their ability, upon request or at the time of scheduling health care items and services, to receive a “Good Faith Estimate” of expected charges.
You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.
You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.
If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. Make sure to save a copy or picture of your Good Faith Estimate. For questions or more information about your right to a Good Faith Estimate, visit
www.cms.gov/nosurprises
Still have questions? Contact us and we can discuss how to get your started today.