Fees

Fees and insurance reimbursement

This is a private-pay practice. Fees are published, and many clients recover part of the cost through out-of-network benefits.

Current fees

Session fees

Initial diagnostic session

$350

60 to 75 minutes. History, assessment, and a plan for where treatment starts.

Individual CBT session

$275

45 to 50 minutes. The standard ongoing session, in person or online.

Letters and form completion

$75

Per 15 minutes. Supplemental administrative services requested outside sessions.

Why private pay

What paying privately gives you

Insurance participation requires a practice to share clinical information with the insurer and to work within the limits the plan sets. Operating outside that system has concrete consequences for your care:

Out-of-network benefits

Using your out-of-network coverage

Most PPO plans include out-of-network mental health benefits. Under those plans you pay the practice directly, then submit a superbill to your insurer, which reimburses you a percentage of the fee once any out-of-network deductible has been met. Reimbursement rates vary widely, so it is worth checking before you begin.

Questions to ask your insurer

Superbills

What a superbill is

A superbill is an itemized receipt for the sessions you have paid for, formatted so an insurer can process it as an out-of-network claim. It is not a bill you owe. It is documentation you submit to request reimbursement of money you have already paid.

A superbill from this practice includes the practice name and address, the clinician’s name, license and NPI number, your name and date of birth, the date and length of each session, the diagnosis code, the service code for each session, and the amount paid.

The service codes that commonly appear are 90791 for an initial diagnostic evaluation and 90834 for a 45-minute individual psychotherapy session. Your superbill will list the codes that apply to the sessions you actually attended.

Your rights

Good Faith Estimate

Under the No Surprises Act, clients who are not using insurance have the right to receive a Good Faith Estimate of the expected cost of their care. You will be given one before treatment begins, and you may request one at any point.

If you receive a bill that is at least $400 more than your Good Faith Estimate, you have the right to dispute it. More information is available at cms.gov/nosurprises or by calling 1-800-985-3059.

Common questions

Questions about fees

No. This practice does not participate with any insurance panel and does not bill insurers directly. Payment is made at the time of service, and a superbill is provided on request for out-of-network reimbursement.

Call the member services number on your insurance card and ask the questions listed above. Your insurer can tell you your out-of-network percentage and deductible, which together determine your reimbursement.

Payment is due at the time of service. Accepted payment methods are confirmed during the intake process.

The cancellation policy is set out in the practice documents you receive before your first session and is reviewed with you at intake.

Psychotherapy is generally an eligible expense under health savings and flexible spending accounts. Confirm the specifics with your plan administrator.

Questions about cost?

Ask on the contact form. It is better to have the financial side clear before you begin than to work it out later.