Fees and Payment
How to Seek Reimbursement
If you wish to utilize your out-of-network benefits, I recommend calling the member services number on the back of your insurance card and asking the following:
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Does my plan cover "out-of-network psychological testing" for X diagnosis?
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Do I have an out-of-network deductible that must be met first?
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At what rate will I be reimbursed once the deductible is met?
The typical assessment "CPT" codes are: 90791, 96130, 96131, 96136, 96137.
Upon request, I will provide you with a Superbill (an itemized medical receipt) that you can submit to your insurance company for potential reimbursement.
The Value of a Comprehensive Evaluation
An evaluation is more than just a series of tests; it is a deep dive into how you or your loved one functions in the world. My goal is to move beyond symptoms to understand the 'why' behind them. To ensure this level of clinical depth, I commit 15 to 30 hours to every case, including clinical interviews, direct testing, nuanced data analysis, and the crafting of a highly personalized report.
Fee Structure:
I use a flat-fee model for all full evaluations. This ensures total transparency and allows us to focus entirely on the clinical process without the distractions of hourly billing.
Fees typically range from $3500 to $7000, depending on the complexity of the referral and the scope of the testing required.
Consultations & Targeted Services
At times, a full evaluation is not required, and I am able to provide recommendations based on a consult, screening, or a targeted evaluation. Please contact me to discuss if one of these options is right for you. Consultations are billed at my hourly rate of 350.
Why an out-of-network model?
By practicing independently of insurance panels, I am able to:
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Maintain Privacy: You retain control over your health records without mandated disclosure to insurance databases.
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Prioritize Depth: I am not restricted by insurance 'time caps,' allowing me to spend the necessary hours to address your concerns.
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Offer Faster Turnaround: Without the delays of insurance pre-authorizations, we can begin the process more efficiently.
This fee covers:
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A clinical intake interview.
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Interview with relevant collateral sources.
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Record review.
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Face-to-face testing sessions.
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Comprehensive scoring and data integration.
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A detailed, strength-based written report with actionable recommendations.
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A feedback session to review results and answer your questions.
Insurance Information
I am an out-of-network provider. If you have a PPO (Preferred Provider Organization) plan, your insurance may reimburse you fully or partially for the evaluation as part of your "out-of-network" benefits.
Payment & Logistics
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Payment Methods: I accept checks, Zelle, and all major credit cards.
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Payment Schedule: To secure your evaluation dates, a 50% deposit is due at the time of the intake. The remaining balance is generally due on the day of the feedback session.
In compliance with the No Surprises Act, all clients are entitled to receive a Good Faith Estimate of the total expected cost of any non-emergency items or services, including evaluation fees. For more information about your right to a Good Faith Estimate, you may visit www.cms.gov/nosurprises