How much do evaluations cost?
My fees are comparable to those of other psychologists in the Bay Area. My standard hourly rate is $285.
Each client has individualized needs and therefore, cost varies based on the depth and length of services.
Comprehensive evaluations generally last between 15-25 hrs, including clinical interviews, interviews of collateral sources, record review, testing, test scoring and interpretation, feedback session, and report writing.
This is a "typical" breakdown of a comprehensive evaluation:
Initial interview (1-2 hours)
Child or adolescent interview (1 hour) for clients who are minors.
Review of records
Interview of collateral sources (.5 to 2 hours)
Test administration (3-10 hours)
Feedback session(s) (1-2 hours)
Report (5-10 hours)
I also conduct more "targeted" evaluations that are not as time-consuming.
At times, a full evaluation is not required and I am able to provide recommendations based on a consult. Consults generally include a clinical interview and self-report questionnaires. Consults, on average, last between 1-2 hours and are billed at my hourly rate of $285
Do you take insurance?
I am an out-of-network provider for PPO insurance plans. If you have a PPO (preferred provider organization), your insurance may reimburse you fully or partially for the evaluation as part of your "out of network" benefits.
To help make the process easier for you, I will provide you with a statement (superbill) at the end of the evaluation which includes all of the necessary information to submit to an insurance company.
I recommend that you call your insurance company and ask them about their coverage for out-of-network psychological evaluations, specifically:
What coverage is available for out-of-network psychological/neuropsychological assessment for the diagnosis in question? (e.g., ADHD, Autism Spectrum Disorder, dementia, etc.)
How much will you be reimbursed per assessment hour/half hour? The typical assessment "CPT" codes are: 96130, 96131, 96136, 96137.
I will be happy to fill out the forms required of out-of-network providers.
While insurance companies do not cover psychoeducational evaluations or evaluations that only evaluate for learning disorders, they often provide reimbursement if a client is also evaluated due to concerns about other diagnoses such as depression, anxiety, ADHD, etc.
What are some advantages of private pay evaluations?
There is a short wait to be seen. Organizations that take insurance often have waitlists of 3 months or more.
Personalized care and individualized reports that are not "cookie-cutter."
The thoroughness of the evaluation is not compromised by insurance reimbursement limits.
The evaluator has access to the best, most recently updated measures.
You will have control over the experience —decisions about care will not be in the hands of the insurance company.
You will not have to accept an evaluator who does not have the proper depth/breadth of expertise to match your questions and concerns.
You have privacy - results will not be shared with insurance companies (unless you request it.)
Evaluations done by schools do not provide a medical diagnosis and do not include recommendations for anything except educational interventions.
School psychologists are master-level clinicians who do not have training in personality/neuropsychological measures and have limited (i.e., very narrow) training in test interpretation.
Evaluations done by schools may be done in pieces by several different professionals so parents don’t get a synthesized, comprehensive understanding of how to help their child.
A private evaluator provides objective recommendations that are not biased by the school or school district.