Fees, Insurance, and Reimbursement

I know therapy is an important investment, and cost is often one of the first questions people have. Below, you’ll find information about fees, as well as options for out-of-network reimbursement that may help offset the cost.

Insurance and Reimbursement

I am an out-of-network provider, which means I do not contract with insurance plans. Many clients are still able to use their out-of-network benefits to have part of their therapy costs reimbursed. I recommend calling your insurance plan to inquire about whether you have out-of-network benefits, and what reimbursement options are.

If you have these benefits, your insurance plan will likely reimburse a portion of each session payment after you meet your deductible.

If you have out-of-network benefits, I can provide an itemized monthly statement called a “Superbill”. You would pay for sessions in full and submit the monthly Superbill to your insurance company for reimbursement. Please note that insurance companies require a mental health diagnosis in order to consider reimbursement. We will discuss this together so you are informed.

Questions to ask your insurance plan:

  • “Do I have out-of-network reimbursement benefits for outpatient mental health or behavioral health visits with a psychologist?”

  • “What is my annual deductible, and how much is left for the plan year?”

  • “After I meet my deductible, what percentage will be reimbursed? What is the allowed amount?” Ask specifically about reimbursement for the following CPT codes: initial evaluation (90791) and individual therapy (90832, 90834, 90837).

  • “Are there any limits on this benefit? Are any services excluded from reimbursement when services are delivered via telehealth?” 

Fees

Investing in yourself:

I appreciate that out-of-pocket therapy is an investment of resources, time, and energy. I take your investment seriously and aim to be transparent.

Many of my clients—especially parents—find it difficult to justify spending money on their own well-being, even though they would do so without hesitation for a loved one. Everyone is worthy of care.

New or Returning Client Intake Session, 75 minutes

North Carolina and PSYPACT states | $330

California | $375

Extended PTSD or OCD Individual Therapy Sessions, 75 minutes

North Carolina and PSYPACT states | $330

California | $375

North Carolina and PSYPACT states | $220

California | $250

Individual Therapy Sessions, 50 minutes

Payment FAQS

  • I do not accept insurance plans. If you have out-of-network benefits with your insurance plan and would like to use them, please read the insurance section above.

  • I accept payment via credit cards, Health Savings Account (HSA) cards, and Flexible Spending Account (FSA) cards.

  • More privacy. Insurance companies require a diagnosis that becomes part of your permanent medical record in order to cover the cost of sessions. Many people seek therapy for reproductive-related stressors that do not always meet criteria for a mental health disorder.

    More choice. We have the ability to decide together what therapy looks like, how we define improvement, and how long we work together. Therapy that is covered by insurance most often has to follow insurance timelines or rules, which are based on general metrics rather than individual’s needs.

    Quality and sustainability. Most insurance plans reimburse therapists poorly for their sessions, which can lead to burnout. Fair compensation allows me to provide high-quality, individualized care, maintain a reasonable caseload, offer “pay what you can” therapy groups each year, and continue doing this work long-term in a sustainable way.

  • I provide evidence-based cognitive behavioral therapies at rates comparable to psychologists with PhD level education and commensurate experience in my specialization. I raise my fees annually according to inflation.

    The California fees are higher than the North Carolina and PSYPACT state fees because there are higher costs associated with operating a business in California.

  • In accordance with the No Surprises Act that went into effect 1/1/2022, you are entitled to a Good Faith Estimate which details how much your psychotherapy sessions will cost if you are not using out-of-network insurance benefits. You have the right to have an estimate of our psychotherapy costs in writing at least 1 business day prior to your service. You can also ask for a Good Faith Estimate before you schedule an appointment with me.

    If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. For more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 800-985-3059.