Insurance

We are “out-of-network" providers for all insurance carriers.  As fee-for-service providers, we are able to offer more privacy and flexibility in our clients’ treatment than would be possible if we participated in managed care. As we are sensitive to our clients’ needs for affordable mental health care, however, we help our clients navigate the process of submitting claims for reimbursement.  

To determine whether your insurance company may reimburse you for payments made to our practice, ask if you have “out-of-network benefits” for mental health services and, if so, at what percentage you will be reimbursed for each session.  The codes corresponding to each type of session are listed below under “Fees.” Please contact us should you have any further questions about using your insurance.

Fees (vary by provider)

Please note that payment is due at time of service. We accept only credit cards (including HSA/FSA cards) for payment for telehealth services. We are happy to accept checks or cash for in-person services if desired. We require a credit card on file and a deposit of $50 to schedule an intake session.
We will provide you with a monthly statement detailing your charges and payments that you may submit to your insurance company for out of network reimbursement. 

We require 48 hours notice of a cancellation or reschedule request for intake sessions.  Your $50 deposit will be forfeited should you cancel your appointment without sufficient notice. Otherwise, your deposit will be applied toward the fee for your intake.   ​

THERAPY
Initial Evaluation/90791 (90 min)                  $295 - $375 ($50 deposit required to schedule)
Follow up Evaluation/90791 (45 min)           $145 - $185 (if necessary)
​Therapy Session/90834 or 90846 (45 min) $145 - $185: Standard session length
Therapy Session/90837 (60 min)                  $195 - $250: Please check with your insurance to  
​                                                            determine whether they will reimburse for a 60 min session

SELECTIVE MUTISM
ASSESSMENT/TREATMENT PLANNING PHASE   
 
Initial Evaluation (parents only) (90791)                            $400 ($50 deposit required to schedule)
A 90-min intake session with parents to collect history, review videos of child’s current functioning, discuss family mental health history, and discuss potential diagnoses and treatment options. 
 
Teacher Phone Calls                                                              Included in Intake Fee
Provider contacts the child’s current or past teachers to gather information about the child’s school functioning. 
 
School Observation (not covered by insurance)                 $250
A 60-min observation of the child’s behavior in school if it is deemed necessary by the provider and parents.  This observation always occurs before the child has met the therapist.  Travel time is billed at 50% of the usual rate.
 
Child Assessment Session (90791)                                      $185
A 45-min in-office session attended by the child and one parent.  The therapist will spend time both in and out of the room to evaluate the child’s behaviors with and without the presence of a stranger. The psychologist will then employ behavioral techniques such as fading and shaping while interacting with the child.
 
Parent Feedback/Treatment Planning  (90846)                   $250
A 60-min feedback session with parents during which diagnoses and rule-outs are presented.  Educational information about the diagnosis is provided, including lists of references (books and websites).  Parents will receive guidance regarding behavioral techniques to implement in various settings.  Goals for treatment are determined and a plan for treatment is outlined.  Specifically, parents and the psychologist decide whether the psychologist will provide direct intervention to the child or will act as a consultant to the parents and/or the school.  
 
School Meeting (90888) (usually not covered by insurance)      $250
A 60-min meeting with parents and all relevant school personnel (at least the classroom teachers, school counselor, and one administrative professional) during which the psychologist provides education to the team and leads a discussion about recommended in-school interventions for selective mutism.  Travel time is billed at 50% of the usual rate.                 
 
 
TREATMENT PHASE                                                
 
Psychotherapy, Office Visit (90834/90837)                              $185 - 250
45-60 min sessions to develop the child’s ability to speak to the therapist without the presence of the parent.  This step is necessary to accomplish before work can begin in the child’s school.  Later in treatment, these sessions may be used to plan goals with the child or to work on coping skills to manage anxiety. 
 
Psychotherapy, School or Community (90834/90837)              $250
30-60 min sessions held at school or in the community to generalize the child’s communication and speech to school staff, store clerks, coaches, servers, friends, etc. These visits may also incorporate training for parents and other adults who are in regular contact with the child in effective ways of prompting for and reinforcing speech. 
 
Consultation [90837 (covered) or 90888 (not covered)]            $250
The therapist provides consultation services in 60 min increments separate from therapeutic sessions with the child. Consultation may occur during, after, or in place of a direct-service therapy model. Consultation appointments that occur with a parent present in the office may be covered by insurance.  Phone sessions or school meetings are not typically covered by insurance.