Fees, insurance & billing

Fees, insurance & billing

  • I strive to keep my fee structure transparent and aligned with ethical, high-quality clinical care.

    All services are provided via secure, HIPAA-compliant telehealth unless otherwise noted.
    Standard therapy sessions are 53 minutes in length.

  • Potential Client Consultation (00000) | 15 minutes | No charge

    This brief virtual consultation is an opportunity to ask questions, explore fit, and determine next steps. Clinical services are not provided during this call.

  • New Client Diagnostic Evaluation (90791-95) | 53 minutes | $175

    This required initial session includes assessment, diagnostic impressions, and collaborative treatment planning. It establishes the clinical foundation for ongoing therapy.

  • Individual Psychotherapy (90837-95) | 53 minutes | $150

    This is the standard session for ongoing individual therapy.

    Family or Couples Psychotherapy (90847-95) | 53 minutes | $150
    Sessions involving relational work with a partner or family member, with the primary client present.

    Crisis Therapy (90839-95) | 53 minutes | $175
    Reserved for sessions requiring elevated clinical urgency or stabilization support.

  • Because all services are provided virtually, insurance statements or explanations of benefits may include telehealth modifiers such as:

    • 95 – Synchronous telehealth services

    • GT – Telehealth designation used by some insurers

    These modifiers indicate how services are delivered and do not affect session length or quality.

  • Some sessions involve an increased level of clinical complexity beyond standard psychotherapy. When clinically appropriate, an Interactive Complexity add-on may be applied.

    Interactive Complexity Add-On (90785) | $25

    This may occur when sessions include factors such as:

    • EMDR or other trauma-focused interventions

    • High emotional intensity or dissociation

    • Communication barriers

    • Involvement of third parties

    • Safety-related clinical considerations

    This add-on is used only when documentation and clinical presentation support its necessity.

  • I accept most major insurance plans.

    As a courtesy, my practice biller completes a complimentary benefits verification prior to services whenever possible. This process helps estimate coverage but does not guarantee payment.

    Clients are ultimately responsible for understanding their insurance benefits, including copays, deductibles, coinsurance, and coverage limitations.

    In-Network Insurance Plans

    We are currently in-network with the following plans. Coverage varies by specific plan and employer group. If your plan is not listed, please inquire.

    Aetna Plans

    • Meritain

    • Nippon

    • Allied Benefit Systems

    • GEHA – United Healthcare Shared Services (UHSS)

    • Trustmark

    • Trustmark Small Business Benefits

    • Health Scope

    • Christian Brothers Services

    • Aetna Medicare

    BCBS Plans

    • BCBS of New Jersey (Virtual Network)

    • BCBS of Massachusetts

    • BCBS of Texas

    • Blue Choice PPO Provider Network

    • Blue Essentials Provider Network (HMO), including HealthSelect

    • Blue High Performance Network Provider

    Cigna Plans

    • Allegiance

    • Daniel H. Cook Administrators

    • Professional Benefit Administrators

    • S&S Healthcare Strategies

    • Tall Tree Administrators

    • Trustmark

    • Wellfleet Group, LLC

    • Southwest Service Administrators

    • Paragon Benefit

    Medicare

    • Traditional Medicare

    • Aetna Medicare

    TRICARE

    • TRICARE East

    • TRICARE for Life

    Optum / UnitedHealthcare Plans

    • UnitedHealthcare

    • UnitedHealthcare Shared Services (UHSS)

    • GEHA – UnitedHealthcare Shared Services (UHSS)

    • UnitedHealthcare Global

    • UnitedHealthcare Exchange Plans (ONEX)

    • Oscar

    • Harvard Pilgrim

    • Oxford

    • UHC Student Resources

    • UMR

    • All Savers (UHC)

    • Health Plans Inc

    • Surest (formerly Bind)

    • Optum EAP

  • Autopay is required for all clients.

    A valid payment method must be maintained on file and will be charged automatically for:

    • Session copays or self-pay fees

    • Insurance balances after claims processing

    • Late cancellation or no-show fees

    • Approved add-on or administrative services

    This policy allows sessions to remain focused on care rather than billing logistics.

  • In some circumstances, additional services may be requested or required outside of standard therapy sessions. These are billed separately when applicable and may include:

    • Completion of forms, letters, or documentation requested by the client or third parties

    • Administrative or insurance-related paperwork beyond routine billing

    • Extended or additional time related to crisis intervention

    • Coordination with external providers when clinically necessary

    Any applicable fees are discussed in advance whenever possible.

  • Appointments cancelled late or missed without notice are subject to a $100 fee, as this time is reserved specifically for you and cannot typically be filled on short notice.

  • Therapy involves more than the time spent in session. Fees reflect preparation, documentation, ongoing training, and the responsibility involved in providing ethical, thoughtful care.

    If you have questions about fees, insurance, or billing, I am happy to clarify.