Standard pricing for in-person and videoconferencing services are as follows:
Intake evaluation (90 minutes): $300 (Includes a comprehensive treatment plan and diagnosis summary provided to the patient. Patients have reported this document can be helpful to share with psychiatrists and other physicians/therapists involved in their care. Additionally, this report provides patients with a framework to better understand their condition(s) and the specific treatments likely to be most beneficial.)
Therapy session (55 minutes): $220
Evaluation/formal assessment (per 55 minutes): $220 (Comprehensive psychological assessments cost $1750-$2750, depending on the number and type of assessments used. Basic psychological evaluations for the sole purpose of treatment planning start at $700.)
Day at court/testimony: $2000 (billed by the day, not the hour, but the hourly rate comes out to $250)
Ongoing forensic work/assessment will require a retainer
Letters and completion of forms: $200/hour (charged by the half hour). A minimum of one week’s notice is required for the completion of all paperwork; last minute/rushed requests will be billed at $350/hour.
Patients who would like to dramatically reduce the cost of therapy (to $35/session), while still having my “eyes” on their treatment, may work directly with one of my interns. All interns’ work, including treatment planning and methods, is approved and guided by me. I meet with interns individually, on a weekly basis, to ensure a high quality of care. If you are interested in working with an intern, call or text 913-648-2512, Ext. 1 and let my office manager and intake coordinator, Kristin, know that you would like to begin treatment with one of Dr. Sweeton’s interns. Please note that there are a limited number of spots, and a waitlist may exist.
What about insurance?
I am not an in-network provider for any Kansas insurances. However, many insurance carriers will provide partial reimbursement for my fees as an out-of-network provider.
It is understandable for clients to want to use in-network benefits, as using these can save a lot of money. However, be aware that when requesting insurance reimbursement for services from in-network providers, the following apply:
A diagnosis is required, and this label will be part of your medical record permanently.
Clients' records are not protected, which means that all information about the client, including very personal information, may be obtained by the insurance company.
Clients' care is dictated by the insurance company, and the therapist essentially works for the insurance company, not the client. This can compromise the quality of mental health services provided.
For these reasons, many clients prefer to use out-of-network benefits, as insurance companies are very limited in the information they can request about clients using out-of-network benefits. Also, clinicians are better able to meet clients’ needs, instead of working for the insurance company!
To better understand what your insurance carrier might reimburse for out-of-network psychotherapy services, call your insurance company before scheduling an appointment or consultation. You may want to ask your insurance carrier the following:
What do they reimburse for out-of-network psychotherapy services for the following CPT codes: 90791, 90834, 90837. Your insurance company will understand what a “CPT code” is, and whether they reimburse for these specific codes.
Is there a maximum number of psychotherapy sessions they will reimburse?
Will the insurance company reimburse the following diagnoses (which are common for my clients to have): PTSD, anxiety disorders, adjustment disorder, and acute stress disorder. While some clients may have additional diagnoses, these are the most common ones used in my practice, and it is helpful to know ahead of time if the insurance company will be willing to reimburse for the ICD-10 codes attached to these diagnoses.
If the insurance reimburses a percentage of the cost, what is that percentage, and what is the maximum total cost per session they are allowing? For instance, they may reimburse 70% of a psychotherapy session (CPT code 90837), but assume that the total cost of the psychotherapy session is only $120 (instead of my actual rate). This would mean the client would be reimbursed $84 per session, after paying the rate of $220 out of pocket. Another company, however, may only reimburse 50%, but allow the $220 hourly rate, meaning that the client would be reimbursed $110 per session. Thus, it is important to understand both the reimbursement percentage and the maximum per-session rate allowed.
What is a "fair price" for psychotherapy?
The price of psychotherapy can vary widely depending on a clinician's level of education (doctoral-level versus masters), specialty, and experience. If you're looking for a doctoral level psychologist, check out Fair Health Consumer and Healthcare Bluebook to get a rough estimate of the hourly cost of psychotherapy from a psychologist. The estimates from these websites are based on your zip code and type of service rendered. Enter your zip code (my practice's zip code is 66062), and search for CPT code 90834 or "psychotherapy 45 minutes."
For more information regarding the difference between a clinical psychologist, psychiatrist, social worker, and mental health counselor (including LPC or LMFT), check out THIS article.