Investment

Standard pricing for in-person and videoconferencing services are as follows:

  • Intake session (55 minutes): $200

  • Therapy session (55 minutes): $200

  • Evaluation/formal assessment: $200+/hour; comprehensive psychological assessments cost $1500-$2000, depending on the number and type of assessments used. Basic psychological evaluations for the sole purpose of treatment planning start at $600.

  • Day at court/testimony: $2000

  • Ongoing forensic work/assessment will require a retainer

  • Letters and completion of forms: $180/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 $360/hour.

While my standard rate is $200/hour, I do charge on a sliding scale (based on income), and reserve a small number of sliding scale slots in my practice ($140, $160, and $180 slots). Because there are only a small number of these slots, waitlists for these slots tend to be long (roughly 4-6 months).

What about insurance?

I am currently a participating provider for BCBS in Oklahoma, but no additional insurance networks at this time. 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:

  1. A diagnosis is required, and this label will be part of your medical record permanently.

  2. Clients' records are not protected, which means that all information about the client, including very personal information, may be obtained by the insurance company.

  3. 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 of $200). This would mean the client would be reimbursed $84 per session, after paying the rate of $200 out of pocket. Another company, however, may only reimburse 50%, but allow the $200 hourly rate, meaning that the client would be reimbursed $100 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.