We recognize the value of mental health service and also understand the differences in what people can afford. We never want you to get into a situation where you don't now exactly what to expect regarding payment, and we are happy to help answer any questions you have.
After reading the information on this webpage, please feel free to contact us with specific questions about your situation.
Do You Accept Health Insurance?
We are considered "out-of-network" providers for all health insurance companies, which means that we don't work with insurance companies. However, most of our clients still seek reimbursement through their health insurance for part (and sometimes all) of the cost for our services. If you would like to know how much you will be reimbursed, you will need to contact your health insurance to verify your out-of-network benefits. The best way to verify your benefits is to call the phone number on the back of your insurance card and ask the questions we have listed below.
We also created this 8-minute video (below) to help you understand the process of seeking reimbursement when meeting with an out-of-network therapist.
Please watch this video to guide you through the process of contacting your insurance company.
Video: How to Use Your Health Insurance to Pay for an "Out of Network Therapist"
When you call your health insurance ask about your "out-of-network mental health coverage".
We advise you to ask all of the questions we have listed below.
(1) What is my out-of-network coverage for outpatient mental health visits?
(2) Is there a deductible that needs to be met prior to services? How much of my deductible has been met this year?
(3) Is there a limit on the number of sessions my plan will cover per year? If Yes, How many?
(4) Is there an "allowed" amount that would be reimbursed.
(5) Do I need pre-authorization in order to start therapy? For example, do I need a referral from an in-network provider or a primary care physician to see someone out-of-network?
(6) How do I submit claims for out-of-network reimbursement?
(7) Are virtual outpatient mental health visits (or teletherapy) covered by my plan?
(8) I have an example superbill here from Northfield Dynamic Therapy. Can you tell me exactly how much I would reimbursed for the following services (individual, group, couples therapy)?
(9) Is there anything else I need to know about utilizing my out of network benefits (limitations, rules, or other "small print" things to know).
If you elect to use your insurance, we will provide you a receipt (sometimes called a superbill) with a section that contains something that's called a CPT code and a diagnosis code.
Now, one thing about a diagnosis is that becomes part of your permanent medical record. Some people feel uncomfortable about having a mental health diagnosis on their file while other people feel totally comfortable. Please contact us if you have more questions regarding the pros and cons of having a mental health diagnosis in your medical record.
If you need any help making sense of this process, or have other questions about our fees, please contact us and let us know! We will gladly assist you. Again, we don't ever want you to get into a situation where you don't know what to expect with payment.
Flexible Spending Accounts and Health Saving Accounts
You can always use your flexible spending account or your health savings account (if you have one).
Our current rates
(rates will increase on January 1, 2024)
Current Rates
$250 Individual Therapy Session (45-minutes) CPT: 90834-95 (online) or 90834 (in-person)
$330 Initial Diagnostic Evaluation (60 minutes) CPT: 90791-95 (online) or 90791 (in-person)
$100 Group Therapy (90 minutes) CPT: 90853-95 (online)
Rate Increase January 1, 2024
$260 Individual Therapy Session (45-minutes) CPT: 90834-95 (online) or 90834 (in-person)
$345 Initial Diagnostic Evaluation (60 minutes) CPT: 90791-95 (online) or 90791 (in-person)
$110 Group Therapy (90 minutes) CPT: 90853-95 (online)
Sliding Scale Rates
We offer sliding scale rates to 10% of our clients. The rates are determined on a case by case basis. Please ask if your desired clinician has any available sliding scale slots at this time.
We typically want you to verify your health insurance benefits before discussing sliding scale options.
Superbills
You will receive you superbilll automatically at the end of each month. You can also go into your client portal at any point and get your most recent superbill.
Example Superbills that you can use when contacting your health insurance to verify benefits (right click and "save image as").
Tracy Brottem Example Superbill
Madison Example Superbill
Laurie Example Superbill
Nate Example Superbill
Good Faith Estimate
Under the law as of January 1, 2022, health care providers are required to provide those who don’t have insurance or who are not using insurance an estimate of the expected charges for medical services, including psychotherapy services. You have the right to receive a “Good Faith Estimate” explaining how much mental health care will cost. You may ask your health care provider for a Good Faith Estimate before you schedule your service. For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call (800) 985-3059.
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Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.
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You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
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Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.
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If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
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Make sure to save a copy or picture of your Good Faith Estimate.
FOR QUESTIONS OR MORE INFORMATION ABOUT YOUR RIGHT TO A GOOD FAITH ESTIMATE, VISIT WWW.CMS.GOV/NOSURPRISES OR CALL (800) 368-1019.