Billing & Insurance Information

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Psychotherapy Session Rate Fees - Effective July 1, 2024

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$200.00 - (90791) Initial Individual/Couples/Family Diagnostic Assessment Session

$260.00 - (90791 TG) Extended Diagnostic Assessment

$180.00 - (90791 52) Brief Diagnostic Assessment

$170.00 - (90837) 53+ minute Psychotherapy Session 

$160.00 - (90834) 38-52 minute Psychotherapy Session

$150.00 - (90832) 16-37+ minute Psychotherapy Session

$240.00 - (90839) Psychotherapy for Crisis 30-74 minutes

$105.00 - (+90840) Crisis Add-on, each additional 30 minutes 

$55.00 - (+90785) Interactive Complexity Add-on 

$160.00 - (90846) Family Psychotherapy without client present 

$160.00 - (90847) Family Psychotherapy with client present 

$75.00 - (90853) Group Psychotherapy 

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Same Day Cash Pay Rates

$185.00 Initial Individual Diagnostic Assessment 

$150.00 Individual Follow-up Session Rate

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Medication Management Session Fees 

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$300.00 (90792) Initial Assessment Session

$200.00 (99213) Psychiatry, Level 3 office visit (20-29 min)

$230.00 (99214) Psychiatry, Level 4 office visit (30-39 min)

$260.00 (99215) Psychiatry, Level 5 office visit (40-54 min)

$120.00 (+90833) E & M Psychotherapy Add-on, 30 mins

$150.00 (+90836) E & M Psychotherapy Add-on, 45 mins 

$180.00 (+90838) E & M Psychotherapy Add-on, 60 mins

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Please note most medication management follow-up sessions with include both a Psychiatry office visit and Psychotherapy add-on visit. 

 

$85.00 No Show/Late Cancellation Fee with less than 24-hour notice  

       *Please note insurance does not cover no show fee's these are at the expense of the client.

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We have provided you with an insurance script for psychotherapy services to talk with your insurance company.  Our rates do not reflect the insurance contracted rates.  You will need to contact your insurance directly for that information.

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In-Network Insurance​​

• Aetna/First Health

• BHP/Fairview

• Blue Cross Blue Shield 

• Blue Plus

• CCStpa

• CIGNA Health

• Clearchain

• HealthPartners

• HealthPartners PMAP

• Hennepin Health

• IMCare (Itasca County)

• GEHA

• Medica

• Medica Select 

• Medica PMAP

• Meritain Health

• MN Health Care Programs

• MN Medicaid

• Medical Assistance

• Multiplan

• Optum Behavioral Health Network 

  • UMR​

  • United Healthcare

  • Patient Choice

  • Select Care - Mayo/Medica

  • Optum EAP

• Primewest Health 

• Preferred One 

• Sanford 

• South Country Health Alliance

• Surest 

• TriCare West

• UCare 

• UCare PMAP

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It is up to you as the client to know your insurance benefits.  It is recommended you use our insurance script to find out about your benefits and in-network providers.  Clients are responsible for any payments denied by their insurance payor, co-pays, deductibles, etc.  

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Payment 

You must have a credit, debit or HSA card on file before your first appointment.  Your card will automatically be charged your co-pay or deductible following remittance from your insurance company.  If you are self-pay, your card will be charged the day of service.   If you have a thrive or HSA/FSA card that will pay secondary on your behalf, please notify us at the time of starting services.  Your invoice and/or billing information will be sent to you via email unless you request it be sent by mail.  If you elect to opt out of billing your insurance, you will be required to sign an insurance opt-out form.

 

It is the client's responsibility to know if services are covered by your insurance. Please contact your insurance to find out if you have behavioral health benefits, deductibles, co-pays etc. 

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Good Faith Estimate Notice

• You have the right to receive a “Good Faith Estimate” explaining how much your medical and mental health care will cost. 

• 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 expected charges for medical services, including psychotherapy services. 

• You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency healthcare services, including psychotherapy services. 

• You can ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule a service. 

• If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. 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. 

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