Fees & Insurance
Many patients file for reimbursement through insurance coverage, and the vast majority are reimbursed more than 50% of costs.
Fees for a 50 minute psychotherapy session (CPT Code 90834 if filing for insurance reimbursement) are $175. Contact me for fee information if needing a psychological evaluation.
Like many experienced psychologists and psychotherapists in New Orleans, I don’t take insurance directly. Patients pay me, and then file for reimbursement from their health insurance, should they elect that option. Many of my patients file for reimbursement, and the vast majority are reimbursed more than 50% of my fees. If you decide to submit a claim for insurance reimbursement, I’ll gladly help.
If you haven’t filed an insurance claim yourself, rest assured that my patients routinely find that the process is much simpler than they thought it would be — plus, I’ll help guide you through the process.
If interested in market rates for psychotherapy or other medical services, consult the Fair Health Consumer.
Insurance filing information
Insurance companies use elusive ways to determine what they’ll cover. If your plan says it’ll cover 80% of the cost of psychotherapy, that means they’ll cover 80% of what they deem Usual and Customary (UAC), not the rate charged by the therapist or psychologist. The UAC is an important number. Often this amount is based on a percentage of Medicare rates.
The catch is your insurance company usually won’t tell you what that number even is, calling it “proprietary information.”
Some good news: Thanks to numerous class action lawsuits, and legislative work on healthcare laws, there’s a consumer rights website where you can see what an objective source says the typical fees are in your area.
The site is Fair Health Consumer, and here’s how to use it to look up the Typical Provider Charge (Fair Health’s term for UCR) for psychotherapy in your area:
- Enter the Zip code of your therapist.
- Enter the procedure code; 90834 is the procedure code for individual outpatient psychotherapy, 50 minutes, or you can ask your therapist what code they’ll use.
- Click “See Out-of-Network Reimbursement”.
- Scroll down to “Cost Breakdown” (ignore the first few rows you see on the page — those includes other charges like hospitalization).
There you have it! Now you know the real typical cost for psychotherapy in your area, and you’re armed and ready to call your insurer.