SELF PAY FEE SCHEDULE 2025
90791 Intake Comprehensive Assessment $250
90834 38-52 min individual session $150
90837 53+ Routine individual session $180-$200
Missed Session Fee: Because your appointment time is reserved just for you, we require 24 hours’ notice for cancellations. If you miss or cancel a session with less than 24 hours’ notice, you will be responsible for the full session fee. This fee reflects the standard rate we would have received from your insurance or my self-pay rate, as that time could have otherwise been offered to another client. Please note: this amount is typically higher than your copay or coinsurance. It cannot be billed to insurance and is your responsibility.
Sliding Scale: We do not offer sliding scale due to insurance contracts requiring full cost share at service. We can provide referrals to agencies offering sliding/no-fee services, such as federally qualified health centers, Catawba Valley Behavioral Healthcare, and High Country Community Healthcare.
Insurance
Out of Network
SOHC is considered OON for commercial plans other than BCBS and AETNA. These are benefits that apply when you choose a healthcare provider who does not have a contract with your insurance company. Going OON often means paying upfront for services and then submitting a claim for reimbursement. Good news is I have partnered with Mentaya to ensure you have the easiest possible handling of claims. Unlike traditional pay up front and then fill out paperwork and submit to insurance yourself; you will have access to Mentaya who will handle those steps for you and ensure ahead of time you know how much to expect to be reinbursed.
In Network
SOHC is considered In Network for most BCBS and Aetna plans. We are proud to say we are a preferred provider for NC State Employees. For all in network claims we will file on your behalf and collect your cost share at time of service. We want to make using your insurance as easy as possible and am happy to answer any questions you may have such as “How much is therapy?”
HSA/FSA
Good news! You can utilize your Flexible Spending Account or Health Savings Account funds to pay for your sessions, even if the provider is out-of-network. We do not accept 3rd party HSA payments such as HealthEquity. We are not contracted with them and therefore there is no obligation for them to pay us on your behalf.
Good Faith Estimate
You have the right to a “Good Faith Estimate” of your medical costs if uninsured or not using insurance. It covers all expected non-emergency expenses like tests, medicines, and hospital fees. Request it in writing at least one business day before service or before scheduling. If your bill exceeds the estimate by $400 or more, you can dispute it. Keep a copy of the estimate. For help, call 800-985-3059.