Fees and Reimbursement
Therafox is an out-of-network practice. Payment is due at each session. Superbills are available if you want to seek reimbursement through your insurance plan.
Rates
I am an out-of-network provider that provides superbills for reimbursement.
$175 / 55 MINUTES
Individual Therapy
$200 / 55 MINUTES
Relational Therapy
For couples, parent-child relationships, and other relational therapy.
Payment Policy
Payment is due at the time of each session. I do not bill insurance companies directly. Clients are responsible for the full session fee when services are provided.
If you would like to seek reimbursement from your insurance provider, I can provide a superbill that you may submit to your insurance company.
What Is a Superbill?
A superbill is a detailed receipt used to request reimbursement from your insurance provider for out-of-network therapy services.
- Client name and date of birth
- Provider name, credentials, and practice information
- National Provider Identifier (NPI)
- Tax ID number
- Date(s) of service
- CPT billing code (type of service)
- ICD-10 diagnosis code
- Fee paid for services
You can submit this document directly to your insurance company according to their claim submission process.
Checking Your Out-of-Network Benefits
If you plan to request reimbursement, it may be helpful to contact your insurance company before beginning therapy.
You may want to ask:
- Do I have out-of-network mental health benefits?
- What is my out-of-network deductible?
- What percentage of the session fee is reimbursed after the deductible is met?
- Are there limits on the number of therapy sessions per year?
- How do I submit superbills for reimbursement?
Reimbursement varies depending on your insurance plan and may occur only after your deductible has been met.
Common Psychotherapy Billing Codes (CPT)
| Code | Service |
|---|---|
| 90791 | Initial diagnostic evaluation |
| 90834 | Individual psychotherapy (38-52 minutes) |
| 90837 | Individual psychotherapy (53+ minutes) |
| 90847 | Family or couples therapy (with client present) |
| 90846 | Family therapy (without client present) |
Please note that insurance coverage for couples therapy varies, and some plans may not reimburse for relational treatment.
Diagnosis Requirement
Insurance companies typically require a mental health diagnosis (ICD-10 code) to process reimbursement claims.
The diagnosis used is based on clinical assessment and treatment needs.
Examples of diagnoses commonly used in outpatient psychotherapy include:
- F41.1 - Generalized Anxiety Disorder
- F32.9 - Major Depressive Disorder, Unspecified
- F43.23 - Adjustment Disorder with Mixed Anxiety and Depressed Mood
Important Notes
- Reimbursement is not guaranteed and depends on your individual insurance plan.
- Clients are responsible for submitting superbills and communicating with their insurance provider.
- Payment for services remains the client's responsibility regardless of reimbursement.
Questions?
You can ask about fees or superbills during your free consultation.