How fees work
How paying for an evaluation works here, in the order people tend to ask.
Insurance we work with
I am out of network. I do not bill insurance plans, Medicare or Medicaid directly. Some plans pay back part of the cost of psychological testing when you send them an itemized receipt, and some ask for approval before the first visit.
Out of network
Most PPO plans may pay back part of the cost
Medicare and Medicaid are not billed
If you pay yourself
The package fee covers the interview (60 minutes), the testing day (about four hours), scoring, the written report and the feedback visit (60 minutes). It depends on whether you ask about ADHD, autism or both, and you get the fee in writing before we meet. A small number of reduced-fee evaluations are open each year; ask when you write. HSA and FSA cards usually work. The testing day is held for you alone, so I ask for 48 hours' notice to move it.
One package fee, in writing before the interview
Interview, testing, report and feedback visit included
48 hours' notice to move a testing day
Receipts for reimbursement
After the feedback visit I send an itemized receipt, called a superbill, which a plan may use to pay back part of the fee. It lists a diagnosis code when the evaluation reaches one, and your plan will see it. The plan decides, and reimbursement is not guaranteed.
An estimate in advance
If you pay without insurance, you have the right to receive a Good Faith Estimate of the cost of your care before you start, and I give you one in writing before the interview. If a bill comes to $400 or more above the estimate, you can dispute it. The estimate is not a contract.
Checking your benefits
Before the interview we go over what your plan says about psychological testing, and I tell you what to ask it. I can't promise what a plan will pay.
What the fee covers
What a package fee covers
One fee, in writing before the interview, covers each line. It does not change if the report finds that you do not meet the criteria.
| ADHD evaluation | Autism evaluation | ADHD and autism together | |
|---|---|---|---|
| Interview | ADHD evaluation60 minutes: your history, school, work and the question you came with | Autism evaluation60 minutes: your history, school, work and the question you came with | ADHD and autism togetherOne interview of 60 minutes for both questions |
| Testing day | ADHD evaluationAbout four hours at a table, with breaks | Autism evaluationAbout four hours at a table, with breaks | ADHD and autism togetherOne testing day, about four hours |
| Scoring | ADHD evaluationTests scored and set beside your history | Autism evaluationTests scored and set beside your history | ADHD and autism togetherScored once and read against both questions |
| Written report | ADHD evaluationA plain-language report on ADHD | Autism evaluationA plain-language report on autism | ADHD and autism togetherOne report that answers each question separately |
| Feedback visit | ADHD evaluation60 minutes, reading the report together | Autism evaluation60 minutes, reading the report together | ADHD and autism togetherOne visit of 60 minutes for both |
| Your fee | ADHD evaluationOne package fee, in writing before the interview | Autism evaluationOne package fee, in writing before the interview | ADHD and autism togetherOne package fee, in writing before the interview |
Questions about cost?
Write to me and I will send a Good Faith Estimate in writing before you decide.