DescrI am considered an out-of-network provider. I don’t bill insurance companies directly. Upon request, I am willing to provide you with a superbill that you can submit to your insurance company for possible reimbursement. I encouraged you to call your insurance and check your benefits. Here are a few possible questions to ask your insurance provider:

• Do I have out-of-network mental health coverage, including telehealth?

• What percentage of the session fee will be reimbursed?

• Is there a deductible I need to meet first?

• Do I need a pre-authorization before seeing an out-of-network provider?

Here are the CPT codes I use for treatment. Your insurance will want to see the following CPT codes to tell you the reimbursement (95 is a modifier used in telehealth billing):

90791-95: Diagnostic Evaluation

90832-95: 30 min Individual Psychotherapy

90834-95: 45/50 min Individual Psychotherapy

90837-95: 60 min Individual Psychotherapy

90846-95: Family psychotherapy without the patient present

90847-95: Family therapy with the patient present                                                                                                                            90853-95: Group psychotherapy

Intake/evaluation Session: $250

Individual Therapy 45-50 minutes: $225

Couple/Family Therapy: $250

Group Therapy: $100

I do keep a limited number of slots for sliding scale that will be reviewed on an as needed basis every three months. Please contact me to see if any sliding scale slot is currently available.

As part of the No Surprises Act, you are protected from unexpected medical bills—even in mental health care. This law ensures transparency in health care pricing, especially if you're uninsured or choose to self-pay for services.

• If you're not using insurance, you have the right to request a Good Faith Estimate (GFE) before your first session—or at any time during your care.

• The GFE will outline the estimated cost of services we plan to provide, such as intake sessions or weekly therapy.

• This estimate is based on what we discuss about your goals and expected frequency of sessions. You are not locked into a specific number of sessions—the GFE is simply a transparent cost overview.

Your Rights Include:

• Receiving a written estimate before services begin.

• Being protected from any bill that is $400 or more above the estimate—if that happens, you have the right to dispute it.

• Knowing the cost of care upfront, without surprises.

Requesting a Good Faith Estimate

If you're not using insurance, you're welcome to request a Good Faith Estimate at any time. I will provide it in writing before services start or as needed.

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises

It is a common problem that many insurances don’t have in-network providers that are able to provide comprehensive DBT treatment. Here is the guidance from DBT Linehan Board of Certification on how to obtain a single case agreement from your insurance.