Initial Diagnostic Intake
$220
55 minutes · CPT 90791
Required for new clients to review clinical history, diagnostic formulation, and a personalized treatment plan.
Clear Costs · Informed Choices
Fees, Insurance & Billing
A comprehensive guide to private pay rates, insurance benefits, and the financial side of your care at Renewed Roots Counseling.
Our Private Pay Fee Schedule
These are our standard rates for licensed clinical services when paying out of pocket. Confirm service availability and your payment arrangement before beginning.
Individual Psychotherapy
$220 per session
55 minutes · CPT 90837
Individual therapy tailored to neurodivergent adolescents and young adults. Frequency is discussed with your therapist.
Family Psychotherapy
$180 per session
45 minutes · CPT 90846 / 90847
Collaborative family or caregiver sessions supporting the client’s needs. CPT 90846 applies without the identified patient present; 90847 includes the patient.
Weekly Group Psychotherapy
$60 per session
45–60 minutes · CPT 90853
Clinical skills groups, such as DBT skills or CBT-based executive functioning groups. Confirm the specific cohort’s schedule, format, and fees.
Codes reflect the service actually provided and applicable billing requirements. Listing a code does not guarantee insurance coverage.
Utilizing Your Health Insurance
In-Network Benefits
If your treating provider is in-network with your specific plan, we submit claims directly. You are responsible for applicable deductibles, copays, coinsurance, and any charges permitted under your plan and provider agreement.
Insurance billing generally requires relevant diagnostic information and documentation of medical necessity. Coverage depends on your benefits, authorization requirements, provider, and service—not simply on having ADHD or Autism.
Out-of-Network Benefits & Superbills
For out-of-network care, you pay the private pay rate at the time of service. Upon request, we provide a monthly superbill—a clinical receipt you can submit to your insurer.
Some plans offer out-of-network reimbursement, but others do not. Your deductible, allowed amount, reimbursement percentage, and exclusions determine what may be paid. We cannot guarantee a reimbursement amount.
Contact us to confirm network status for your specific provider and plan. A benefits check is an estimate, not a guarantee of claim payment.
Private Pay vs. In-Network Insurance
Both options involve professional clinical care and confidentiality obligations. The right choice depends on your benefits, budget, and preferences.
| Feature | In-Network Insurance | Private Pay |
|---|---|---|
| Upfront Cost | Plan-specific deductible, copay, or coinsurance. You may owe the contracted amount until a deductible is met. | Standard private pay rate listed above. |
| Clinical Diagnosis | Relevant diagnosis and medical necessity information generally accompany claims. | Assessment and appropriate clinical documentation still apply. Discuss diagnostic concerns with your therapist; self-pay does not guarantee diagnosis-free treatment. |
| Privacy | Claims disclose service and diagnostic information. Insurers may request records for payment or review. Policyholders may receive explanations of benefits. | No insurer claim is submitted unless arranged. Clinical records still exist and remain subject to applicable confidentiality rules, authorized disclosures, and legal exceptions. |
| Treatment Decisions | You and your therapist plan care; insurer rules affect which services are paid for. | You and your therapist plan care without insurer payment rules, within clinical appropriateness, consent, availability, and applicable requirements. |
| Provider Choice | Network participation affects covered provider options. Availability varies. | You may choose an available provider who is appropriately licensed and a good clinical fit. Immediate access is not guaranteed. |
Frequently Asked Questions
Can I use my HSA or FSA?
Therapy received as medical treatment may qualify. Eligibility depends on the service and your account rules; not every counseling service qualifies. For example, marital counseling alone generally is not an eligible medical expense. Check with your plan administrator and ask us about payment and receipt options. Read IRS guidance on therapy expenses.
What should I ask about out-of-network benefits?
- Does my plan cover out-of-network outpatient mental health and telehealth, including audio-only care where applicable?
- What is my out-of-network deductible, and how much remains?
- What are the allowed amounts and reimbursement percentages for CPT 90791, 90837, 90846/90847, and 90853?
- Are authorization, referral, or session limits required?
- How do I submit a superbill, what is the deadline, and how long does processing take?
What is a Good Faith Estimate under the No Surprises Act?
If you do not have insurance or choose not to use it, you generally have a right to a written Good Faith Estimate of expected charges when requesting an estimate or scheduling at least three business days ahead. We provide estimates according to applicable requirements. It is an estimate, not a guarantee of exact future costs.
- Scheduled 3–9 business days ahead: generally provided within one business day of scheduling.
- Scheduled 10 or more business days ahead: generally provided within three business days of scheduling.
- Requested before scheduling: generally provided within three business days.
How do deductibles, copays, and coinsurance work?
- Deductible: The amount you pay for covered services before applicable benefits begin. Some services may be covered before the deductible is met.
- Copay: A fixed amount for a covered service, such as $30. Whether a deductible applies first depends on your plan.
- Coinsurance: Your percentage of the plan’s allowed cost, such as 20%, when applicable.
Can I change payment methods during treatment?
Contact us before changing payment arrangements. Moving to insurance requires checking active coverage, provider network status, any authorization, and documentation requirements. Moving to self-pay may be subject to payer contracts and applicable rules; we discuss your options and provide an updated estimate when appropriate. Previous disclosures are not undone by switching. Whether earlier services can be submitted or reimbursed depends on your plan, filing deadlines, and payment agreement—ask before assuming retroactive billing is available.
What is the cancellation policy?
Please give at least 24 hours’ notice to cancel or reschedule. Missed appointments and cancellations with less notice may incur the standard late-cancellation fee stated in your intake agreement. Confirm the amount and any applicable exceptions before beginning. Insurance does not cover missed sessions or cancellation fees; any permitted fee is your out-of-pocket responsibility.
Questions About Costs?
Contact us to discuss your payment options, confirm network participation, or request a Good Faith Estimate. Please do not send insurance identification numbers or detailed health information through ordinary email.
Ask About Fees & Insurance