Insurance & Fees
My practice operates on a private pay or out-of-network basis. Private pay means you pay directly with no insurance involvement of any kind. Out-of-network means you pay upfront and I provide a detailed superbill that you can submit to your insurance company for possible reimbursement — I always recommend checking with your insurer beforehand to understand your out-of-network benefits.
Fees are not posted here, as the cost of an assessment varies depending on a number of factors. Rates are discussed during your free 15-minute consultation, which you can book here directly.
Why I Don't Accept Insurance
Comprehensive neuropsychiatric assessment is time-intensive, deeply individualized work that requires substantial ongoing training and professionally developed, standardized instruments — each of which carries significant licensing and purchasing costs that are renewed and updated regularly.
Insurance reimbursement rates don't reflect that reality — and more importantly, insurance companies don't just control payment. They control the process.
For my practice, the decision to be private pay and out-of-network comes down to one thing: I want to work for my clients, not for an insurance company.
When these types of comprehensive assessments are billed through insurance, the insurer enters the room. They determine what qualifies as medically necessary, which tools are permitted, and how many hours of evaluation they'll cover. If someone comes in for an ADHD evaluation, their insurer may request a prior authorization to support medical necessity before they've even seen the provider. If after the first visit it's clear that something else — a learning difference or autism, for example — is part of or the whole picture, the claim can be denied.
This is particularly true for the population I work with. Giftedness, twice-exceptionality, and complex neurodevelopmental profiles don't fit neatly into insurance billing codes — and in the case of giftedness, there is no billable diagnosis at all. These are precisely the profiles that get missed, misunderstood, or incompletely evaluated within an insurance framework.
Private pay and out-of-network means the client and I can collaboratively let their story unfold in a manner that is natural. We can adapt the assessment and testing in real time to their lived experience. We are able to take whatever time the process actually requires, and I am able to write the kind of detailed, individualized report that reflects who you actually are — not what an insurance company will approve.
Private pay also means that any diagnostic outcomes remain entirely in your hands. With insurance billing — including out-of-network — diagnostic codes become part of your permanent medical record. Private pay gives you the choice of what to do with that information and who has access to it.
This is an in-depth process that requires time, flexibility, and room to follow where the story leads — and this is the model that makes that possible.