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Evaluation Fees

EVALUATIONS FOR CHILDREN AND ADULTS
 

EVALUATION FEES DEPEND UPON LOCATION AND TYPE OF SERVICES
WE DO NOT ACCEPT INSURANCE FOR THESE SERVICES

 

Evaluations investigate your diagnosis and look for the cause of your symptoms, which, in some cases, may not be what you expect. When evaluations have a legal component such as being “court ordered,” it is much more time consuming, litigious, and thus more expensive. 

EVALUATION FEES:

  • Forensic Evaluation services that involve any form of accommodations, family law, criminal law, court ordered evaluations, and any form of disability, workplace exemptions, etc. are priced at $400-500 per hour. Total cost for family law or legal cases range from $3,500-$25,000.

  • ​Court Testimony for Forensic & Court Based Testing: $2,500 for 1/2 day minimum; $5,000 for 4-8 hours

 

  • Travel Time, Out-of-Area Travel, and Wait Time: $400 per hour plus transportation, accommodations, and food costs

  • College or high school level ADHD evaluations: $3,500-5,000

  • Record review in excess of 100 pages: $400 per hour​

​**Expedited report fees on case-by-case basis: $500-1,500

Insurance Reimbursement: If your insurance plan is a PPO, you may receive some reimbursement for an evaluation. You should contact your insurance company and request and out-of-network exemption. We will bill the insurance company for you if requested through our insurance Clearinghouse. However, our fees are due up front 48 hours prior to your initial appointment. Reimbursement from your insurance company will be sent directly to you. HMO’s, Kaiser, or insurances that require “pre-authorization” will not reimburse you. Please contact your insurance company to confirm your benefits, coverage, deductibles, and authorization for services. 

Below are the codes you can use to inquire about your insurance coverage and out-of-network coverage. Please use both the probable diagnostic code and the procedure codes. 

 

Diagnostic Codes (Updated ICD-10):

  • 314.00 (F90.0) ADHD

  • 299.00 (F84.0) Autism

  • 294.9 (F09) Cognitive Problems (e.g., Brain Injury, Complicated Medical Concerns)

  • 312.81 (F91.1) Behavior Problems

  • 311 (F32.9) Depression

  • 300.00 (F41.9) Anxiety

  • 296.80 (F31.9) Bipolar Disorder

  • 295.90 (F20.9) Schizophrenia

*Additional diagnostic codes can be found by searching the disorder you are inquiring about + “ICD-10 code” on Google.

Evaluation Terminology Codes (CPT):

  • 90791 - Diagnostic Interview

  • 96112 - Developmental test administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory, and/ or executive functions by standardized developmental instruments when performed), by physician or other qualified health care professional, with interpretation and report; first hour 

  • 96116 - Neurobehavioral status exam (clinical assessment of thinking, reasoning and judgement, e.g., acquired knowledge, attention, language, memory, planning and problem solving, and visual spatial abilities), by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report; first hour 

  • 96130 - Psychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report and interactive feedback to the patient, family member(s) or caregiver(s), when performed; first hour 

  • 93131 - Each additional hour (List separately in addition to code for primary procedure) 

  • 96132 - Neuropsychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report and interactive feedback to the patient, family member(s) or caregiver(s), when performed; first hour 

  • 96133 - Each additional hour (List separately in addition to code for primary procedure) 

  • 96136 –Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method, first 30 minutes

  • 96137 –Each additional 30 minutes (List separately in addition to code for primary procedure)

  • 96146 -Psychological or neuropsychological test administration, with single automated instrument via electronic platform, with automated result only 

*This is not an exhaustive list of codes. CPT Codes may be updated.

For more information: https://www.apaservices.org/practice/reimbursement/health-codes/testing/codes-descriptions.pdf

PAYMENT FOR SERVICES
  • We accept all major credit cards, cash, checks, Square, and Venmo.

  • Initial sessions are pre-paid and clients must place a credit card on file.

  • Our Care Team will charge the credit card on file for retainer fees and after each session.

CANCELLATION POLICY

At our practice, we understand that unexpected events can happen. However, in order to ensure that we can provide the best possible service to our clients, we ask that you please give us at least 48 hours notice if you need to cancel or reschedule your appointment. Thank you for your understanding and cooperation.

  • 50% of the scheduled session fees will be charged for the first late cancellation or missed session

  • For any additional missed or late cancellations, 100% of the scheduled session fees will be charged

GOOD FAITH ESTIMATE

You have the right to receive a “Good Faith Estimate” explaining how much your care will cost. Under the law, healthcare providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.

  • You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.

  • Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your healthcare provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.

  • If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.

  • Make sure to save a copy or picture of your Good Faith Estimate. For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 800-985-3059. ​

**Communication with an Unfold Psychology therapist or staff member does not by itself create a client-therapist relationship or constitute the provision or receipt of psychological services. Any communication with an Unfold Psychology therapist or staff member should be considered informational only, and should not be relied on or acted upon until a formal client-therapist relationship is established pursuant to a written agreement. 

 

 

FREQUENTLY ASKED QUESTIONS

Benefits of Concierge Therapy

  • Safe and supportive environment

  • Space to speak without fear of judgment

  • Secure HIPAA-compliant online video sessions

  • Access to a personal and secure client portal

  • Direct access to clinicians and Unfold Psychology staff via email, text message, and phone calls

  • Communication after hours through calls and text

  • 15-minutes gratis support in between sessions

  • Calls, emails, and texts returned within 3 hours

  • Purchasing a package of 8 or more hours per month results in a 5% discount

  • Kind and warm approach to therapy

  • Individualized treatment plans

  • Weekend and evening sessions

  • Consultation and guidance from multidisciplinary teams

  • Hospital and surgery companionship (additional fee applies)

  • Comfortable offices in San Francisco, Marin County and Oakland

  • Sessions in your home, at your office, and at other agreed-upon locations (travel fee applies)

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