WHATSUPDOC.US

Julie Evans Bingham, Ph.D.

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 Rates For Services (revised 6/06)

A. Using your insurance and their required codes
B. Services not covered by insurance (and why)


A. Using your insurance and their required codes 

Code Service Time  Typical Insurance Pays:  My Rates, 6/06
90801 Initial Evaluation plus bill or assist with insurance 45-90 minutes
plus prep', report, etc.; plus insurance time, no additional charge
 $202-275 $255
90806 Psychotherapy plus bill or assist with insurance 45 minutes; plus insurance time, no additional charge  $93-175 $165
90804 Psychotherapy plus bill or assist with insurance 20 minutes; plus insurance time, no additional charge $64-120 $110
90847 Family Psychotherapy plus bill or assist with insurance 45 minutes; plus insurance time, no additional charge $113-200 $195
90808 Psychotherapy plus bill or assist with insurance 75 minutes; plus insurance time, no additional charge $134-280 $245
96118 Neuropsychological Evaluation plus bill or assist with insurance per hour charge; usually 7 to 10 hours; report and feedback session included $160-240 $220
96101 Psychological Evaluation plus bill or assist with insurance per hour charge; usually 7 to 10 hours; report and feedback session included $130-180 $165

Your insurance may require a co-pay on your part, or only reimburse a percentage of these charges.  Please try to learn in advance, as payment for services (full charge or co-pay) is asked of you on the day those services are provided.  If you're paying the full charge, you'll want to know in advance how much of that is going to get reimbursed by your insurance.  In some cases it could be as little as 50%.  If I contract with your insurance carrier, then I will accept their rates, which may be lower than the rates shown above.  You are only responsible for your share (%, copay) of the contracted rate.

 

B. Pay for what you use 

 2006 rate: $175 per hour (compare attorneys, accountants)

 

C. Services not covered by insurance (and how to minimize these costs)

All of these services are billed at the per-minute rates above.  

 

 (D). Why are the insurance-code rates higher than the charges/minute rates?

Because dealing with your insurance company adds an additional layer to the process, including:

and so forth.  You wouldn't believe the number of people involved in this process.  

If you pay for what you use at the time of service, all of this is avoided -- so you ought to pay less, as you're buying a different product.