Insurance & Fees

Insurance & Third Party Reimbursement

Most insurance companies offer reimbursement for psychological and neuropsychological services, depending on your benefits, whether we are in-network, and deductible.

Educational and academic services are not billable for insurance reimbursement.

Currently, our speech language therapist is not in network with insurance companies. We can provide you with a superbill if you are seeking reimbursement directly through your insurance company.

We are IN-NETWORK with the following insurance providers:

Aetna
Blue Cross Blue Shield
Fallon Community Health Plan (Commercial and MassHealth)
Mass General Brigham
MassHealth/MBHP

Optum (Commercial and MassHealth)
UMR Behavioral Health/Optum

United Healthcare/Optum
Wellsense/Carelon (MassHealth)

*******

If we are not in network and you have Out-Of-Network benefits (e.g. Tufts, Point32, Unicare, Tricare, Cigna and others):
If we are not in network with your insurance provider you will be responsible for the full cost of the evaluation and/or consultation appointment(s) at the time of service. After the appointment we will provide you with a superbill for you to submit to your insurance company directly for reimbursement. Please contact your insurance company with any questions about out of network benefits and requesting reimbursement.

Please note: we are not in network with Health New England MassHealth plans.

We do NOT accept Medicare.

*******

Secondary Insurance
If we are in network with your primary and secondary insurance plans, we will bill the insurance companies directly. This includes MassHealth as secondary.
If we are not in network with your primary insurance, we cannot bill your primary insurance company on your behalf. You will be responsible for paying the cost of services at the time of service. We will provide you with a superbill receipt after for you to submit to your primary and secondary insurance providers to get reimbursement directly. If MassHealth is your secondary insurance, by choosing to use us as an out-of-network provider, we are not able to bill MassHealth as your secondary insurance.
If we are not in network with your secondary insurance, we will bill your primary insurance and you are responsible for any deductible, co-insurance, or co-payment amounts due. We will provide you with receipts and necessary documentation for submitting reimbursement to your secondary insurance.

Important Note: In-network does not mean that all costs will be covered. Individual plans vary greatly from person to person. If you have a commercial plan (not MassHealth/Medicaid), we encourage you to call the number on the back of your card and ask if deductibles, co-insurance, or copays apply for outpatient psychological and neuropsychological testing. Pre-authorization is required for many plans, and some plans will tell you there is a full benefit but have strict authorization limits that do not cover comprehensive testing. If you are uninsured, your plan is not listed here or we do not accept your plan, please call our office prior to filling out paperwork.

*******

Professional Services Fees

Assessment fees range depending on the presenting concern, type(s) of evaluation, and any other professional services necessary. These ranges are provided for a general sense of our rates and will be discussed further at your consultation appointment. Psychotherapy, consultation, out-of-office or school observations, and other professional services fees range depending on the training, credentials, and expertise of the clinician.

Testing & Assessment Services

Comprehensive Neuropsychological, Speech & Language, and Psychoeducational Evaluation: $5000-$6000

Psychoeducational: $4000-$5000

Psych or Neuropsych only: $2500-$4500

Speech & Language only: $1500 [partial evaluations are prorated accordingly]

Educational Evaluation only: $2000 [partial evaluations are prorated accordingly]

Cognitive & Memory Testing for Older Adults: $4000 [prorated for memory specific batteries]

Cognitive Screener for Older Adults: $750

Kindergarten Readiness: $1200 – $1700

Intelligence Testing, Private School Admissions Testing & Giftedness Testing: $750-1000

Hampshire & Franklin Counties REACH Collaboration Under 3 years old autism evaluations: $1500-$2000

 

Non-Testing Assessment Services:

Clinical Diagnostic Assessment: $1000

Emotional Support Animal Assessment: $750

School Observation: $500 (local, additional for longer distances)

 

Professional Services

Consultation: $250-350/hour

Psychotherapy: $125-$250/hour

Other professional services: $250/hour

Attendance at IEP/504 Plan Meetings: $250/hour

Speech Therapy: $150/hour

Tutoring: $85-200/hr.

 

We also periodically offer group therapy, therapeutic and psychoeducational workshops, and support groups. Fees vary depending on the service.

Scroll to Top