Fees & insurance
Published, plainly
You shouldn't have to schedule a call to find out what something costs — stating the numbers is part of taking you seriously.
Jump to: Evaluations · Add-on services · Therapeutic Assessment · Therapy · Insurance · Out-of-network · Cancellations · Payment terms
The schedule
Evaluations
Comprehensive Clinical Evaluation
Most people need just one thing: the Comprehensive Clinical Evaluation. It's the complete assessment for a new diagnostic question — intake, a battery tailored to your question, integration, a feedback session, and a full plain-language report, complete on its own with nothing essential held back. Everything else here either adds depth when it's needed, or updates an evaluation you've already had.
Add depth, when it fits
Optional testing layered onto your evaluation — including the academic and learning-disorder piece, which can also stand on its own.
Academic Achievement Testing (SLD determination)
$750Focused achievement and cognitive testing for specific learning disorder determination, delivered as its own addendum report. A private-pay educational service — no insurance plan reimburses it, in-network or out.
Specialized Dyslexia / Dysgraphia / Dyscalculia Assessment In development
$1,500Contact me if this is what your family needs.
Already diagnosed? Re-evaluations
For an established diagnosis that needs an update. These build on prior testing, so they cost less — not because they're thinner.
Clinical Re-Evaluation
$1,800For an established diagnosis needing an update — my own prior clients, or a usable recent evaluation from elsewhere. A re-evaluation drops the confirmation testing an initial evaluation requires and focuses on current functioning.
Academic Re-Evaluation (SLD update)
$550Specialized Learning-Profile Re-Evaluation In development
$1,100Available with the specialized assessment above.
The schedule
Going further, when you need it
Separate services you can add when they fit — extra work for a specific next step, described on the Assessments page.
Documentation Letter
$150A letter prepared to the specific format required by the SAT/ACT, a college disability office, or a workplace ADA request, drawn from your evaluation.
Letter Expedite
$100Optional priority turnaround for a deadline-driven documentation letter.
IEP / 504 Translation
$350Your evaluation findings written into the school's working format: present-level statements, goals, and accommodations mapped to services.
Meeting Attendance
$400 / meetingClinician attendance at an IEP or 504 meeting to speak to the findings directly. Flat fee, preparation and travel included, same rate in person or by telehealth.
Off-Site Observation
$400Direct observation in a classroom or another setting to inform the evaluation. Flat fee, preparation and travel included, arranged with a signed release.
Independent Record Review / Second Opinion
$400A professional opinion on a completed evaluation performed by another provider. No new testing; this tells you whether the existing evaluation is sound and complete.
Extended Feedback Consultation
$300 / hourAdditional consultation beyond the feedback session that is included with every evaluation.
Evaluation Rush Surcharge
$500Optional priority scheduling that moves a full evaluation to the front of the queue. Available for private-pay evaluations only, subject to open capacity. It buys speed of scheduling — never a different finding.
The schedule
Therapeutic Assessment
The full collaborative model, described on the Therapeutic Assessment page.
Full Therapeutic Assessment (private pay)
$4,000The complete Finn model: collaborative question-setting, testing woven with in-session exploration, an assessment intervention session, and a personalized therapeutic letter, delivered across multiple sessions over several weeks.
Therapeutic Assessment — Collaborative Layer (hybrid)
$2,000For clients running the testing and diagnostic spine through insurance: the assessment intervention session, extended collaborative sessions, and the personalized letter. Insurance is billed separately for the covered testing at contracted rates.
The schedule
Therapy
Secondary service line, adolescents and adults. These are private-pay and out-of-network rates; in-network rates follow panel contracts.
Therapy Intake / Diagnostic Session
$220Individual Therapy, 53+ minutes
$200Individual Therapy, 45 minutes
$175How payment works
Where your plan stands
Which path applies comes down to your plan — some I'm in network with, some I'm not. What that changes is how payment works, not what the evaluation is: the depth, the testing, and the report are the same whoever's paying.
MedCost, BCBS-NC, Medicaid, Tricare
Credentialing is underway with these plans. None are effective yet, so for now these evaluations are private pay — I'll name each here the moment it goes live. If one is your plan, reach out and I'll flag it for you.
Aetna, Cigna, UnitedHealthcare / Optum
You pay for this one up front — but you're not left to sort out the rest alone. You'll get a complete, insurance-ready superbill and help understanding your coverage before you commit; many of these plans reimburse a substantial portion once your deductible's met. How that works →
Direct, by choice or any other plan
You can always pay the published fee directly — the simplest path, and the one that keeps the evaluation entirely between us. If you have a commercial PPO I'm out-of-network with, you'll still get a superbill you can submit for reimbursement.
Insurance status
Honest about today
None of the in-network contracts are effective yet, so every evaluation right now is private pay — I'd rather tell you that plainly than have you find out at billing. If coverage is the deciding factor for your family, reach out for current status, and tell me your plan so I can let you know the moment it goes live.
Out-of-network
Using out-of-network benefits
Across the Triangle, in-network psychological testing is often booked many months out — sometimes past the school year a family is trying to save. When the wait runs that long, being seen soon matters more than a network label. A specialized out-of-network evaluation can begin sooner here — I'm booking now, with first appointments in September.
What you're paying for is the evaluation itself — uncompromised, built around your actual question, and, when it fits, delivered through the collaborative Therapeutic Assessment model that makes it genuinely different from a standard report. Why that's worth choosing →
And out-of-network rarely means paying the whole fee yourself. For the plans I'm not paneled with — Aetna, Cigna, and UnitedHealthcare / Optum, along with any other commercial PPO I'm out-of-network with — many plans reimburse a substantial portion of the clinical evaluation once your deductible is met. Here's how it works: you pay the fee, and I give you a complete, insurance-ready superbill with everything your plan needs. You submit it to your insurer — directly, or through a self-service app like Reimbursify if you'd rather make it simple — and your insurer reimburses you directly. What comes back depends on your specific plan, so before you commit I'll walk you through exactly what to check with your insurer, including whether they require preauthorization.
Reimbursement applies to the clinical work only. Insurance can reimburse the comprehensive clinical evaluation and Therapeutic Assessment. Academic and educational testing isn't a medical service, so no plan reimburses it — in-network or out. It's private pay, and it comes two ways: as a full psychoeducational evaluation on its own, or as a private-pay add-on to a clinical evaluation — the diagnostic work handled through your insurance benefits, the educational piece paid directly.
Scheduling
Scheduling, Cancellations & Missed Appointments
Assessment appointments aren't ordinary time slots. Each one is long, prepared specifically for your family, and reserved for you alone — which means a missed or last-minute cancellation can't be filled with someone else. These terms protect that reserved time. They're part of the financial agreement you'll sign before we begin, and a card on file is required to schedule.
Your first reschedule is on us. Every family gets one — the first time something comes up and you need to cancel or move an appointment late, for any reason, there's no charge. After that, the terms below apply.
Intake — $250, credited toward your evaluation. Your intake is held with the $250 intake fee, which counts toward your evaluation when you move forward. If you cancel with less than 48 hours' notice, or don't attend, that fee is kept, and nothing further is charged.
Testing day. This is the heart of the evaluation — several uninterrupted hours set aside just for your child. When testing is scheduled, your first evaluation payment is due, bringing you to half of the total fee (your $250 intake fee counts toward it). If you cancel with less than 3 business days' notice, or don't attend, $750 of that payment — 30% of a standard $2,500 evaluation — is kept to cover the reserved time. The rest stays credited toward your rescheduled testing day, or is refunded if you decide not to continue. Two exceptions: if your child is sick, just let me know and we'll reschedule at no charge — testing a sick child produces unreliable results, and I'd always rather move the day — and your one free reschedule covers the first time this happens.
Questionnaires. Some evaluations depend on forms I send home before testing day. If the forms you're responsible for aren't returned at least 3 business days beforehand, I often can't proceed as planned, so unreturned forms are treated the same as a late cancellation of testing day. Teacher and school forms are never counted against you — those are outside your control.
Feedback — $150. Your feedback session is where we walk through the results together — an important part of the work, and I'll always try to find another time. If you cancel with less than 48 hours' notice, or don't attend, a $150 fee applies.
Using insurance? If your evaluation is covered by North Carolina Medicaid, none of these fees apply to you. If you're using other in-network insurance, any applicable fees follow the rules of your specific plan, and I'll always be clear about what applies before we begin.
The fine print, in plain sight
Payment terms
For private-pay and out-of-network evaluations, here's the whole structure, in the order you'll meet it.
Every evaluation starts with an intake session, and that session is $250. It's payment for the intake itself — and if you go on to testing, it's credited toward your total evaluation fee. When we schedule that first appointment I'll ask for a card on file; that's simply how scheduled payments are processed here.
Testing is scheduled at the end of your intake session, and half the evaluation fee is due at that point. The balance is due when I deliver your report.
Cancellation and missed-appointment terms are set out in Scheduling, Cancellations & Missed Appointments above.
That's what you pay me. Getting part of it back from your insurer is a separate track — if you're out of network, the superbill and what to check with your plan are covered above.
If you're in network: none of this applies. Once those contracts are effective, your intake and evaluation bill directly to your plan and you pay your plan's normal cost-sharing — no intake fee, no milestone payments.
Medicaid: cancellation and no-show fees, card-on-file charges, and private billing for covered services never apply to Medicaid beneficiaries.
Good Faith Estimate. Under the No Surprises Act, you have the right to a Good Faith Estimate of costs before services begin. Every private-pay client receives one — and here, it won't contain any number this page didn't already tell you.
Questions about cost or coverage?
Ask before anything begins. You'll get a straight answer.
Last updated July 20, 2026. The fees, payment terms, and insurance status described on this page are current as of that date and are subject to change without notice. Nothing on this page is a quote, an offer, or a guarantee of coverage or reimbursement — your insurer determines what it reimburses, and network participation changes over time. The fees and terms that apply to your evaluation are those set out in the Good Faith Estimate and financial agreement you receive before services begin.