frequently asked questions

• Diagnostic Assessment: $295 (annually or as required by insurance)

• Therapy Session (55 min): $275

• Telephone Calls: Calls over 15 minutes billed as a 55-minute session—prorated 

• Sports Performance Session (30-60 min): $30 - $60

• Clinical Supervision: $80 per hour

• Clinical Consultation: $100 per hour

• No-Show/Late Cancellation: $65 (not billable to insurance)

• Returned Check: $30

• Late Payment: The maximum finance charge permitted by law after 30 days

• Court Services: Preparation and appearances billed separately

• Aetna

• Blue Cross Blue Shield

  • North Dakota Plans

  • Out-of-State plans with PPO listed)

  • Federal BCBS plans

  • ND BCBS Medicaid Expansion (Individual Counseling Only)

• Health Partners

• Humana

• Medica

• Medicare (*First session must be in person)

• North Dakota Medicaid

• Sanford Health Plan (*Sanford True not included)

• United Healthcare

• Does my plan include mental health services?

• Do I have a copayment or coinsurance?  If so, what is the amount?

• Do I have a deductible?  If so, have I met the annual requirement?

• Are CPT codes 90837, 90834, 90847, 90791, and 96127 covered?

• Are written referrals from a primary care physician required to cover services?

• Insurance: Verify your mental health benefits with your insurer before your first session.

• Co-pays/deductibles: Due at the time of service / each session.

• How to pay: Stripe, e-transfer using debit card, credit card, cash, or personal check

• Card on file: Charged at the end of service, unless you arrange another method; update via the client portal or by telling your therapist.

• Invoices/receipts: Invoice sent after session; receipt issued on payment—please keep for insurance/tax claims.

• Cancellation: If you are unable to attend a session, please cancel at least 24 hours before the scheduled start time. Otherwise, you will be charged $65 for the missed session. This fee also applies to any no-show appointments.

• Inclement Weather: In the event of inclement weather that occurs within the 24-hour notice period, if an in-person appointment cannot be made by either you or your clinician, your appointment will be switched to telehealth instead.

Your privacy matters. We safeguard your PHI in accordance with HIPAA and professional ethics, collecting only what’s necessary for care, scheduling, and billing. We don’t share PHI without your written authorization, except when required or permitted by law (e.g., risk of harm, abuse reporting, court orders, payment/operations).

• Diagnosing: Insurance often requires a mental health diagnosis for coverage, even if a client doesn't meet the criteria. It's unethical to provide an inaccurate diagnosis, which can create a barrier to necessary counseling services.

• Confidentiality: Your records are much less private. Whenever a diagnosis is made, it must be sent to your insurance company for reimbursement purposes. Your insurance company can audit your records at any time and view this diagnosis. A claims specialist can receive details of your case that you may not want to be shared.

• Treatment Timeline: Insurance can limit mental health treatment duration, often cutting it short before healing is complete. Opting out of insurance allows for continued, clinically appropriate treatment and provides flexibility in therapy delivery, including coverage for calls and online sessions.