Fees & Insurance
Medical Insurance Info
All of Avanti’s clinicians are in-network providers for Premera Blue Cross & Aetna.
Dr. Bob Smith, Dr. Steph Regus and Dr. Cheryl D’Ettorre are in-network providers for Regence.
Dr. Bob Smith and Dr. Steph Regus are in-network providers for Cigna.
If you have a BlueCross BlueShield or Anthem plan, you may be in our network through Premera Blue Cross but we will have to verify your eligibility. Please send a photo of your insurance card to admin@avantinw.com so we can verify. Please also consult your benefits representative to see if you are in network with Avanti Psychological Services.
In order to use your insurance for services, one of the payers listed above must be your PRIMARY insurance. If it is not, we cannot accept your insurance at this time. If you are not sure of this, please check with your insurance about your Coordination of Benefits.
If Premera, Aetna, Regence or Cigna is the only insurance you have and it is your secondary insurance, Avanti cannot accept it at this time.
Avanti is an out-of-network provider with other insurance companies. This means that full payment is made to Avanti at the time of service and then the client submits a superbill provided by Avanti to their insurance company for reimbursement. Please check with your Benefits Representative for your specific out-of-network benefits (Avanti cannot guarantee that the client will be reimbursed).
“In-network” does not guarantee payment from your insurance. A deductible is the amount that you are liable for before your insurance plan begins paying. Insurance plans can vary greatly, so it is your responsibility to know your deductible and coverage. Please ask the following questions of your insurance company before scheduling so that you are properly informed:
Does my insurance plan cover therapy service codes 90791 & 90837?
What is my deductible and has it been met?
What is my co-pay or coinsurance per visit?
Do I have out-of-network benefits?
Fee Schedule
We offer a free initial 30-minute consultation(typically over the phone).
Individual or family (couples) for a 50-minute session is $180.
Individual or family (couples) for a 90-minute session is $220.
Initial intake session is $220. Our first meeting is an extended session so that a comprehensive evaluation can include your history, significant life experiences, and a clear picture of your current issues. This information will help us devise a plan to address your therapeutic needs and determine what schedule will best support your goals.
Group Therapy is $50 per session.
Support groups and classes are $50 per session.
Prices for all services are subject to change without notice, and current clients will be given a 30 day notification of any pending fee increases prior to them taking effect.
Assessments
For our comprehensive evaluations, we bill $375 for the initial intake session and then $250 per hour for each additional hour. Our evaluations can take a total of 15 to 20 hours, although there are situations in which it may take less or more time.
Insurance companies typically do not cover educational or academic testing as they are not considered to be a “medically necessary” service. We charge a flat rate of $600 when families wish to include academic or giftedness testing as part of the evaluation. This includes the administration and scoring of the tests and report writing. Families who are interested in exploring possible learning disorders (e.g., dyslexia, math disorder, writing challenges, etc.) or want to learn about their child’s academic strengths and challenges will need to include academic testing in their evaluation. Our psychologists can also provide additional guidance and recommendations about academic testing during the initial parent appointment for families who are unsure about whether their child may need academic testing included.
Your insurance may or may not cover some or all of your assessment. Please reach out to your insurance to check your in-network benefits, out-of-network benefits, coverage, and limitations for psychological and neuropsychological testing. For clients paying out-of-network, we also provide superbills to clients who wish to submit it to their insurance companies for possible reimbursement.
We commonly bill the following codes for evaluations:
Initial Intake Appointment (CPT code 90791)
Testing Appointment (CPT code 96136 for the first 30 minutes and 96137 for each additional 30 minutes)
Neuropsychological Testing Services (CPT code 96132 for the first hour and 96133 for each additional hour)
Psychological Testing Services (CPT code 96130 for the first hour and 96131 for each additional hour)
Special Notes:
We don’t do custody assessments or assessments for children whose parents are currently undergoing divorce proceedings.
We don’t do assessments for children younger than 5 and adults over 40 years of age.
Our Billing Process
For your convenience and to streamline the process, we require a credit card on file for all services. Since your weekly fees are predictable, we handle the processing of your copays and deductibles. If you're paying out of pocket, we will charge your card at the time of service or usually within a few days. If you're using insurance, we may wait for your insurance to process the claims before charging your copays or deductibles to your card. Rest assured, our system is secure and fully HIPAA compliant.
For more details about our fees, please refer to the "Good Faith Estimate" available on our consent form. Additionally, if you’re using insurance, we recommend checking your deductible and copay/coinsurance amounts for mental health services so you know what to expect.
Cancellation Policy
A minimum of 24 hours notice is required to cancel or postpone an appointment. Full payment is required for late cancellations or no-shows.
Due to the time commitment made to you, we ask that you provide 24 hours notice if you need to cancel your appointment or reschedule to avoid charges for missed sessions. Voicemail, email and text can be utilized 24 hours a day in the event that an appointment needs to be rescheduled.