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Rates & Payment

Therapy Sessions

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Session Type                             Duration                                Rate

Individual Therapy In Clinic         60 minutes                           $235

                                               45 minutes                           $200

                                               30 minutes                           $150

In home/community                   60 minutes                           $300

Social Group (2)                       60 minutes                           $210

Social Group (3+)                     60 minutes                           $180

(For optimal progress, 30-minute sessions are scheduled twice per week.)

Evaluations

 

Assessment Type                             Description                                Rate

Baseline Evaluation  

A brief assessment for ongoing therapy and to establish goals. 

Double the therapy rate for up to 2 sessions

Comprehensive Evaluation

A full assessment including standardized testing, analysis, and detailed report with recommendations (this is often recommended if you've never had a speech and language evaluation before. 

$1200

Independent Educational Evaluation (IEE)

IEEs include a full standardized assessment, school observation, parent and teacher interviews, a detailed report with analysis and recommendations, and participation in the IEP meetings.

~$3000

IEEs are funded by the school district when requested by parents.

Insurance & Reimbursement

I am an out-of-network provider, which means I do not bill insurance directly. However, I provide a superbill (an itemized receipt) that you can submit to your insurance company for potential reimbursement.

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To find out if your plan offers reimbursement for speech therapy, contact your insurance company and ask the following questions:

Questions to Ask Your Insurance Company:

  1. ​​Does my plan include out-of-network coverage for speech therapy?

  2. Do I need a physician’s referral or prior authorization?

  3. What percentage of the session fee is reimbursed?

  4. Are there any limitations or exclusions (e.g., age, diagnosis, setting)?

  5. What is the process for submitting a superbill for reimbursement?

Insurance Codes (for reference)

You can share these codes with your insurance company when inquiring about coverage:

CPT Codes (Procedure Codes)

These describe the type of service provided:

 Code                                                     Description

92507                          

Individual speech therapy treatment sessions

92523

Evaluation of language, comprehension, expression and speech sounds 

92522

Evaluation of speech sounds

92521

Evaluation of speech fluency (e.g., stuttering, cluttering)

92508

Group therapy: two or more individuals

Diagnosis Codes (ICD-10 Codes)

The diagnosis codes describe the reason for therapy or evaluation. 

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These are common diagnoses used for insurance billing and documentation. Your child does not need to have a diagnosis before starting therapy. If therapy is recommended, we will discuss appropriate diagnosis with you if needed. 

 Code              Description                                                 What this means

F80.0

Articulation Disorder

Difficuly pronouncing speech sounds clearly

F80.1

Expressive Language Disorder

Difficulty using words, sentences, or grammar to communicate 

F80.2

Mixed receptive-expressive language disorder

Difficulty understanding and expressing language 

F80.82

Social Communication Disorder

Difficulty understanding and using language appropriately in social situations

F84.0

Autism

Should have this diagnosis from a developmental pediatrician or psychologist

R48.8

Other Symbolic Dysfunction 

Often used a long side for speech therapy treatment

R48.2

Apraxia

Difficulty planning and coordinating speech movements

F81.0

Specific reading disorder

Difficulty with reading skills such as decoding, comprehension, dyslexia. 

F81.81

Childhood onset fluency disorder

Stuttering that begins in childhood

F98.5

Adult onset fluency disorder

Stuttering that begins later in life

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