Understanding Your Estimation of Benefits

Each amount below is the fee we bill health insurance and families that make over $250,000 a year. 

Diagnostic Intake Session (may be required to be repeated annually or every 3-5 years by the state of MN or health insurance plan) (the appointment is up to an hour or more and the paperwork completed by the therapist can take up to 2 hours.) $300

60 Minute Session=$250

45 Minute Session=$200

30 Minute Session=$150

Family Therapy (30-60 minutes)=$200

Family Therapy without client present (30-60 minutes)=$200

• Understanding Your Estimation of Benefits (EOB)

Rates for Non-Medicare/Medicaid/Medical Assistance Plans

• Our Rates for BCBS in 2024
• Our Rates for UHC/Optum/UMR plans in 2024
• Our Rates for Health Partners/Cigna Plans in 2024

Rates for Medicaid/Medical Assistance/MN Health Care Programs 2024

Rates for Medicare 2024

After health insurance processes claims an EOB is sent to the patient and us, the provider. EOB's list line items of importance and may look similar to the below line items:

• Fee for service by provider (this is the fee we invoice the health insurance) 
• Insurance Contractual Obligation (CO)/discount the insurance requires the provider to discount for the service.
• Patient Responsibility (PR) (Code 1=Deductible) (Code 2=Copay) (Code 3=Coinsurance%) $98 (this amount may include the $1.76 that the provider pays to the state of MN for MN Provider Tax)

Line Item example

Fee we charge for a 45 minute session $200

CO -$102

PR 1 $98

This means that we invoiced the insurance $200 and they discounted our service by $102 and the patient responsibility is $98 for a deductible. Your invoice from us would be $98 if you have not met your deductible for the year. The total we would be paid would be $98 from you and $0 from insurance.

Another example may be

Fee we charge $200

CO $102

PR 1 $78

PR 2 $20

This means that the patient has $78 left toward deductible, which they owe the provider for care and then the patient still owes the provider the $20 copay for the care received. So you as the patient would pay our office $98 and your insurance would pay $0.