RATES & INVESTMENT
Rates & Investment
Clear, transparent information about session fees, private-pay therapy, out-of-network reimbursement, and payment options.
INDIVIDUAL THERAPY
$
195
per 55 minute session
This fee reflects the time, preparation, and clinical attention that each session receives. That includes the work I do before and after the hour itself.
A private-pay practice, by design.
If your plan includes out-of-network benefits, you may be reimbursed for a significant portion of each session. I make that process simple. Check your benefits below.
Every new client begins with a free 15-minute phone consultation.
It is a chance to ask questions and get a sense of how I work before making any commitment.
OUT-OF-NETWORK BENEFITS
See what your plan may cover in about one minute
Many PPO plans reimburse a meaningful portion of out-of-network therapy. Before you make any decision based on cost, take a minute to see what a session would actually cost you.
— Instant and personalized, based on your specific plan
— Free to use, with no obligation
— No paperwork. Claims can be handled entirely for you.
Check Your Insurance Benefits
Enter your insurance details for a personalized estimate of your out-of-network benefits. It takes about a minute and there is no obligation.
Secure benefits check provided in partnership with Thrizer, an out-of-network billing platform used by private-pay therapy practices.
Prefer a direct link? Check your benefits anytime at eligibility.thrizer.com/drmakadia
HMO plans, Medicare, and Medicaid generally do not include out-of-network benefits.
WHY PRIVATE PAY
What private pay makes possible
Practicing outside insurance networks is an intentional choice. It protects the depth, privacy, and flexibility of our work together.
Guided by clinical need
Treatment decisions are made in the room, between us. They are never reviewed, second-guessed, or limited by a third party.
No arbitrary session limits
The length, pace, and depth of therapy are determined by the work itself, not by what a plan will authorize.
Greater privacy
A diagnosis is never required to work with me. One only enters the picture if you choose to seek reimbursement through your insurance.
Undivided attention
I keep my practice deliberately small so that each person's work receives the time and thought it deserves, in session and between sessions.
THE PROCESS
How Reimbursement Works
If your plan includes out-of-network benefits, using them is simpler than most people expect.
1
ATTEND YOUR SESSION
Payment is due at the time of service by debit or credit card, HSA/FSA, or Zelle.
2
CHOOSE HOW TO HANDLE THE CLAIM
If you would like, my partnership with Thrizer submits your out-of-network claim automatically. No forms and no phone calls with your insurer. If you prefer to keep things direct, I provide a monthly superbill that you can submit yourself.
3
YOUR PLAN REIMBURSES YOU
Many plans return a substantial portion of the session fee. Depending on your plan, you may even be able to pay only your estimated share up front.
One thing to know: Any out-of-network claim, whether through Thrizer or a superbill, includes a diagnosis and billing codes. Insurers require them for reimbursement. We will discuss this together before anything is submitted, so nothing about the process comes as a surprise.
Prefer to verify coverage directly? Ask your plan about out-of-network mental health benefits, your out-of-network deductible, and reimbursement rates for CPT codes 90791 and 90837.
LOGISTICS
Payment
Payment is due at the time of service.
A note on access
A limited number of reduced-fee openings may be available when cost is a genuine barrier and out-of-network reimbursement is not an option. These arrangements are made directly between us, without insurance involved. If this applies to you, raise it during our consultation. I am glad to have that conversation.