Individual Psychotherapy

  • Initial Diagnostic Evaluation (CPT Code: 90791): $250; $260 for Dr. Amanda Skowron Romano & Dr. Raquel Grigera as of 7/1/24
  • Standard Follow-Up Sessions - 45 minutes (CPT Code: 90834): $225; $235 as of 7/1/24

*Telehealth appointment CPT codes will have an added "-95" modifer. For instance, a telehealth Initital Diagnositc Evaluation CPT Code would be 90791-95. This applies for all CPT codes as well.

Nutrition Counseling

  • Initial Evaluation (CPT Code: 97802): $250
  • Follow-up Sessions (CPT Code: 97803): $215; $225 as of 7/1/24

Couples Counseling, Family Therapy & Family Based Treatment for Eating Disorders

  • Initial Evaluation with Psychologist (CPT Code: 90847): $250; $260 for Dr. Amanda Skowron Romano & Dr. Raquel Grigera as of 7/1/24
  • Follow-up Sessions with Psychologist (CPT Code: 90847): $250; $260 for Dr. Raquel Grigera as of 7/1/24
  • Nutrition Counseling with Families and Family Based Treatment for Eating Disorders with a Psychologist (CPT Code: 97803): $250; $260 for Dr. Raquel Grigera as of 7/1/24
Please note that all couples and family therapy sessions are 60 minutes with the exception of Dr. Amanda Skworon Romano who conducts 50 minute couples therapy sessions.

Counseling for Family & Loved Ones Looking To Support Someone Struggling with an Eating Disorder

  • Initial Diagnostic Evaluation (CPT Code: 90791): $250
  • Standard Follow-Up Sessions - 45 minutes (CPT Code: 90834): $225; $235 as of 7/1/24
  • Diagnosis Code Typically Used: Z71.0

Weight Loss Surgery Evaluations

  • Psychological Evaluation, Testing, Interpretation, Reporting and Feedback Session $715

Gender Affirming Treatment Evaluations

  • $300 for the initial 60-minute evaluation and two letters sent directly to providers
  • $15 for each additional letter
  • $225 per each 45 minute follow-up session; $235 as of 7/1/24

Telephone Assessment & Management; Completing Forms & Writing Letters on Behalf of Patients

  • 11-20 minutes: $125; $135 as of 7/1/24
  • 21-30 minutes: $175; $185 as of 7/1/24
  • 31-60 minutes: $225; $235 as of 7/1/24

Yearly Rate Increase Notice

Please note that once a year around July 1st, we typically raise rates by $10.



Payment for the full session is expected at the time of the appointment. Cash and checks are preferred, but we do accept HSA credit and debit cards along with other major credit cards as forms of payment.

Cancellation Policy

Cancellation Policy

If you are unable to attend a session, please make sure you cancel at least 24 hours beforehand. Otherwise, you may be charged for the full rate of the session.



We are not directly contracted with any insurance companies. Depending on your current health insurance provider or employee benefit plan, it is possible that you may be reimbursed for therapy services in full or in part. After each session, you’ll be provided with a statement for insurance reimbursement. If you have out-of-network benefits, your insurance company may reimburse you directly for whatever amount they agree to pay after you meet your deductible.

If you have private health insurance make sure to file your claims using Reimbursify. All claims are free for our practice.

You can download Reimbursify App or use this link:

*Ask us to run your insurance information in our new verification of benefits tool so we can tell you what your out-of-network benefits are!*

Alternatively, here are some questions you can ask your insurance company to determine what your out-of-network benefits are:

How do I know what my benefits are?
How do I find out if I will get reimbursed?

We recommend having the following conversation with your insurance company:
“Hello, I’m planning to see a psychologist (or dietitian) who does not take my insurance. Would I be eligible for reimbursement for these sessions through any out-of-network benefits I might have with my plan?”

If yes, ask the following questions:
1. How much is my out-of-network deductible?
2. How much of that deductible have I already met?
3. After meeting my deductible, what percentage of my session fees will you pay if the fee is $225? If the fee is $250?
4. Where can I find the out-of-network claims form?
5. Where do I send the claim form when I complete it?

Using Your HSA Card

Using Your HSA Card

The answer is often, yes. However, you may want to double check with your HSA plan to see if they will cover these services. Please contact your insurance company to verify how your plan compensates you for psychotherapy services.