Private Pay Psychiatry in Seattle
We want you to feel confident about your investment in care. Here’s what to expect, and why we’re an out-of-network practice (we don’t currently work directly with any insurance plans).
How Private Pay Billing Works
01
Call Your Insurance First
Before your first visit, call your insurance and ask questions like: “Do I have out-of-network outpatient mental health benefits?" "Do you offer any reimbursement for out-of-network providers?" "What’s my annual deductible and out of pocket maximum?"
Common billing codes we use at Edwards Psychiatry include: 90792 (Psychiatric Evaluation), 99214 (Standard Follow-Up), 99215 (Extended Follow-Up), 96132 (First Hour of Psychological Testing), 96133 (Every Additional Hour of Psychological Testing), and 96146 (QbCheck Test).
02
Self-Pay at Your Visit
You pay your invoice directly to us at the time of your visit. We accept Zelle (our preferred method), Venmo, credit and debit cards, and HSA/FSA cards.
03
Receive Your Superbill
Within a week of your appointment, we’ll email you a superbill, an itemized receipt with everything your insurance needs.
04
Submit to Your Insurance
Submit the superbill to your insurance company yourself. Many have an online portal that makes uploading easy, but check with them for their preferred process.
05
Your Plan Decides
Depending on your plan, your insurance may reimburse part of the cost, apply the visit to your deductible, or not cover it.
Indirect Ways to Still Use Your Insurance
We know insurance is expensive, so we work with you to make the most of it. Even though we are not in-network with any insurance providers, you may still be able to use your insurance benefits.
Many of our patients use out-of-network coverage, apply visits toward their deductible, or pay with HSA/FSA funds.
We are experienced in coding according to insurance rules, and after each session, we will email you a detailed superbill (basically an itemized receipt).
Depending on your plan, using your superbill, you may receive partial or full reimbursement for services, or be able to apply the paid amount to your annual deductible.
Plus, to help get your prescriptions covered, we handle and submit all medication prior authorizations completely free of charge.
You May Have Out-of-Network Benefits
Although we don't bill insurance directly, try our HIPAA-compliant widget to see if you have out-of-network benefits!
Service Fees
Clear pricing, no surprises. Pay at your visit by Zelle (preferred), Venmo, credit or debit card, or HSA/FSA card.
Psychiatric Evaluation:
$550 for up to 60 minutes (in-person or virtual)
All of our services begin with an initial psychiatric evaluation (except ADHD coaching).
The psychiatric evaluation involves a thorough review of your medical and mental health history as well as getting to know each other. Together, we'll formulate a working diagnosis and create an individualized treatment plan which may or may not include medication or further testing.
Extended Psychiatric Evaluation:
$750 for up to 90 minutes (in-person or virtual)
For complex cases and presentations (including complex diagnostic profiles, treatment-resistant conditions, or comprehensive medication reviews) we recommend an Extended Psychiatric Evaluation.
ADHD Testing:
Conducted in 3 Parts ($1,075 Total)
$550 for Psychiatric Evaluation (virtual or in-person)
$250 for QbCheck test itself (virtual)
$275 for interpretation visit (in-person or virtual)
QbCheck ADHD testing is an objective, FDA-approved psychometric test available by provider referral for patients ages 6-60 years old. It helps diagnose ADHD as well as evaluate the efficacy of treatment.
Kindly note that an initial psychiatric evaluation must first be completed to establish care and determine if a referral for QbCheck testing is medically appropriate.
Autism Testing: (NEW)
Conducted in 3 Parts ($1,500 Total)
Psychiatric Evaluation: ($550)
Assessment Battery ($475): The cost of the digital assessments (administered via our secure partner, NovoPsych) as well as provider time spent analyzing the results and drafting your comprehensive report.
Feedback & Treatment Planning ($475): Your provider will share your results, provide clinical feedback, and collaborate with you on a personalized treatment plan.
Kindly note that an initial psychiatric evaluation must first be completed to establish care and determine if a referral for Autism testing is medically appropriate.
AuDHD Testing: (NEW)
Dual testing for both ADHD and Autism. Conducted in 4 Parts ($1,750 Total)
Psychiatric Evaluation: ($550)
QbCheck Testing ($250):
QbCheck ADHD testing is an objective, FDA-approved psychometric test available by provider referral for patients ages 6-60 years old. It helps diagnose ADHD as well as evaluate the efficacy of treatment.
Assessment Battery ($475): The cost of the digital assessments (administered via our secure partner, NovoPsych) as well as provider time spent analyzing the results and drafting your comprehensive report.
Feedback & Treatment Planning ($475): Your provider will share your results, provide clinical feedback, and collaborate with you on a personalized treatment plan.
Kindly note that an initial psychiatric evaluation must first be completed to establish care and determine if a referral for Autism testing is medically appropriate.
Medication Management:
$200 for 30 minutes (in-person or virtual)
$275 for 45 minutes (in-person or virtual)
Specialist prescribing focused on what works for your body and lifestyle, not one-size-fits-all approaches. We adjust and collaborate with you to find what actually helps.
(This fee also includes your provider's time spent preparing for your visit, documenting your care, and managing tasks like ordering medications.)
ADHD Coaching:
New Client Intake: $250 for individual clients, $325 for couples/families for 60 minutes (virtual)
Individual: $175 for 60 minutes (virtual)
Couples: $250 for 60 minutes (virtual)
Family: $250 for 60 minutes (virtual)
Group: $100 for 60 minutes (virtual)
We offer personalized ADHD coaching for individuals, groups, couples, and families. Build habits that actually stick, strengthen time management and organization skills, and feel more confident and in control of your day-to-day life.
Coaching services are provided through a partnership with an independent business and are not considered licensed mental health services. Because coaching is not classified as a licensed healthcare service, HSA/FSA funds cannot be used to pay for these sessions.
Genetic Testing Interpretation:
$275 for the interpretation visit with your provider (in-person or virutal)
This visit helps you understand your unique genetic makeup and get individualized medication recommendations, ending the guessing game of what might work for your body. The test itself is billed separately through Genomind.
For more information on the cost of the test itself, please visit: https://www.genomind.com/resources/cost-and-coverage
Forms/Letters:
Brief documentation: $75-$175
Complex documentation: Appointment required ($200-$275)
To allow adequate time for review and completion, requests must be submitted at least two weeks in advance.
Missed Appointments:
As many people struggle to find care, it is crucial to give us at least 48 hours' notice if you are unable to make your appointment so your slot can be given to someone else in need.
Missed appointments are $150.
Good Faith Estimate
Under federal law (the No Surprises Act), health care providers must give self-pay patients an estimate of expected charges. You have the right to receive a Good Faith Estimate explaining how much your care will cost before starting services.
Per your rights as a self-pay patient under the No Surprises Act, if your final financial responsibility exceeds our estimate by $400 or more, you have the right to dispute the charges.
Potential Costs
As part of your care, there may be costs from (optional) services or products recommended outside of Edwards Psychiatry such as genetic testing, lab testing, prescriptions, or supplements.
Prescriptions and Supplements
If you are completing saliva collection with Genomind, typical cost ranges from $0-$399 depending on insurance. Review their cost and coverage information here.
Lab Testing
Labs are available through Fullscript, Quest Diagnostics, and LabCorp. All labs are self-pay, and you’ll see a cost estimate in advance. You’re also welcome to complete them elsewhere if you prefer.
Testimonials
*Feedback summarized from public reviews to protect privacy in compliance with HIPAA guidelines.
Why Edwards Psychiatry Chose Private Pay
Choosing a private pay model allows us to focus entirely on you instead of restrictive insurance requirements and administrative red tape. We can spend additional time in appointments, adjust your care quickly as needed, and remain responsive and available in between visits.
Here is how private-pay directly benefits you:
- Fast, Direct Communication: Get quick responses and support from our team between visits without jumping through bureaucratic hoops.
- No Rushed Appointments: Need more time for a complex concern? No problem.
- Customized Care: We adjust your treatment based on what you need (not what an insurance algorithm says you need).
- Enhanced Privacy: Because insurance isn't footing the bill, they don't get access to your health information.
- No Surprise Bills: Clear, upfront pricing means no unexpected claim denials, sudden co-pays, or retroactive charges months down the road.
By staying small and independent, we can remain deeply committed to what we do best: providing comprehensive care for ADHD, anxiety, and depression, with a grounded, nuanced understanding of BIPOC, LGBTQ+, and neurodiverse experiences.
FAQs About Billing
Why don't you take insurance directly?
Being private-pay allows us to spend more time with you, keep your information truly private, and focus on what you need (not what insurance companies approve).
What billing codes do you use?
Common billing codes we use at Edwards Psychiatry include: 90792 (Psychiatric Evaluation), 99214 (Standard Follow-Up), 99215 (Extended Follow-Up), 96132 (First Hour of Psychological Testing), 96133 (Every Additional Hour of Psychological Testing), and 96146 (QbCheck Test).
What is a superbill?
A superbill is a detailed receipt with medical diagnostic and procedure codes that you submit to your insurance for potential reimbursement.
How much will insurance reimburse me?
Depends on your plan. Most out-of-network plans reimburse 50-80% of their "allowed amount" after you meet your deductible.
Call your insurance and ask:
"Do I have out-of-network mental health benefits?"
"What's my deductible and have I met it?"
What's the difference between the psychiatric evaluation and ADHD testing?
The psychiatric evaluation is where we explore more broadly your medical and mental health background. We need to establish care and also want to be sure we're not missing anything prior to referring to testing.
QbCheck ADHD testing gives us objective, performance-based information to help clarify what diagnosis(es) you may qualify for.
What payment methods do you accept?
Zelle (preferred, no fees)
Venmo
Credit/debit cards
HSA/FSA cards
