I realize that seeking services, particularly psychological assessment services, requires an investment in not only time, but money. I strive to be as up-front with costs as possible.

 Therapy or Consultation:

  • $100.00 per hour;
  • $75.00 per 45-min;
  • Urgent therapy scheduling: plan to add $50 to standard rate

Testing/Psychological Assessment (these are given as estimated costs for similar types of evaluations; your assessment will be customized as much as possible to your needs)

  • $150.00 for Medical Clearance Evaluations (any age) – Diagnostic interview and brief checklist (includes a short report with findings) – for bariatric surgery, pain stimulator trials, and/or other elective medical procedures that require psychological evaluation; may be done in person or virtually (not eligible for discount programs)
  • $550.00 for Brief Evaluation (any age) – 1-3 Diagnostic interview(s) and completion of 1-3 checklists (includes brief report with results, diagnosis, and recommendations); clinical judgment evaluation; this may include FAA Fast Track ADHD evaluations, adult autism assessment, adult ADHD assessment, or emotional symptom evaluation; may be done in person or virtually; (not eligible for discount programs)
  • $1,500.00 for Developmental evaluation for children under the age of 5/pre-kindergarten (includes interview, developmental report, diagnosis – if any, and recommendations to be kindergarten-ready); may also include specialized evaluation for concerns regarding ADHD, Autism, or other developmental concern.
  • $2,500.00 for Full Evaluation (age 5 & up) – Diagnostic interview, direct testing, checklists (includes interview, all testing, report, diagnosis – if any, and recommendations for offsetting or overcoming areas of weakness and treatment plan recommendations); *most common evaluation for concerns regarding ADHD, Autism, and Learning Disabilities for children.
  • $125.00 for school advocacy meetings (per meeting, regardless of length; not eligible for discount programs)
  • $550.00/hour for court or legal proceedings (not eligible for discount programs), including time in preparation, preparing paperwork, travel, and all associated costs.
  • Urgent testing scheduling: plan to add $250 to standard rate 

If we discuss that you need a specialized evaluation that does not naturally fall under one of the above options, we will custom design (and price) an evaluation that suits your needs.

*Rates are guaranteed once you’ve booked your service, but they are subject to change on occasional review.

You can possibly utilize Out-of-Network insurance benefits.

You can contact your insurance company and ask if you have out-of-network mental health coverage. If you need to provide a “CPT code” or “service code, you can provide the following codes:

  • 90791 – Psychiatric Diagnostic Evaluation
  • 90832 – Individual Therapy (30 minutes)
  • 90834 – Individual Therapy (45 minutes)
  • 90837 – Individual Therapy (60 minutes)
  • 96130 – Psychological Testing (1st hour)
  • 96131 – Psychological Testing (each subsequent hour)
  • 96136 – Psychological Administration (1st 30 minutes)
  • 96137 – Psychological Administration (each subsequent 30-minute units)

I can provide you with a “superbill” that outlines the work that I completed for the insurance company that will have all the information they need for you to submit. The insurance company may or may not reimburse you for some of the cost, and/or they may apply the costs to your deductible. *I am currently NOT able to provide a superbill for Medicare. You may also want to ask the insurance company:

  • If your plan includes out-of-network benefits
  • What your deductible is
  • What, if any, your co-insurance payment is
  • How many visits or hours you may get per year
  • If you need authorization for your visits
  • How to submit the superbill, once I provide that to you

You can apply for a sliding scale adjustment to your fee based on your/your family’s annual income.

The Sliding Fee Discount Program will be offered to all patients with annual incomes at or below 200 percent of the most current Federal Poverty Guidelines (FPG). Dignity and confidentiality will be respected for all who seek and/or are provided mental health care services.

You can request information and an application for sliding scale consideration to minimize the financial impact on your family. In order to complete the application, you must supply at least 2 forms of identification and proof of income (i.e., W-2) for all members of your household. The process of applying might be somewhat cumbersome, but it aligns with best practices for a sliding scale program and discount of up to 25% may be offered. This discount may NOT be combined with other discount options.

Sliding scale discounts are offered in good faith. If a patient verbally expresses an unwillingness to pay or vacates the premises without paying for services after an agreement is made, the patient will be contacted in writing regarding their payment obligations. If the client does not make effort to pay or fails to respond within 60 days, this constitutes refusal to pay. At this point in time, I can explore options not limited to, but including referring the client to collections.

Potential discount for paying the WHOLE cost of services prior to the start of assessment/treatment.

I reserve the right to offer a discount to individuals who pay for an assessment in full, anytime up until the first session begins.

For counseling/coaching individuals, this may mean paying for a pre-determined number of sessions. For example, after meeting the first time (called an “intake”), we may decide to work together for 6 sessions; each session costs a flat-rate fee. By paying in advance of those sessions, you may be eligible for a discount by paying for those in full prior to the first session.

For testing and assessment clients, this may mean paying for the assessment in full any time prior to the first testing session. This discount may NOT be combined with other discount options.

Why don’t you participate with insurance?

It’s a valid question. Using insurance often reduces cost for you, both in- and out-of-network, and I know that’s an important factor when seeking an evaluation. I have several reasons, however, for not participating with insurance. First, selfishly, it takes a great deal of extra time and energy for me to submit and appeal claims – time not spent on your case. Insurance also takes a long time to process, so that if you have a deductible or coinsurance, you’re often paying me months after the service is completed. Also, selfishly, insurance companies do not provide me a reimbursable rate that is nearly acceptable, given that it is such a technical and specialized service being provided. However, while the financial outlay may be more inconvenient to you, there are some additional reasons that not using insurance may benefit you ~

Insurance will want to dictate what testing can be done and will not reimburse certain types of testing

Insurance will often not cover educational or learning disability testing. This may include cognitive (IQ) testing, academic or learning assessments, or personality/behavior assessments. Often they will not cover testing for ADHD. The rationale is that this testing should be done by schools – but families often need external evaluations to make sure their children are receiving appropriate learning supports at school.  It’s chicken or the egg – insurance often won’t cover the testing needed to determine what the diagnosis might be.

Insurance companies also want evaluations to be “medically necessary” and require a diagnosis. You should know that if you or your child utilize insurance, any diagnosis I provide becomes a permanent part of your medical record. In some cases, this is good – because you get services associated with that diagnosis. But in other cases this can be a detriment – you may not want my findings to become a permanent part of your medical record – you have no control over he may sees your record, which can affect future insurance choices, school options, or future employment situations. With paying privately, you have much greater control over who knows about your diagnosis and when and how it is used. Even if you request a superbill (which I may be able to provide you, based on your insurance), you will find the work I complete may not entirely match the superbill because of the way insurance processes the scope of service (by hour, rather than by service).

Privacy and Choice

I’m also better able to protect your privacy. When you participate with insurance, psychologists try to minimize the amount of clinical information is released to insurance (just dates of service, codes, etc.), but psychologists can be audited at any time, meaning your (or your child’s) records must be made available to the insurance company and, quite possibly, various other “third party entities” (such as government agencies). With privately paying for your evaluation – with the exception of special cases (e.g., issuance of a court order, or in situations where someone’s life or safety is threatened) – I will never release your records without your written authorization. 

Often insurance companies want me to submit a pre-authorization, which states which tests I would want to give and how much time I believe it will take. Insurance companies have the authority to not approve testing that I think is necessary, which means the evaluation may not be as thorough as both you and I want it to be. Paying privately means you get to consent to what tests are administered, who you choose to be assessed by, and what to do with the results when you receive them.


When you utilize insurance benefits, sometimes you’ll have a copay, sometimes co-insurance, sometimes a deductible. While the psychologist has a standard hourly rate they may charge, the insurance will determine the allowable rate, and then will determine how much you will be responsible for. When all is said and done, you may be left with more questions than answers. Often we’re waiting on what the insurance company will say, and then it will drag out the payment process to long after the testing will be complete – an inconvenience for BOTH you and me.

My testing packages are a flat-rate fee, not an hourly rate. That means you pay the fee I quote you, whether testing takes 8 hours or 18 hours. There are no surprises, or possibilities of “extra” fees or “hidden” costs. Under the “No Surprises Act,” effective 1/1/2022, you will know what your fee is prior to the start of service, and that does not change without mutual understanding and a new agreement (find more information about No Surprises Act here: https://www.apaservices.org/practice/legal/managed/no-surprises-act).

Now providing Psychology Services to the Greater Myrtle Beach, SC area: Myrtle Beach, North Myrtle Beach, Carolina Forest, Conway, and region

 info@juliekeenpsyd.com for all inquiries



Copyright 2023 - Julie Keen, PSYD