Rates and Fees

To support you in making informed decisions about your care, this page provides clear and transparent information about private pay services.

Rates by Service

Wolf Therapy and Consulting, LLC is a private pay practice, and therefore out-of-network with all insurance companies.

  • Shir Wolf, LCSW-C is not in-network with any managed care companies, which means that Wolf Therapy and Consulting, LLC does not accept insurance directly.

    Instead of billing insurance, clients pay WTC directly at the time of service. If your insurance plan includes out-of-network benefits, you may be eligible for partial reimbursement by submitting a Superbill (a detailed receipt for services). Superbills are happily provided upon request.

  • The decision to be out-of-network is intentional, made in an effort to provide flexible, high-quality care while protecting client privacy, and influenced by a variety of factors, including:

    Managed care companies require clients to be diagnosed with a mental health condition at the very first session in order to use their in-network benefits. This diagnosis then becomes a part of your permanent medical record.

    Insurance companies often dictate treatment, sometimes limiting the number of sessions or the types of therapy covered.

    Insurance often requires sharing session details, notes, and/or treatment plans to authorize coverage, which can compromise confidentiality.

Checking Your Benefits

  • While some details may be available in your plan’s documents, speaking directly with your insurance company often provides the clearest and most accurate information.

    Call your insurance provider and ask the representative directly:

  • “Do I have out-of-network benefits for mental health treatment?”

    If you do have out-of-network benefits, these questions may help to get more specific information about reimbursement. Be sure to ask questions related to the numbers below, referred to as CPT Codes. 

    - What is my out-of-network deductible for mental health care, and how much have I met so far this year?

    - What is my reimbursement rate for: 

    - 90791 (Initial Intake Session)

    - 90834 (Individual Therapy, 50 minutes)

    - 90846 (Family Therapy without Client Present)

    - 90853 (Group Therapy)?

    - Is there an “allowed charge” or “maximum benefit” for out-of-network services? If so, what?

    - Are there limits on the number of sessions reimbursed per year? If so, what are the limits? 

    - Are telehealth services reimbursed at the same rate as in-person sessions?

    - Do I need prior authorization or a referral to use these benefits?

    - What is the deadline for submitting claims for reimbursement?

    - Is there any additional documentation required beyond the Superbill?

Practice Policies