I am an out-of-network provider, which means I cannot bill insurance companies directly. However, many PPO plans reimburse families for some or all of the costs associated with psychological evaluations. In some cases, HMO plans may offer a “one-time exception” or “single-case agreement” if there are long wait times for in-network providers. You are encouraged to contact your insurance company in advance to ask about your plan’s out-of-network benefits, including whether preauthorization is required, what percentage of services are reimbursed, and what your deductible or co-payments may be.
Payment is due on the day of service, typically the first day of testing. Because each evaluation is customized based on the individual’s needs, the total cost may vary. We are happy to speak with you before scheduling to discuss your child’s needs and provide a more accurate cost estimate. Partial or focused testing (such as WISC-V administration or a reading assessment) is available and billed on a pro-rated basis. Each family receives a detailed, itemized invoice (Superbill) that can be submitted to your insurance company for potential reimbursement. Fees are adjusted annually on January 1 to reflect changes in the cost of living.
Comprehensive evaluations include an Intake, Evaluation (cognitive, academic, and general psychological), Collateral Contact (e.g., teachers, doctors, therapists), and Report. A parent feedback session is included in reviewing results and recommendations, and (if appropriate) a separate child feedback session. Typically, each evaluation consists of up to 2 days of testing.
Each report is tailored to the individual and includes a clear summary of findings, detailed test results, relevant observations, and actionable recommendations. Reports are written with multiple audiences in mind—parents, educators, therapists, and standardized testing boards—and are formatted to meet documentation standards for IEP meetings and testing accommodations.
If you’re using insurance, the following information may be helpful when calling your provider:
Provider Name: Dr. Laura R. Tishey
NPI Number: 1598845943
Common CPT Codes:
90791 – Intake (1–2 hours)
96130 / 96131 – Testing (approximately 8 hours)
96136 / 96137 – Test scoring and report writing (approximately 14 hours)
96130 / 96131 – Feedback session (1–2 hours)
We recommend asking whether preauthorization is required, what percentage of each code is covered, and what your plan’s allowable amount is for reimbursement. I will be able to complete the paperwork needed if required.
Upon request, I am available to attend IEP Meetings. This is typically an additional cost beyond the evaluation.