Clinical Work
I work with individual clients (age 16+) in Oregon and Washington only (because we have state-specific licensure in the US).
I use Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), and Radically Open Dialectical Behavioral Therapy (RO). I’ll be trained in Supportive Parenting for Anxious Childhood Emotions (SPACE) by Spring, 2024. We LOVE acronyms, don’t we?
While I do have an office for some in-person appointments, most of my work is done online these days. If you strongly prefer in-person therapy, please let me know and I can find you someone with greater availability for that work.
Current Rates
Medically Necessary Therapy
Current Procedural Terminology (CPT) codes describe the type of visits therapists do, in codes insurers understand. Here are my rates per code with a brief description in layperson’s terms:
Diagnostic Intake Session (CPT 90791) - $250
60-Minute Therapy (90837) - $225
45-Minute Therapy (90834) - $175**
30-Minute Therapy (90832) - $125
Therapy For Crisis - First Hour (90839) - $250
Therapy for Crisis - Ea Additional 30 Min (90840) - $150
Other Individual-Client Services
We perform supportive counseling, small business coaching, career counseling, and other counseling services that do not meet the definition of “medically necessary.”
Those sessions can be delivered completely flexibly upon mutual agreement of counselor and client including via phone, text, email, video conference, or in-person. Please note that invoices for these services will not include CPT and ICD-10 codes necessary to seek insurance reimbursement.
All uncoded services will be billed at the rate of $225 per hour.
Corporate Services
Management consulting services are billed at the rate of $250 per hour. Please contact me for an individualized estimate.
** Insurance companies prefer 45 minute (38-53 min, specifically) sessions so we will do our best to utilize those sessions.
Paying for Therapy
I do the best I can, as a solo-practitioner, to help clients utilize their insurance benefits, flexible spending accounts, and EAPs to pay for medically necessary therapy. However, because I do all of my own billing and administration, I have to limit options to those below.
Insurance In Network
I am in-network for 2024 with Aetna and PacificSource commercial plans and with Lyra Health.
Insurance Out of Network
Out of network coverage can range from non-existent to excellent, depending on your plan. While I am happy to submit courtesy claims for you (for most insurers), I won’t be able to predict your costs. The information below is a rough guide to figuring those out before we meet. Only you and your insurance company can know for sure!
Predicting Your Costs
Call your insurer, write down the name of the representative, and ask these questions:
First, make sure that you know which company covers your mental health services. Is it your regular insurance company or has it subcontracted mental health services to another organization? For example, an employee may have medical insurance through Blue Cross and mental health coverage through Aetna.
Call and ask whether Katie Playfair or Playfair Consulting, LLC are considered in-network or out of network providers (Tax ID 46-3014896).
Review the following codes with them to find out if they cover 90791 (first visit), 90837 (60 minute visit), 90834 (45 minute visit) and ask how they will be paid if submitted by us.
Ask if there are any diagnoses they do not cover.
Inquire about visit limits per year.
Don't forget that plans change every year! You will need to repeat this exercise at the beginning of each plan year if you want to be certain about how your insurance will pay. If you aren't that concerned, we can submit claims and see how they process!
Insurance is complicated -