Insurance & Fees
Fees & Insurance
Clear pricing, no surprises. Use your insurance, or pay a set self-pay rate. Cost should never be a barrier to care.
Check your plan
See if your insurance is on our list below. Call your insurer to confirm your mental health benefits.
Review fees with us
We go over every fee with you before your first session. Self-pay clients get a Good Faith Estimate.
Pay at your session
Pay your copay or self-pay rate at each visit. Cards, HSA/FSA, and cash accepted.
Insurance We Accept
We bill your insurer directly. You pay only your copay, coinsurance, or deductible.
NC Medicaid includes Medicaid health plans such as Healthy Blue, UHC Community Plan, and Carolina Complete Health.
Out of network? We can give you a superbill to send to your insurer yourself.
Two clinician levels, same standard of care. Sessions are provided by fully licensed clinicians (LCMHC, LCSW, LMFT) and by provisionally licensed clinicians (associate or resident therapists) who practice under active licensed supervision. Your clinician's level sets your self-pay rate. Supervised sessions meet the same standard of care (21 NCAC 53 .0204; NC GS § 90-332).
Intake Assessment
Using insurance? You pay your plan's copay, coinsurance, or deductible.
LCMHC, LCSW, or LMFT
Insurance accepted · you pay your copay
Supervised associate or resident therapist
Insurance accepted · you pay your copay
Counseling Session
Using insurance? You pay your plan's copay, coinsurance, or deductible.
LCMHC, LCSW, or LMFT
Insurance accepted · you pay your copay
Supervised associate or resident therapist
Insurance accepted · you pay your copay
Using Insurance for Couples Counseling
Insurance pays for treatment of a health condition, not the relationship itself. To bill your insurance, all of these must be true:
- 1One partner is the "identified client." That partner's insurance is billed, and their copay, coinsurance, or deductible applies.
- 2The identified client has a diagnosed mental health condition. The diagnosis becomes part of their insurance record.
- 3Sessions must be medically necessary. The focus is treating that diagnosis, with the partner taking part to support care.
- 4The plan must cover couples/family therapy. Ask your insurer if it covers family psychotherapy with the client present (CPT 90847).
Insurance does not cover couples work focused only on relationship goals, like communication, conflict, or premarital counseling. Those sessions are self-pay.
Not sure which applies to you? We'll talk it through at your intake. You can also choose self-pay to keep sessions off your insurance record.
Initial Couples / Joint Intake
Insurance is accepted only with a provisionally licensed clinician. Fully licensed couples sessions are self-pay.
LCMHC, LCSW, or LMFT
Insurance not accepted · self-pay only
Supervised associate or resident therapist
Insurance accepted · you pay your copay
Couples / Joint Session
Insurance is accepted only with a provisionally licensed clinician. Fully licensed couples sessions are self-pay.
LCMHC, LCSW, or LMFT
Insurance not accepted · self-pay only
Supervised associate or resident therapist
Insurance accepted · you pay your copay
Self-pay rates apply only if you are uninsured or choose not to use insurance. Rates are subject to change.
| Service | Fully Licensed | Provisionally Licensed |
|---|---|---|
| Intake Assessment (60 min) | $215 | $180 |
| Counseling Session (50 min) | $170 | $145 |
| Couples / Joint Intake (50 min) | $215 self-pay only | $190 |
| Couples / Joint Session (50 min) | $170 self-pay only | $160 |
For All Clients
- 1Cancel or reschedule in the client portal only. We can't accept cancellations by phone, text, or email.
- 2Bad weather? About 60 minutes before an in-person visit, we'll email you if your session is moving to telehealth.
Insurance & Self-Pay Clients
- ⏳Give 24 hours' notice. If the cancel button is gone in the portal, the 24-hour window has passed and the full session fee is charged.
- ✕Late cancellations and no-shows are charged the full session fee. No-shows are charged to your card on file 15 minutes after start time. Insurance can't be billed for these fees.
- !Repeated missed sessions may pause your scheduling until any balance is paid.
NC Medicaid Clients
A missed session holds a time slot another client could use. A missed session means a no-show or a cancellation with less than 24 hours' notice. Here's what happens:
This policy is applied the same way to every client it covers, consistent with the ACA Code of Ethics (A.11.c) and 21 NCAC 53 .0204.
- 💳Payment is due at each session. We accept major credit/debit cards, HSA/FSA cards, and cash. Fees are non-refundable, except for insurance credits shown on your EOB.
- 🤝Limited sliding-scale slots. Facing financial hardship? Ask our office about reduced rates. Cost should never be a barrier to care.
- 🧾Insurance takes time. Claims can take 30+ days. If your EOB shows you overpaid, we refund you once we receive it. You're only billed up to your plan's allowed amount.
Your right to a Good Faith Estimate. Under the federal No Surprises Act, if you are uninsured or not using insurance, you'll receive a Good Faith Estimate of expected costs before services begin. If your bill is $400 or more above the estimate, you can dispute it. Learn more at cms.gov/nosurprises or call 1-800-MEDICARE.
National Domestic Violence Hotline: 1-800-799-SAFE (7233) or text START to 88788 · RAINN Sexual Assault Hotline: 1-800-656-4673 · Veterans Crisis Line: dial 988, then press 1
- MMonday – Thursday: 9:00 am – 7:00 pm
- SSaturday: 12:00 pm – 6:30 pm
- ✕Friday & Sunday: Closed
Questions about cost?
We're happy to walk through your options.
Call (984) 251-1478 · Text (919) 995-8995 · Fax 984-202-2089
info@180evolution.com
901 Paverstone Drive, Ste. B (West Entrance, 2nd Floor), Raleigh, NC 27615-4708
