Coverage, Rates & Getting Started!
We believe in accessible care. Whether you prefer the convenience of insurance or the privacy and flexibility of self-paying, we have a path for you.
Use Your Insurance
Most health insurance companies WILL pay for nutrition counseling, covering both preventative care and disease management.
95% of patients pay $0 out of pocket to see us!
While insurance benefits vary by policy, we are happy to verify your coverage as a courtesy. However, since your benefits are ultimately a private agreement between you and your carrier, we strongly recommend confirming your details independently. To ensure you have full clarity on your coverage before we meet, please follow the steps below.
How to Confirm Your Coverage
Start by calling the 800 number on the back of your insurance card and ask to speak with a representative. Ask them the questions below!
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If the insurance company asks for a CPT code please provide them with the following codes 97802 & 97803. If they say you do not have coverage using those codes NEXT ask them to check your coverage for the following CPT codes: 99401, 99402, 99403 and 99404.
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If the representative asks for a diagnosis code (aka ICD 10 code) – please tell them the visit is coded the ICD 10 code: Z71.3
If they don’t accept Z71.3 then provide them with Z72.4 and see if they will cover that diagnosis instead on your plan.
If you are overweight, obese, have pre-diabetes, diabetes, hypertension, or high cholesterol you may want to see what your coverage is for these diagnoses as well.
We always code your visit using preventative coding (if applicable) to maximize the number of visits you receive from your insurance carrier. However, if you ONLY have a medical diagnosis (for example: IBS, and you are not overweight or have CVD risk factors) your insurance may impose a cost-share for your visit either in the form of a deductible, co-pay or co-insurance.
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Your carrier will let you know how many visits they are willing to cover under your plan. Depending on the carrier the number of visits vary from 0 to unlimited depending on medical need.
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A cost-share is the amount you will need to pay as required by your particular insurance plan towards your services. A cost-share can be in the form of a deductible, co-pay, or co-insurance.
We will always bill under your insurance policy’s plan, utilizing your preventative benefits, if your plan allows. With that being said, if you have preventive benefits, there is often no cost share associated with the visit. Once again, this is something YOU do want to ask before your visit.
If you have a cost-share, we will initially bill your insurance company directly. Once we receive the EOB describing your responsibility as the patient, we will bill the credit card on file for the amount noted under patient responsibility.
For most insurance companies, dietitians are considered a specialist. Therefore, your specialist co-pay may apply.
We generally wait for the claim to be processed to determine whether you have a co-pay, and then charge the credit card on file with us the co-pay amount.
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Most insurances are still covering for telehealth services. However, it is possible your insurance plan may impose a cost-share for you to use this service. Please confirm your telehealth coverage PRIOR to scheduling your telehealth visit.
What happens if my plan doesn’t cover nutrition counseling?
In the event, your specific plan does not cover nutrition counseling or we are out of network with your plan, you can still work with us!
We accept HSA/FSA and self-pay options with all major credit cards.
Initial visits (60-minutes) are $180.00 and each follow-up visit (30-minutes) is $80.00.
Self Pay Options
Why you might choose the self-pay path.
While we are proud to be in-network with several major carriers, to keep care accessible many clients find that paying out-of-pocket better aligns with their specific goals and timeline.
Here are a few reasons you might consider this option:
Immediate Calendar Access: Skip the 24–48 hour insurance verification window. Self-pay clients can access our booking calendar and secure their initial consultation date the moment they finish their inquiry.
Out-of-Network Flexibility: If we are not in-network with your specific plan, you can still work with us! We can provide you with a Superbill (a specialized receipt) that you can submit to your insurance company for potential reimbursement. More on superbills below.
HSA/FSA Eligible: You can often use your Health Savings Account or Flexible Spending Account to pay for your sessions, allowing you to use pre-tax dollars for your nutrition journey.
Superbill FAQs
Understanding Superbills & Reimbursement
If we are out-of-network for your plan, you can still access our services using your out-of-network (OON) benefits. Here is how that works:
What is a Superbill?
A Superbill is a detailed document provided to you after your session. It contains all the information insurance companies require to process a claim—including specific procedure codes (CPT) and diagnosis codes (ICD-10)—to prove you received a professional health service.
How does the process work?
Pay for your session: You pay the full self-pay rate at the time of your appointment.
Receive your Superbill: We will provide this to you (usually monthly or per session) via our secure portal.
Submit to Insurance: You upload the Superbill to your insurance company’s member portal (or mail it in).
Get Reimbursed: Your insurance company mails you a check directly for the portion of the fee they cover.
How much will I get back?
Every plan is different. Many "PPO" plans reimburse between 50% and 80% of the cost of out-of-network nutrition services. We recommend calling your provider and asking: "What is my reimbursement rate for out-of-network nutrition counseling (CPT codes 97802 and 97803)?"
