home  
  about us  
  OUR PROVIDERS  
  INDIVIDUALS  
  COUPLES  
  FAMILIES  
  CHILDREN & TEENS  
  SERVICIOS EN ESPAÑOL  
  contact us & locations  

Insurance and Fee Information

Mental Health Fee Schedule   |  Professional Consultation  |  Preparation of Forms and Reports  |  Managing Your Account Balance  |  Check Policy  |  Court & Legal Proceedings  |  Insurance and Payments

Mental Health Fee Schedule
The price per hour will be billed to your insurance, when applicable. Each insurance carrier allows a different amount per service. Client responsibility will depend on personal insurance benefits. For further benefits questions, please contact your insurance carrier.

CPT Code Description Unit Price per hour
90791  Diagnostic interview 60 min. $200
90837 Individual therapy 60 min. $187.50
90834  Individual therapy 45 min. $150
90832 Individual therapy 30 min. $75
90846/90847 Couple/Family therapy 45-50 min. $150
96101/96102 Testing 45-50 min.  $150
96103 Testing by computer no time limit $40

Not billable to insurance Late/cancellations/no show NA $60
Not billable to insurance Returned check (NSF) NA $40
Not billable to insurance Professional consultation services 60 min. $200 
Not billable to insurance Fees, phone calls, letters, reports 1-15 min. $25+
Not billable to insurance Court and legal proceedings 15 min. increments $200
Other insurance codes and associated fees may be applied based on clinical necessity.

Professional Consultations

Time spent with you on the telephone by your mental health professional other than for appointment information or for professional consultation will be charged at a prorated hourly charge of $200 per hour.

Preparation of Forms and Reports

These require chart review and often, discussion with the client.  There will be a minimum charge of $25 up to a maximum of $200 per hour.

Managing Your Account Balance

If mailing, please remit payment to Family Based Therapy Associates, 199 Coon Rapids Boulevard, Suite 306, Coon Rapids, MN 55433.

Check Policy

To ensure proper credit, please make checks payable to FBTA.  There will be a $40 fee for returned checks.  Thereafter, payment will only be accepted in the form of cash, credit card, or money order.

Court & Legal Proceedings

  • FBTA clinicians do not provide disability determination evaluations or custody studies.  FBTA clinicians will do their best to refer you to practitioners in the area who perform disability or custody evaluations, or other related evaluations for which they do not believe they are qualified to provide. 

  • FBTA clinicians do not perform court evaluations nor do they appear in court on behalf of clients.  FBTA clinicians do provide psychological evaluation and psychotherapy to assist in alleviating psychological and emotional problems.  FBTA clinicians are not typically trained for and do not maintain records with the intended purpose of court involvement.

  • However, the legal process is such that  we may be compelled to reveal information about you that could affect you negatively or undermine the relationship you have with your therapist.  This can occur because the client-therapist relationship is built on trust with the foundation of that trust being confidentiality. Subsequently, it may be damaging to the client-therapist relationship if the therapist is asked to present client records to the court or testify as a fact or expert witness in any type of court proceeding.

  • In the event that an FBTA clinician is called to court or our client records are requested through subpeona or court order, FBTA will charge the full amount applicable under state law or the usual and customary for our services. 

This includes:
  • Copies of records will be made available for a $17.68 processing fee, plus $1.33 per page for copying. (MN Statute 144.292, Subdivision 6).

  • If a FBTA clinician testifies in any court or legal proceeding, voluntarily or by subpeona or court order, regardless if the testimony is factual or expert, or to present any or all records pertaining to the therapy relationship to a court official, the client agrees to pay FBTA for these testimony related services (including but not limited to: travel, necessary expenditures such as copies, parking, meals, and the like, time spent speaking with attorneys, reviewing records and preparation or reports) at the rate of $200 per hour.

  • The client further agrees to pay a retainer fee of $2000 two weeks prior to the appearance, presentation of records, or testimony requested.  A personal check will not be considered an acceptable form of payment for these services.



Insurance and Payment

FBTA is credentialed by most health plans and EAP's including:

  • Blue Cross and Blue Shield

  • Health Partners

  • Medica/United Behavioral Health

  • Medical Assistance

  • Medicare

  • Midwest EAP Solutions

  • Minnesota Care

  • OPTUM

  • Preferred One

  • Sandcreek EAP

  • South Country Health Alliance

  • Tricare

  • Ucare Minnesota

  • Value Options

Fee for service payments and co-payments are due at the time of your appointment.  Deductibles and co-insurance will be determined when your claim is processed by your insurance company.  Accepted methods of payment are cash, check and Visa/MasterCard.Our clinicians are in-network providers for most major insurance companies.  We work directly with your insurance company and will make all reasonable efforts to bill your insurance company. We will make reasonable efforts to verify your insurance benefit coverage and to obtain any required authorizations.

It will be important for you to understand your benefit coverage.  For benefit and coverage questions, please call the customer/member service number on the back of your insurance card.  Ultimately it is your responsibility to know and understand your health insurance coverage.

Verification of benefit coverage is not a guarantee of claim payment.  All benefits are subject to the terms and conditions (e.g. authorizations, network requirements) outlined in the member contract with your insurance company.

We accept third party and fee for service private payment.  Payment for co-payments, co-insurance, deductibles and fee for service can be made by cash, check, flex spending/HSA/HRA cards and all major credit cards.

Insurance Company Links

These links are provided as sources of information for your convenience.  The websites listed are operated by third parties and we do not control or accept responsibility for content, services or products provided to you by them.




Every day beings with an act of courage and
hope; getting out of bed.
 
- Mason Cooley



Call for an appointment at one of our three
convenient locations:

Coon Rapids  |  763-780-1520
Cambridge  |  763-689-9407
Chisago City  |  651-257-2733

»  locations and directions



FAMILY BASED THERAPY ASSOCIATES
Convenient locations near you.
Coon Rapids Office
199 Coon Rapids Blvd.
Suite 306
Coon Rapids, MN  55433

Cambridge Office
Courthouse Square
237 SW 2nd Avenue
Suite 117
Cambridge, MN 55008
Chisago City Office
11549 Lake Lane, Suite 2
Chisago City, MN  55013

http://www.webaloo.com