The following are the rates for the choices of sessions offered:

 

Intake Session (First Session) - 90 minutes - $200.00

Individual Session (Sessions 2 - termination) - 60 minutes - $160.00

EMDR Therapy - 90 minutes - $200.00

Sports Performance Sessions - 60 minutes - $160.00

PLEASE READ BELOW

December 31, 2021

Effective January 1, 2022, a ruling went into effect called the “No Surprises Act” which requires mental health practitioners to provide a “Good Faith Estimate” to disclose the cost of out-of-network care to patients.

The Good Faith Estimate works to show the cost of items and services that are reasonably expected for your health care needs for an item or service, diagnosis, and a reason for therapy.

I am not paneled with any insurance panels and accept private pay only.

GOOD FAITH ESTIMATE

 Services provided by Kyle Rigsby LPC-MHSP

* Psychotherapy
* Professional Counseling

Good Faith Estimate for Health Care Services

Kyle Rigsby LPC-MHSP

License: 00002997 NPI: 1417245838 EIN: 452778615

Common Service and Service Codes used at Kyle Rigsby LPC-MHSP

* 90791: Therapy Intake
* 90834: 50 minute counseling/psychotherapy session * 90847: 80 minute counseling/psychotherapy session

Common Diagnostic Codes used at Kyle Rigsby LPC-MHSP

* F43.20: Adjustment Disorder, Unspecified
* Z62.820: Parent-Child Relational Problem
* Z63.0: Relationship Distress with Spouse or Intimate Partner
* Z62.89: Phase of Life Problem
* Z91.49: Other Personal History of Psychological Trauma
* Z63.5: Disruption of Family by Separation or Divorce
* Z62.898: Child Affected by Parental Relationship
* Z65.8: Religious or Spiritual Problem
* Z61.8: Other Negative Life Events in Childhood
* Z61.9: Negative Life Event in Childhood, Unspecified
* Z56.7: Other and Unspecified Problems Related to Employment * Z62.9: Problem Related to Upbringing, Unspecified
* Z03.89. No Diagnosis or Condition
* Z50.4. Psychotherapy, not elsewhere classified

A note about diagnosis

At Kyle Rigsby LPC-MHSP, I do not typically give an official specific diagnosis unless I believe a specific diagnosis to be accurate after evaluation and, after consultation with the client, I believe that having a mental health diagnosis is likely in the best interest of the client. Instead of using diagnostic codes, I typically use Z Codes which represent general areas of concern to be addressed in therapy. Please let me know if you have any questions or concerns.

Where services will be rendered

* 321 Billingsly Court, Suite 20, Franklin, TN 37067

* Online

At Kyle Rigsby LPC-MHSP, I recognize that every client’s therapy journey is unique. How long you need to be in therapy and how often you attend sessions will be influenced by many factors including:

* Your schedule and life circumstances
* Therapist availability
* Ongoing life challenges
* The nature of your specific challenges and how you address them

You and I will continually asses the appropriate frequency of therapy and will work together to determine when you have met your goals and are ready for discharge.

Below you will see an estimate of cost per month for weekly visits:

50 minute session with Kyle Rigsby LPC-MHSP: $120/session x 4 = $480/month 75 minute session with Kyle Rigsby LPC-MHSP: $150/session x 4 = $600/month

Disclaimer

The Good Faith Estimate shows the costs of services that are reasonably expected for your health care needs. The estimate is based on information known at the time the estimate was created. The Good Faith Estimate does not include any unknown or unexpected costs that may arise during treatment. You could be charged more if complications or special circumstances occur. If this happens, federal law allows you to dispute (appeal) the bill.

The Good Faith Estimate is not a contract and therefore does not require you to obtain the services provided by Kyle Rigsby LPC-MHSP. At the foundation of a good therapeutic relationship between client and therapist, is the client’s right to autonomy and self-determination. Therefore, you (as the client) have a right to terminate services at any time.

If you are billed for more than the Good Faith Estimate, you have the right to dispute the bill.

You may contact Kyle Rigsby LPC-MHSP to let me know the billed charges are higher than the Good Faith Estimate. You can ask for the bill to be updated to match the Good Faith Estimate, ask to negotiate the bill, or ask if there is financial assistance available.

You may also start a dispute with the U.S. Department of Health and Human Services (HHS). If you choose to use the dispute resolution process, you must start the dispute process within 120 days of the date on the original bill.

There is a $25 fee to use the dispute process. If the agency reviewing your dispute agrees with you, you will have to pay the price on the Good Faith Estimate. If the agency disagrees with you and agrees with the health care provider, you will have to pay the higher amount.

To learn more and get a form to start the process, go to www.cms.gov/nosurprises or call 1-800-985-3059.

For questions or more information about your right to a Good Faith Estimate or the dispute process, visit www.cms.gov/nosuprises or call 1-800-985-3059.

Kyle Rigsby, LPC-MHSP does not take insurance and is not on any Insurance Panels.