Psychological Testing for Adults

The evaluation process, from intake until you receive your report, is usually completed with 2-3 appointments over the course of 4 to 6 weeks.

All evaluation types typically involve at least 5 hours of direct one-on-one time with your assessment team. This includes the intake interview, test administration, and feedback session. Depending on the complexity of the evaluation, some assessments may require over 10 hours of direct contact.

We are in-network providers for Aetna.

We are out-of-network providers for most other insurance companies.

Please note that we cannot guarantee that your insurance company will cover psychological or neuropsychological evaluations. We recommend that you contact your insurance carrier to check your benefits.

If you decide to move forward with an assessment and are seeking out-of-network reimbursement, we are happy to provide a detailed superbill that you can submit to your insurance carrier. A superbill is a receipt that includes all the necessary information (diagnosis codes, CPT codes, provider information, and service dates) that you can submit to your insurance company for potential out-of-network reimbursement.

Before beginning an assessment, it is important to consult with your insurance carrier to determine what your plan might cover if you participate in psychological testing with Thrive and Feel.

Please note that our assessors are out-of-network providers for most insurance companies, and are in-network providers with Aetna.

For details on exactly what your insurance might reimburse, please follow the instructions below. 

1. Look at the back of your insurance card.

2. Call the Member Services number.

   1. Follow the prompts to check eligibility and benefits. You will need:

      1. Insurance holder member ID Number.

      2. Client’s (whoever is being tested) date of birth.

      3. Client’s first and last name.

3. Determine the following:

   1. Terms of Your Coverage

      1. Your out-of-network deductible

      2. Your out-of-pocket maximum

      3. Your coinsurance for psychological testing

      4. (optional) Your copay (often not applicable for out-of-network services)

   2. Your current balance

      1. Clarify how much you have currently met towards your out-of-network deductible and out-of-pocket maximum

4. Check if your plan covers psychological testing. We recommend speaking with a customer service representative.

5. During the call, refer to the following information:

   1. CPT codes: 96132, 96133, 96136, and 96137 (these are codes billed for testing services).

   2. Place of Service: Office (Code 11) or Telehealth (Code 2)

   3. Provider type is Professional.

   4. Provider NPI is 1851983498

   5. Private Practice NPI-2: 1932997319

   6. Provider Tax ID is 33-2781650

   7. Provider name is Dr. Mary Kate Roohan at Thrive and Feel Psychology, APC

   8. If you need a diagnosis code, use: F41.1

   9. Remember that Dr. Mary Kate Roohan is an out-of-network provider.

6. Determine where you will need to send your superbill and how to do it (e.g., “The psychologist is going to give me a superbill to submit for out-of-network benefits once we finish testing. Where do I send the superbill so you [insurance] process it?”).  

Following these steps will help you get a better understanding of what your insurance may cover for assessment.

The overall cost of your evaluation will vary based on (1) the questions you are hoping to answer and (2) if you are using insurance.

Prior to beginning the assessment, you will have a consultation with an assessor to determine what type of assessment is needed. Your assessor will confirm the fixed price of the evaluation after they have determined the scope of the assessment based on your needs.

We are in-network providers for Aetna and out-of-network providers for other insurance companies.

If you have Aetna insurance (and your plan includes coverage for neuropsychological assessment), your insurance may cover the cost of the medically-necessary portion of the assessment.

If you have out-of-network benefits (and your plan includes coverage for neuropsychological assessment), we can provide a detailed superbill to you, which may decrease the overall amount that you pay if your insurance carrier reimburses you for a portion of the assessment.

Please note that we cannot guarantee your insurance plan provides coverage for the neuropsychological and/or psychological assessment, and it is important that you reach out to your insurance company to understand what is covered under your plan.

Generally, the out-of-pocket cost for assessment is as follows:

• Autism Evaluation: $2,900

• ADHD Evaluation: $2,800

• Comprehensive Evaluation: $4,500

• Comprehensive + Autism: $5,500

• Comprehensive + ADHD: $5,000

• Comprehensive + Autism + ADHD + Psychosis = $6300

The overall cost to you will be based on the type of assessment you participate in and if you are using insurance.

We recognize that pursuing a psychological or neuropsychological evaluation is a significant financial commitment. We do offer sliding scale rates for psychological assessment.

The pricing is based on the cost of the tests we administer and the time required to complete an evaluation. We will conduct thorough clinical interviews, administer and score standardized tests, and integrate information from your records or other individuals in your life (with your permission). We will then consult with one another to develop a thoughtful interpretation and appropriate recommendations. A report will be written, and a comprehensive feedback session will be provided.

Our goal is to provide you with meaningful, individualized answers that support long-term growth and clarity. We approach each evaluation with the care and depth it deserves.

We have good news -  adult psychological evaluations are not the the kind of test you can study for. No flashcards needed!

All you need to do is come to testing as yourself, and participate to the best of your ability. We encourage you to check in with yourself beforehand and come to your session as present, honest, and open as possible. 

Prior to testing day, we recommend getting an adequate night’s sleep and making your psychological evaluation the priority of the day. A calm morning can make a big difference!

Psychological testing is collaborative, not necessarily prescriptive. If something does not feel accurately described, let us know. We are happy to walk you through how we arrived at the results of your assessment together, listen to your perspective, and explore why there may be a disconnect. 

You are the expert of your lived experience, and we simply offer evaluations as a lens to better understand it.

Psychological testing can provide an official diagnosis, which is vital for ensuring that you receive the most appropriate and effective treatment. Evaluations can also uncover any other underlying issues that may not have been previously addressed. Additionally, the testing process can highlight specific patterns in your symptoms and help rule out conditions that could be affecting your mental health.