Fees & Insurance

Clear options. Transparent fees. Thoughtful care.

EMPATH Medicine offers both insurance based and private pay psychiatric care. Our goal is to make the financial side of treatment easier to understand so you can focus on finding the care that fits your needs.

Insurance eligibility and out of pocket costs vary by plan and location. Private pay patients can review current appointment, consultation, documentation and cancellation fees below.

InsuranceSelect commercial plans are available through Tebra.
Private payClear pricing for appointments, consultations and ongoing care.
7 statesVirtual care in CA, CT, IL, MA, MI, OH and RI.
Choose the path that fits you

Two ways to access EMPATH Medicine.

Use InsuranceVerify eligibility and your estimated patient responsibility through Tebra.
Choose Private PayReview transparent fees for medication management, therapy and comprehensive consultations.
Insurance participation and patient cost sharing can differ by state, employer plan, deductible and benefit design. Coverage should be verified before your appointment.
Your payment options

Choose the route that makes the most sense for your care.

Insurance and private pay appointments are both available. The clinical experience remains thoughtful and individualized; the difference is how the visit is billed and scheduled.

01 · Insurance based care

Use your insurance through Tebra.

EMPATH Medicine participates with select commercial insurance plans through Tebra. Plan participation, copays, coinsurance and deductibles vary by state and by individual plan.

Step oneEnter your insurance information through Tebra.
Step twoReview eligibility and estimated cost before scheduling.
BillingInsurance claims and patient responsibility are handled through Tebra.
Plan changesNetwork participation may change, so current eligibility should always be verified.
Check My Insurance
02 · Private pay care

Transparent pricing without insurance billing.

Private pay is available for patients who prefer to self pay, do not have an eligible in network plan, or are seeking consultation services that may not be covered by insurance.

Clear pricingCurrent appointment fees are listed below.
Flexible servicesMedication management, therapy, initial consultations and second opinions.
SuperbillsAvailable upon request for possible out of network reimbursement.
ReimbursementDetermined by your insurance plan and is not guaranteed.
See Private Pay Rates
Insurance based care

Verify your plan before you schedule.

Insurance participation is handled through Tebra. Because network status can vary by state, employer plan and specific product, the most accurate way to confirm coverage is to enter your insurance information directly through Tebra.

You will be able to review available insurance based scheduling options and, when available, an estimate of your patient responsibility before your visit.

Why we verify instead of publishing a static carrier list: insurer participation can change and one carrier may offer multiple plan types with different networks. Real time verification helps reduce surprises.

Check coverage in three steps.

Use the Tebra portal for the most current insurance information associated with your location and plan.

1Choose your stateInsurance availability may differ depending on where you are located.
2Add your planEnter your carrier and member information to check current eligibility.
3Review & bookSee available scheduling options and proceed when your coverage is confirmed.
Verify Insurance with Tebra Coverage is subject to your insurer's eligibility, benefits and network rules.
Telepsychiatry availability

Licensed care across seven states.

Virtual psychiatric services are available to patients who are physically located in an eligible state at the time of the appointment, subject to clinical appropriateness and applicable licensure requirements.

California
Connecticut
Illinois
Massachusetts
Michigan
Ohio
Rhode Island
Insurance based appointment availability can differ by state and plan. Private pay availability is also subject to the practice's clinical and scheduling requirements.
Current private pay rates

Transparent pricing for the time and depth your care requires.

Private pay fees reflect appointment length and service type. The fee for your scheduled visit applies to the full reserved appointment time.

Medication management10 minute medication management follow up
$110
Medication management20 minute medication management follow up
$195
Therapy + medication30 minute therapy and medication management follow up
$275
Therapy + medication45 minute therapy and medication management follow up
$350
Therapy + medication60 minute therapy and medication management follow up
$425
Therapy + medication75 minute therapy and medication management follow up
$525
Therapy + medication90 minute therapy and medication management follow up
$600

Rates are subject to change with advance notice when applicable. The practice may offer a limited number of sliding scale appointments based on clinical availability and financial need. Please contact EMPATH Medicine for questions about the appropriate appointment type.

Administrative & documentation fees

Clinical work outside your appointment may require additional time.

Some requests require physician review, record review, care coordination, form completion or other work performed outside of scheduled appointment time. These services may carry an additional fee based on time, urgency and complexity.

Routine refill or fax request outside of session with at least 72 hours notice$25
Urgent refill or fax request outside of session with 24 hours notice$75
Prior authorization or insurance related medication support$50 / 15 min
FMLA, PFML, short term disability, or leave paperwork$250/hr
$150 min
Workers' compensation paperwork or related documentation$250/hr
$150 min
Emotional Support Animal letter$175
Work, school, housing, or testing accommodation letter$250/hr
$150 min
Complex disability, accommodation, legal, or administrative documentation$250/hr
$150 min
Expedited documentation request completed within 3 business days+$150
Expedited documentation request completed within 24 hours+$250
Returned payment, chargeback, or failed payment requiring follow up25% of fee
$50 min
Other clinical, legal, administrative, or care coordination work outside a scheduled visitQuoted by time
Cancellation & missed appointment policy

Your appointment time is reserved specifically for you.

Advance notice allows the practice to offer the appointment to another patient and protects access to care.

48+ business hours

Cancel or reschedule at least 48 business hours before your appointment.

No cancellation fee
48

Less than 48 business hours

Late cancellation received within 48 business hours of the scheduled appointment.

50% of scheduled fee
24

Less than 24 hours

Cancellation received within 24 hours of the scheduled appointment.

Full scheduled fee
×

Missed appointment

Appointments that are missed without notice or not attended.

Full scheduled fee
Please note: Late cancellation fees may be waived at the clinician's discretion in circumstances such as illness, medical emergency, bereavement or another significant unforeseen event. Because consistent attendance is important for safe and effective psychiatric care, repeated missed appointments or late cancellations may affect the practice's ability to continue treatment.
Important billing notes

A few details worth knowing before you book.

SuperbillsOut of network documentationSuperbills can be provided upon request. Reimbursement depends on your insurance plan and is not guaranteed by EMPATH Medicine.
Insurance estimatesYour plan determines your costCopays, coinsurance, deductibles and eligibility are established by your health plan. Any estimate should be confirmed with the insurer when needed.
DocumentationRequests require clinical reviewLetters and forms are completed only when clinically appropriate and within the treating psychiatrist's role. Some requests may require a dedicated appointment.
Sliding scaleLimited availabilityA limited number of reduced fee arrangements may be available based on financial need and practice availability.
Fee changesRates may be updatedFees may change with advance notice when applicable. The current website schedule reflects the practice's published private pay rates.
QuestionsAsk before your appointmentIf you are unsure which appointment type to book or how a fee applies, contact the practice before scheduling.
Fees & insurance questions

Clarity before care begins.

If you are unsure whether to use insurance or private pay, start by checking your insurance eligibility. You can still contact the practice if you need help choosing the right appointment type.

Ready to check coverage?Verify your insurance before booking.Check Insurance

EMPATH Medicine participates with select commercial insurance plans through Tebra. Network participation can vary by state and by the exact plan you have, so the most accurate way to confirm coverage is to enter your insurance information through the Tebra booking link.

Private pay is available for patients who prefer to self pay, are not eligible for an in network option, or are seeking services that may not be covered by their plan. If you have insurance, you may wish to review your benefits before deciding.

Yes. A superbill can be provided upon request for private pay services when appropriate. Whether your plan reimburses any portion of the visit is determined by your insurer and is not guaranteed.

Many forms, accommodation letters, disability requests and insurance related tasks require chart review, clinical judgment, documentation and physician time outside of your scheduled appointment. Fees reflect the time and complexity involved.

Cancellations with less than 48 business hours notice are charged 50% of the scheduled fee. Cancellations with less than 24 hours notice and missed appointments are charged the full scheduled fee, subject to clinician discretion in significant unforeseen circumstances.

Insurance based care is billed according to the applicable insurer contract and your individual plan benefits. The private pay fees shown on this page apply to self pay services and should not be used to estimate an insurance copay, deductible or contracted rate.

When you are ready

Choose the payment path that feels right for you.

Check your insurance through Tebra, schedule a private pay consultation, or contact EMPATH Medicine if you are not sure which appointment type is appropriate.

PracticeEMPATH Medicine · 130 Bishop Allen Drive, Cambridge, Massachusetts 02139