Mental Health Therapy
Rates & Insurance
Rates - Private Pay - No Insurance*
$200 - 45 Minute Initial Evaluation (Office or Teletherapy)
$180 - Per 45 Minute Session (Office or Teletherapy)
$300 - Per 75 Minute Session (Office or Teletherapy)
$360 - Per 90 Minute Session (Office or Teletherapy)
Many health insurance plans provide some out-of-network coverage for individual and couples counseling. I will gladly provide a monthly billing statement (aka "superbill") for you to submit to your insurance company for reimbursement, upon request. Many clients choose not to bill insurance due to privacy concerns but will choose to use HSA funds for psychotherapy (as diagnostic information is typically not required). Often payment can be made with the debit or credit card provided by your HSA but, if additional paperwork is needed, I am happy to assist.
Please note, most insurance companies will require a mental health diagnosis to be documented on this paperwork in order for services to be covered. I am happy to discuss this further if needed.
Services provided by ILA Students (CPC, MSW) are cash pay only. Student rates for services are $60 per 45 min-session (individual, couples, and family therapy)
Emotional Support Animal Evaluations and Letter
$200 - Initial evaluation
$180 - 2nd Appointment w/ animal present
Must be in ongoing therapy with an active treatment plan. Initial evaluation fee charged even if ESA not deemed appropriate.
Payment is required at the time of your appointment.
Full payment (for those without insurance coverage) or required insurance co-payments, can be made by cash, check, or debit card. MasterCard, Visa and American Express credit cards are also accepted for payment.
A $50 service fee will be added for any return checks.
Kasia Caldwell, LCSW currently accepts:
Cigna (commercial and EAP)
Medicare Fee For Service
NV Medicaid Fee For Service
UMR (select plans)
We DO NOT accept Sierra Health and Life or Sierra Health Options including THT and HPN.
Policies Regarding Insurance
Health insurance cannot be used for non-psychotherapeutic consulting and mediation.
Services may be covered in full or in part by your health insurance or employee benefit plan. Please check your coverage carefully by asking the following questions:
What are my mental health benefits?
What is the coverage amount per therapy session?
Do I have a co-pay for therapy sessions and how much is it?
How many therapy sessions does my plan cover?
How much does my insurance pay for an out-of-network provider?
Is approval required from my primary care physician?
Is authorization for treatment required from my plan?
If you have seen another therapist who has billed your insurance during the reporting year you must disclose how many sessions you have used prior to your first scheduled appointment. This includes Medicaid and Medicare clients as well as private insurance benefits.
It is the patient's responsibility to know their insurance benefits at the time of service. If insurance denies payment the patient is responsible to pay for services within 30 days of the denial. No additional services will be provided until the outstanding balance has been paid.
No Surprises Act
You have the right to receive a “Good Faith Estimate” explaining how much your medical and mental health care will cost.
Under Section 2799B-6 of the Public Health Service Act, health care providers and health care facilities are required to inform individuals who are not enrolled in a plan or coverage or a Federal health care program, or not seeking to file a claim with their plan or coverage both orally and in writing of their ability, upon request or at the time of scheduling health care items and services, to receive a “Good Faith Estimate” of expected charges.
Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the expected charges for medical services, including psychotherapy services. It is important to note that you may save money by choosing an in-network provider.
You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule a service.
If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
Make sure to save a copy or picture of your Good Faith Estimate. For questions or more information about your right to a Good Faith Estimate, visit
www.cms.gov/nosurprises or call (800) 368-1019
If you are a "No Show" for your scheduled therapy appointment, and you have not notified us at least 24 hours in advance (not counting weekend days and holidays), you will be required to pay a cancellation fee of $180.00 (full fee) for a missed/cancelled session, as insurance companies do not pay for missed appointments.
Sliding Fee Scale
Sliding Fee Scale is only available to those who complete the application process and are approved. Approval will be provided in writing. To apply, download the Sliding Fee Scale Application here.
The sliding fee schedule will be updated during the first quarter of every calendar year with the latest federal poverty guidelines, http://aspe.hhs.gov/poverty. The complete Sliding Fee Scale policy can be found here.