Services, Rates, & Payment Options
We strive to be transparent and thoughtful about our fees so families and clients can make informed decisions about care. Evaluations and other psychological services are individualized for every client.
For this reason, services, timelines, and exact fees will always be reviewed with you before scheduling (also known as a Good Faith Estimate). The information below is intended to provide an overview of our service offerings. Click HERE for more information about our Good Faith Estimates.
— Please don’t hesitate to reach out if you have questions as you consider next steps —
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Services & Fees
Click the + Below To Learn More About Our Services & Pricing
Abbreviated Assessments & Individual Services
Unless otherwise noted, payment for services listed below is due at the time of booking.
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Examples:
Abbreviated assessments and reevaluations requiring less than 4 hours
When additional testing is required beyond the 6 hours included in the comprehensive price listed above
Hours are calculated based on in-person testing time.
Fees include:
Fees include the cost of all electronic rating forms, test administration, scoring, interpretation, and report writing
Clinician Rates:
Sarah Smead, LPA: $475/ hour
Taylor Shirkey, LPA: $450/ hour
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We provide in person and virtual options. Clients must be located in North Carolina for virtual sessions.
Clinician Rates:
Intake and therapy sessions are billed at the clinician’s hourly rates (listed below)
Sarah Smead, LPA
$185 (45 min)
$250 (60 min)
Taylor Shirkey, LPA
$170 (45 min)
$230 (60 min)
Included:
Parent or caregiver consultation and support (frequency / method of communication to be determined on a case-by-case basis)
Collateral consultation with service providers (if applicable)
Payment Due: Payment for the initial intake is due at the time of booking. Additional sessions will be automatically charged following each appointment.
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*These services are usually billed as private pay and are not submitted to insurance unless you choose to book therapy or testing.
Example Consultation Topics:
Follow-up appointments after feedback to clarify diagnoses, results, or recommendations
Parent or caregiver consultation and support
Clinical guidance related to understanding needs and next steps
If you are thinking about an evaluation for yourself or your child but are unsure what you need, virtual consultations are a great starting point to clarify your next steps. If you do choose to move forward, these fees are applied to the cost of your evaluation.
Clinician Rates:
Sarah Smead, LPA
$125 (30 min)
$250 (60 min)
$375 (90 min)
Taylor Shirkey, LPA
$115 (30 min)
$230 (60 min)
$350 (90 min)
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Examples:
Your provider may be able to attend virtual meetings (e.g., IEPs, 504s, Transition Planning, meetings) if requested pending availability.
These meetings are billed as virtual consultations.
Clinician Rates:
Sarah Smead, LPA: $250/ hour
Taylor Shirkey, LPA: $230/ hour
Payment Due: The first hour is due at the time of booking. Should more than one hour be needed the remaining balance will be due at the completion of the service.
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Includes: Short forms (1-2 pages) outside of the standard evaluation process
Fees:
$30 - Flat Rate
Payment Due: Prior to form completion.
Evaluation Packages
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Including:
Intake session (60-90 minutes)
Testing (in person, usually split across two sessions)
Electronic rating forms, collateral information and data, scoring, interpreting, and writing results
Feedback with client and/or family/guardians
Clinician Rates:
Sarah Smead, LPA: $3400
Taylor Shirkey, LPA: $3100
Fees: Listed fees are based on 6 hours of testing. If more or less time will be required, this will be discussed with you and your bill adjusted accordingly.
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Includes:
Testing (in-person, 1-2 hour appointment): This includes a brief parent meeting as well as administration and scoring of a standardized cognitive assessment
*Appointment time may vary depending on how your child tests.
(If applicable) Completion of program specific forms and secure sharing of results with the school.
Data, scoring, interpreting, and writing results
Clinician Rates:
Sarah Smead, LPA: $475
Taylor Shirkey, LPA: $ 450
Payment Due: Full balance due at the time of booking Please note, these evaluations are not typically reimbursed by insurance
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Includes:
Testing (in-person, 1 to 2 hour appointment): This includes a brief parent interview as well as administration and scoring of assessments as required by the child’s school program (cognitive, achievement, etc).
Electronic rating forms (if required by a child’s school program)
Scoring, interpreting, and writing results.
Clinician Rates:Sarah Smead, LPA: $575
Taylor Shirkey, LPA: $550
Payment Due: Full balance due at the time of booking Please note, these evaluations are not typically reimbursed by insurance
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See components listed under comprehensive evaluations (above)
Clinician Rates are determined on a case-by-case basis and depend on the evaluation scope. These evaluations are paid for and require a contract with your child’s school/district. Click here for more information about our IEE process.
Please Note: A Superbill is not provided for IEE services as these are ineligible for insurance reimbursement.
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See components listed under comprehensive evaluations (above)
Clinician Rates:
Sarah Smead, LPA: $3400
Taylor Shirkey, LPA: $3100
Fees: These fees are based on 6 hours of testing. If more or less time will be required, this will be discussed with you and your bill adjusted accordingly.
Click Here for additional information related to the ESA+ grant.
*Unless specified below, 50% of the total payment is due at time of reservation. The remaining balance due at the time of the initial intake.*
If you have questions about services, fees, or whether an evaluation is the right fit, we are happy to talk through options with you. Click here to connect with a member of our team.
Mind Mosaic Psychology - An Investment in Depth & Clarity
Why Private Pay?
At Mind Mosaic Psychology, we prioritize depth, precision, and long-term value.
We operate as a private-pay practice because it allows us to provide a level of care that standard insurance models often cannot support.
Lower-cost, insurance-based assessments often rely on standardized protocols, limited testing time, and generic recommendations. While these may provide a label, they frequently leave clients with more questions—and more expenses—down the road.
By working independently of these constraints, we are able to offer the highest quality clinical services that are:
Truly Individualized: We design each evaluation around your specific questions, selecting the exact tools and spending the time needed—without external limits on testing duration or report length.
Timely and Accessible: Avoiding administrative approvals and delays lets us schedule more quickly and spend the time each evaluation actually requires.
Objective and Insightful: We provide high-level clinical interpretation to ensure your report serves as a functional tool for schools and workplaces.
Payment Options & Navigating Reimbursement
Payments Accepted
We currently accept:
All major credit cards
Zelle
Most families also find that our services are eligible for HSA/FSA spending.
Insurance Reimbursement
While we do not bill insurance directly, many plans offer out-of-network benefits that may reimburse a portion of your costs.
To help, we will provide a Superbill when you complete your evaluation process.
A Superbill is an itemized receipt with clinical codes that you can submit to your insurance provider to request reimbursement.
We recommend contacting your insurance carrier to ask about your specific coverage for out-of-network psychological testing. Please click here or contact us for more helpful information and tips for insurance reimbursement.
Our goal is a definitive evaluation that reduces future uncertainty and provides a clear, functional path forward.
Frequently Asked Questions: Financial
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We know that a comprehensive evaluation is a big financial commitment. The cost really comes down to the time and specialized care that goes into the process. Most people are surprised to learn that a typical evaluation involves 15 to 20+ hours of professional work—much of it happening after you leave our office.
Here is what goes into that investment:
Expert "Untangling": Our team has specialized training in neuroaffirming care. We don’t just look for a label; we spend hours looking at the nuance between things like Autism, ADHD, and anxiety to make sure we’re getting the full story right.
The "Hidden" Hours: For every hour we spend together in person, we spend several more scoring your results, reviewing history or school records, and connecting the dots. It’s a lot of "detective work" to make sure our conclusions are accurate and helpful.
A Complete Picture (Not Just a Snapshot): Instead of just doing one or two quick tasks, we use a variety of specialized tools to look at the big picture. This helps us see how different parts of your thinking and feeling work together. It’s the difference between a quick "yes/no" diagnosis and a deep understanding that actually helps you get the right support in school or at work.
A Roadmap Built for You: At the end, you get a custom-written report that explains exactly what we found. This isn't a form letter—it’s a personal guide with specific, real-world steps to help you navigate life, school, or your career.
Our goal is for you to receive a clear, accurate understanding now, you can stop the "trial and error" and start using strategies that actually work for your brain.
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Because we don’t believe in "one-size-fits-all" batteries. A 6-year-old’s Kindergarten readiness screen is a completely different undertaking than a complex adult Autism/ADHD diagnostic profile.
We determine the specific tests needed during your initial consultation so you aren’t paying for irrelevant data. We provide a Good Faith Estimate (GFE) before you spend a dime, so you know exactly what to expect and there are no unexpected surprises.
The amount of testing needed will be based on your specific questions and concerns.
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Yes. Almost all Health Savings and Flexible Spending Accounts recognize psychological testing, counseling, and consultations as qualified medical expenses. We process your HSA/FSA card just like a standard credit card, allowing you to use pre-tax dollars for your care.
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A Superbill contains the specific clinical codes your insurance provider needs to see to process a claim. While we provide this automatically at the end of an evaluation, we cannot guarantee reimbursement—that depends entirely on your specific Out-of-Network insurance benefits. We recommend calling your carrier and asking specifically about coverage for "outpatient psychological testing."
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We understand that comprehensive testing is a significant investment. We generally require a reservation payment to hold your testing date, with the remaining balance due after the consultation. However, we are happy to discuss customized payment schedules if arranged in advance of your first session.
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At this time, we are not enrolled as providers with Medicaid or Medicare. Our services are strictly private-pay, though we can provide the documentation needed for you to seek reimbursement from private commercial insurance.
Schedule an Appointment
We accept your online inquiries 7 days a week and have specific office hours for in-person engagements. Outside of normal office hours you can receive immediate assistance at a local Urgent Care facility or, if necessary, please dial 911 for emergency services.