Pricing
Speech therapy pricing
A speech-language evaluation is $175 for 60 minutes, and each therapy session is $75 for 30 minutes. You pay per visit, with no package. We are private pay and don't bill insurance, but we can provide a superbill for out-of-network claims, and we accept HSA and FSA cards.
- Pay per visit, no packages
- HSA and FSA cards accepted
- Superbills for out-of-network claims
- No charge with 24 hours' notice
What it costs
One price list for everyone
Same prices for kids and adults, whatever you're working on.
-
Evaluation
$175
60 minutes
-
Therapy session
$75
30 minutes
-
Consultation call
Free
15 minutes
What you get
What's included
-
Evaluation
- A 1 hour video call with a licensed speech therapist.
- Discuss concerns, case history, what you are seeing at home, plus testing, observation and some play tasks based on your child's age and your concerns.
- Review results and recommendations for therapy, and collaborate on a client-specific care plan and goals.
-
Therapy session
- A 30-minute video call with the client and caregiver.
- A progress check-in, and a review of activities that have been worked on at home.
- Work on specific goals together, discuss strategies, and get education and coaching on how to address these skills at home.
Insurance
Why don't you take insurance?
When working with insurance, they get to decide which diagnoses are covered and not, how many visits you can receive, and potentially extended wait times for approval. At Talking Jay Speech Therapy, we prioritize working on your concerns for you or your child, and create individualized care plans focusing on what matters to you and your family most.
If your insurance covers speech therapy and you would like to submit for out-of-network visits, we can provide you with a Superbill to submit for reimbursement. We create superbills monthly, and you can ask for one any time.
What's a superbill?
A superbill is a detailed receipt your insurance company can use for an out-of-network claim. Here's what's on it:
- Client information. Name and date of birth of the person who received therapy.
- Provider information. Clinician name, credentials, license number and National Provider Identifier (NPI).
- Practice information. Business name, tax ID and contact details.
- Dates of service. The date of each evaluation or session.
- Procedure codes (CPT). Codes that describe the service, such as an evaluation or a treatment session.
- Diagnosis codes (ICD-10). Codes that describe the reason for therapy, based on the evaluation.
- Fees and payments. What was charged and what you paid.
How to use your superbill
- Download your superbill from the client portal.
- Get your insurer's out-of-network claim form, usually on their member website.
- Send in the form and superbill the way your insurer asks.
- Your insurer decides what to pay back and pays you directly.
We create superbills monthly and can provide one any time you ask. We cannot guarantee reimbursement for services.
HSA and FSA
Can I use my HSA or FSA card?
Yes. You can pay with an HSA or FSA card in the client portal. Speech therapy for a speech, language, voice, stuttering or feeding problem is usually an eligible expense. Professional communication usually is not, because it doesn't treat a medical condition. If you're not sure, ask your plan. The IRS lists what counts in Publication 502.
Cancellation policy
What is your cancellation policy?
Communication is key with virtual speech therapy. If something comes up that causes you to be unable to attend your session, please let us know right away and we can support you with rescheduling when you are able to attend. Your appointment time is reserved only for you, so when a session is cancelled late or missed, that time cannot be offered to another family. This policy applies to every client, every time.
| What happens | Therapy session ($75) | Evaluation ($175) |
|---|---|---|
| You cancel at least 24 hours before your appointment | No charge | No charge |
| You cancel with less than 24 hours' notice | $50 fee | $100 fee |
| You cancel late, then reschedule within 7 days and attend | Fee waived | Fee waived |
| No-show (you don't join and didn't reach out to cancel) | $75 (full fee) | $175 (full fee) |
-
Notice required
You must cancel at least 24 hours before your appointment start time. Cancel by sending a message through the SimplePractice client portal or by emailing [email protected].
-
Illness and emergencies
We understand that kids get sick, and we would rather work with you to reschedule your appointment than push through a potentially less productive session together. Please reach out to us as soon as you can if the client is sick. If you cancel with less than 24 hours' notice because of illness, there is no fee as long as you reschedule within 7 days and the new appointment happens.
-
Arriving late
It is important to be on time to your session so that you are able to receive the full time we have scheduled together. Sessions end at the scheduled time, no matter when you join, and the full fee applies. If you have not joined within 10 minutes of the start time, the session will be cancelled and counted as a no-show.
-
Internet or video problems
If there is a technical issue on our end, there is no charge for the session and you will be offered a new time. If the problem is on your end, we can troubleshoot together or use a backup option. If the session cannot happen, we will work together to reschedule.
-
Payment
A valid card must be on file to book any appointment. Late cancellation and no-show fees are charged to that card automatically on the day of the missed appointment. If a charge is declined, future sessions are paused until the balance is paid and the card on file is updated. Fees for missed appointments are not for a service, so they do not appear on superbills.
-
Attendance
Attending your scheduled sessions is one of the most important factors for making progress in therapy, and we are unable to hold spots on the schedule when clients are regularly not attending. After 2 late cancellations or no-shows, you lose your recurring time slot and sessions are booked one at a time. After 3 no-shows, we have the right to end services, and you will receive a discharge summary and referrals to other providers.
If we cancel, you are never charged. You will be contacted as soon as possible and offered a new time. By booking an appointment with Talking Jay, you agree to this policy.
Other options
How this compares with other options
There's more than one way to get speech therapy, and what you pay depends a lot on where you go.
-
Public school
No cost to families when the school finds the student eligible for special education services under IDEA.
-
State early intervention (Texas ECI)
In Texas, evaluations are free and services use a sliding scale based on family size and income (Texas HHS). Other states set their own rules.
-
Hospital or clinic billing insurance
Your plan's copay, coinsurance and deductible apply. Some plans limit the number of visits.
-
Private practice, cash pay (like Talking Jay)
You pay the practice directly. Talking Jay Speech Therapy charges $75 per 30-minute session.
You don't have to pick one. You can get speech therapy at school and see a private speech therapist, too.
What's a Good Faith Estimate?
Federal law says that if you're not using insurance, you have the right to a written estimate of what your care will cost before you get it. Since we don't bill insurance, that's most of our clients. You'll get yours in the client portal when you book.
Questions
Questions about cost
Still wondering about something? A free 15-minute call is a good place to ask.
Do you take insurance?
Talking Jay is private pay only and does not accept insurance at this time. If you would like to seek out-of-network reimbursement, we can provide a superbill for you to submit to your insurance plan. We cannot guarantee reimbursement.
What is a superbill?
A superbill is a detailed receipt with the codes your insurance company needs to consider reimbursing you for out-of-network speech therapy. You submit it to your plan yourself. Many plans with out-of-network benefits pay back part of the cost. We cannot promise what your plan will cover, so call them first and ask about your out-of-network speech therapy benefits. We create superbills monthly, and you can ask for one any time.
Can I use my HSA or FSA?
Speech therapy is usually an eligible expense for HSA and FSA accounts. Check with your plan administrator to be sure. You can pay with your HSA or FSA card like any other card.
What is your cancellation policy?
Our cancellation policy protects your time and our therapist's time, and helps keep therapy moving forward. Please give as much notice as you can when you need to cancel or reschedule, so we can offer your time to another client. Cancelling 24 hours or more before your session or evaluation is free. If you cancel with less than 24 hours' notice, the fee is $50 for a session or $100 for an evaluation, and we can waive it if you reschedule within 7 days and attend. A no-show, with no notice and no log in, is charged the full fee: $75 for a session or $175 for an evaluation. After 2 late cancellations or no-shows, your regular weekly time is released. After 3 no-shows, we have the right to end services. You can cancel by messaging us in the client portal or emailing [email protected]. Full cancellation policy
Ready when you are
Most families start with a 60-minute evaluation. If you'd rather talk first, book a free 15-minute call and ask us anything.
Sources: No Surprises Act: your rights and protections against surprise medical bills, Centers for Medicare & Medicaid Services; Individuals with Disabilities Education Act (IDEA), U.S. Department of Education; Paying for Early Childhood Intervention services (family cost share), Texas Health and Human Services; Publication 502: Medical and Dental Expenses, Internal Revenue Service