What We Offer

How much does psychiatric care cost?

We accept most commercial health insurance plans (see below). If you do not have health insurance (or we are not in-network with your insurance policy), our Out-of-Pocket Rates are:
  • Initial Psychiatric Evaluation: $300-400
  • Medication Management Follow-up: $150-250 per session

How do I use my health insurance? 

We are IN-NETWORK with:
  • Blue Cross Blue Shield (NOT BlueLocal)
  • Anthem
  • Aetna
  • North Carolina State Health Plan (Aetna)
  • MedCost
  • Cigna
  • United HealthCare

What if you aren't In-Network with my insurance?

​You may still get reimbursed! Many of our patients use their PPO insurance plans to obtain reimbursement for our services, even if we are out-of-network. In all cases, it is advised to check with your insurance company about the terms of your coverage before obtaining services.

If you're not In-Network, how do I get reimbursed?

We'll provide you with a "superbill" which is a detailed receipt for services with all applicable insurance codes listed. You can then submit this directly to your insurance company for reimbursement, depending on your specific policy. You can also use Mentaya and they do all the work for you! See our Benefits Checker below.

Are there advantages to NOT using insurance?

There are several important advantages to consider when choosing to not use your in-network insurance, even if the out-of-pocket cost is higher:
  • Provider Choice: Insurance networks often have limited provider options, making it difficult to find an in-network psychiatrist who is qualified, available, nearby, and a good personal match for your needs.
  • Treatment Freedom: Insurance companies frequently impose restrictions on treatment plans and may require ongoing justification of medical necessity to continue care. Going out-of-network gives you and your provider more flexibility in determining your treatment plan.
  • Privacy: When using insurance, companies often request access to your confidential medical records. Paying out-of-pocket provides greater privacy protection for your mental health information.
  • Provider Expertise: Because insurance companies typically contract at below-market rates, many highly qualified psychiatrists with specialized expertise choose not to participate in insurance networks.
  • Payment Certainty: Insurance benefit verification is not a guarantee of payment. Even after confirming coverage, insurance companies may determine different payment amounts during claims processing, which can take 90-120 days. This can result in unexpected costs that you're responsible for paying.

What questions should I ask my insurance company?

Mental and behavioral health benefits are specific to your individual plan. We suggest calling the number on the back of your card and asking the following questions:
  • Do I have mental health insurance benefits?
  • What are my mental health benefits for psychiatric care?
  • Is Banyan Integrated Health an in-network provider?
  • What is the coverage amount for psychiatric evaluations and medication management?
  • How many psychiatric visits does my plan cover?
  • Is approval required from my primary care physician (PCP)?
  • How much does my insurance pay for an in-network (INN) provider? Out-of-network (OON) provider?
  • Do I have a deductible? If so, what is it?
  • Have I met my deductible? If not, how much is left before it is met?
  • Do I have a co-pay?
  • Do I have co-insurance?
  • Do I have a secondary insurance plan for Mental/Behavioral Health?

What if I have a secondary insurance policy?

​It is crucial for you to inform us if you have a secondary insurance policy. If we are unaware of your secondary policy and submit claims that are covered by your primary insurance, the issue may not be identified until several months or even years later. At that juncture, the insurance company initiates a "clawback." A clawback occurs when the insurance company reimburses a provider for services but later determines that the reimbursement was in error. Consequently, your provider (us) is obligated to repay the reimbursement amount, and as the patient, you then become responsible for covering the clawback amount.

How do I pay?

​Payment is due at time of service and a credit card is required to be kept on file at all times. Visa, MasterCard, Discover, and AmericanExpress are accepted. If you would like to pay using cash or check, payment must be made at least 24 hours in advance.

What if I need to cancel?

​You can cancel or reschedule an appointment any time, as long as you provide at least 24 hours notice. If you cancel an appointment with less than 48 hours notice, or fail to show up, you will be charged a fee of $95.

Why is your cancellation policy like this?

Some practices have a 48 or 72 hour cancellation policy. At Banyan, we have a firm 24-hour policy.
Here's why this policy matters: While a primary care physician might see 35+ patients in a day, our clinicians typically see 10-12 patients daily. Your provider sets aside dedicated time for your appointment, including evaluation and documentation. If a cancellation occurs within 24 hours, it's difficult to fill that spot, and your provider loses out on valuable time.
Because our providers are in high demand, there's often a waitlist of patients eager for an available slot. With less than 24 hours notice, it's challenging to offer that spot to someone waiting.

Can't you just bill my insurance?

Insurance unfortunately won't cover missed appointments, so when you miss or cancel within 24 hours, your provider isn't paid, no matter the reason. That's why there's a late cancellation fee, in addition to your regular co-pay. We want to make sure you're on board with this policy and understand it's there to help us maintain efficient operations. Your cooperation goes a long way in preventing missed appointments.

But I'm human! What if I forget an appointment?

​We get it – life happens! The truth is, if you're in treatment for a while, chances are something unexpected will come up, leading to a last-minute need to cancel or reschedule an appointment. Please know that we do not get upset with our patients for missing appointments; our cancellation policy is not a form of punishment. Rather, it's a necessary boundary to ensure we can consistently deliver the excellent psychiatric care our wonderful patients deserve.

I'm ready to schedule!

​We're so glad and can't wait to meet you! To book an appointment, click here for online booking! 

Why Choose Banyan?

  • Board Certified Physician Assistant Miriam Dineen, PA-C, specializing in psychiatric care
  • Medical oversight by Dr. Brian Duncan, MD
  • 40+ years of combined clinical experience
  • Wrap-around care with 20+ licensed counselors at Banyan Tree Counseling & Wellness
  • Integrated mental health approach
  • Flexible appointment options
  • Compassionate, patient-centered psychiatric care