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Costs of Treatment

At this time, Dr. Noel Shadowen is in-network with Quest Behavioral Health and Dr. Lindsay Anmuth is in-network with Highmark Blue Cross Blue Shield (note: this unfortunately does not include Independence Blue Cross). 

Skyline psychologists are considered out-of-network with all other major insurance plans. Read on for a description of what that means. 

What are "out-of-network" costs and who are "out-of-network" providers?

For all insurance plans other than Quest and Highmark BCBS, Skyline Psychotherapy & Assessment Services, PLLC psychologists are considered "out-of-network providers," which means that we do not receive payment from any other insurance companies. If we are out-of-network with their insurance companies, our clients are billed directly for their services and then provided with documentation that they might need to submit to their insurance companies for potential reimbursement. We always recommend contacting the insurance company to inquire about out-of-network reimbursement prior to the first scheduled treatment session. For further explanation or guidance on this issue, please feel free to contact us!



Below is a list of our standard fees for 2024

*Our clinicians consider lowered "sliding scale" fees, which are adjusted based on reported income in cases where reimbursement is denied by the insurance company. Please ask about our policies and availability. We'd be happy to share more information.

Standard Fees



50-minute interview with a licensed clinical psychologist, culminating in a working diagnosis and initial recommendations.



75-minute sessions with both members of a couple/marriage or, in the case of family therapy, more than one family member.



50-minute therapeutic sessions with a licensed clinical psychologist. The typical expectation is that clients engage in weekly sessions, at least in the beginning, unless another arrangement is agreed upon.


Fees vary - please inquire

Our psychologists are able to complete psychological assessments that answer a wide range of questions. Examples include: psychodiagnostic assessments to clarify specific diagnoses (such as autism spectrum disorder), psychoeducational evaluations that can inform school systems and reasonable accommodations, psychological evaluations for gender affirming surgery, assessments of military readiness, etc.

Important Notice

You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost

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 bill for medical items and services.

  • 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 an item or 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 

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