Same-Day Appointments — Denton, Troy & All of North Carolina
Community behavioral health hubs plus telehealth: Denton Community Hub — provider onsite Tuesdays
Insurance • Pricing • Referrals
Insurance-Friendly Psychiatry in North Carolina
Quick Facts: Insurance & Pricing for Psychiatric Care in NC
- ✓ NC Medicaid, BCBS, Aetna, Cigna & most major insurance accepted
- ✓ You do not need a referral to book a video visit
- ✓ Same-day visits are often open for new and current patients
- ✓ We serve all of North Carolina by secure video
- ✓ Most plans cover care for ADHD, anxiety, depression, PTSD, and sleep problems
- ✓ Paying on your own? Ask us about lower fees based on your income
We take Medicaid, Tricare, and most major plans. No insurance? Our prices are simple, and they are listed below. We see patients by video all over North Carolina, and we book fast.
Insurance Plans We Accept
Commercial
- UnitedHealthcare / Optum Behavioral Health
- Aetna
- Cigna
- Blue Cross Blue Shield of North Carolina
- Ambetter of North Carolina
- AmeriHealth Caritas North Carolina
North Carolina Medicaid
- NC Medicaid Direct
- Healthy Blue North Carolina
- UnitedHealthcare Community Plan of North Carolina
- WellCare of North Carolina
- Carolina Complete Health
Behavioral Health MCOs
- Trillium Health Resources
- Partners Health Management
- Alliance Health
Government & Military
- TRICARE East
- Medicare
- Medicare Advantage (selected plans)
Not sure about your plan? Call us at 336-828-2599 and we will check what your plan covers before you book.
Self-Pay Rates and Referral Information
Here is what care costs if you pay on your own.
- Initial Psychiatric Evaluation: $179
- Follow-Up Medication Management: $99
You pay at the time of your visit. If you use insurance, your share depends on your plan.
Referrals Welcomed
We take referrals from family doctors, pediatricians, therapists, schools, hospitals, and community groups. Most referred patients get a visit within 3 to 5 business days.
Fax Referrals
📠 336-444-6144
Please include:
- Patient demographics & contact
- Insurance information
- Reason for referral
- Medication list
- Recent clinical notes (if available)
For questions, call 336-828-2599 or email contact@pinnaclebhw.com.
Appointment & Payment Policy
If you do not use insurance, you pay the rates above. If you do use insurance, we bill your plan. Please tell us at least 24 hours ahead if you need to cancel. A late change or a missed visit may cost a fee.
How Insurance Works for Telepsychiatry in NC
State law says most plans sold in North Carolina must cover video visits the same way they cover office visits.
So your co-pay and your other costs are usually the same as they would be for an office visit.
We check your plan before your first visit, so a bill never catches you off guard. Call us at (336) 828-2599. We will confirm what your plan covers and tell you what you will owe before you come in.
Do not see your plan on the list? Call us. We add new plans often. You can also pay on your own if you have no insurance, or if you would rather not use it. The first visit is $179. Later visits to check on your medicine are $99.
Understanding Your Psychiatric Billing
We bill your visits with standard codes that every insurance plan knows. They are called CPT codes. These are the ones we use most:
- CPT 90792 — Your first visit. A full review of your health, 45 to 60 minutes.
- CPT 99213 / 99214 — A later visit to check on your medicine, 15 to 30 minutes.
- CPT 99205 — A longer first visit, for a more complex health history.
Your plan mails you a summary called an Explanation of Benefits. It lists these codes, what the plan paid, and what you owe. Questions about a bill? Call our office at (336) 828-2599.
Referring Providers: How to Send a Referral
We welcome referrals from family doctors, pediatricians, therapists, schools, hospitals, and other mental health providers. We work closely with you. With the patient's consent, we can send you visit notes and medicine updates.
To refer a patient, please fax the following information to 336-444-6144:
- Patient name, date of birth, and contact information
- Insurance information and member ID
- Reason for referral and chief complaint
- Current medication list
- Relevant clinical notes or prior assessments (if available)
We call the patient within one business day to set up the first visit.