Insurance can be handled one of two ways. I am in network with some plans, for those that are in network you would only be responsible for whatever the co-pay may be. Many policies have very good out of network benefits, if your deductible had been met you would only be responsible for the co-insurance (typically 20 or 30%) and I would handle all of the paperwork. For those that do not have insurance coverage we would discuss the fee together (I have a sliding scale).