Two paths to care.

Care is delivered by telehealth in both states. How you pay comes down to one thing: where you're located. California is private pay with a superbill provided. New Jersey is insurance based.

California · Private Pay

Private pay, with superbill

  • Initial psychiatric evaluation$850
  • Concierge Continuity membership$650/mo
  • Comprehensive Care membership$1,250/mo

Every patient begins with the initial evaluation; the two memberships are ongoing monthly concierge care. Additional follow-ups are $350 (30 min) or $650 (60 min). We provide a detailed superbill you can submit for possible out-of-network reimbursement, and a Good Faith Estimate on request.

New Jersey · Insurance

Insurance based

We're in the credentialing process with Horizon BCBS NJ, Aetna NJ, and Cigna / Evernorth NJ.

Until each panel finalizes, New Jersey patients receive an out-of-network superbill to submit for partial reimbursement under their out-of-network benefits. This is the bridge that lets you start care now rather than waiting for credentialing to complete.

We'll confirm your specific plan and the current status on your intake call, so there are no surprises.

See full New Jersey care →

What's a superbill? It's an itemized receipt for your visit with the codes your insurance company needs. You pay Sigma directly, then submit the superbill to your insurer, who may reimburse part of the cost under your out-of-network benefits. We prepare it for you.

Not sure which path applies to you? It comes down to where you live. We're happy to walk through the details on a free 15-minute intro call.

Ways to Pay & Plan Ahead

Flexible, honest options

A few ways to make care work for your situation. Ask about any of these on your intake call.

HSA & FSA

Pre-tax dollars

Psychiatric care is generally an eligible expense, so many patients use HSA or FSA funds and the superbill we provide. Confirm eligibility with your plan administrator.

The gift of care

For someone you love

You can arrange and prepay an evaluation for a family member, a partner, or a college student. They complete their own private intake, and the care stays between them and their clinician.

Plan ahead

By arrangement

For ongoing California care, a comprehensive evaluation package and prepaid visit blocks are available. We'll walk through what fits on your intake call. See concierge membership →

Start Here

Ready when you are.

Book a consultation or ask us anything on a free 15-minute intro call. Honest answers, no pressure.

Book a Consultation