Good Faith Estimate

Regina Abayev, JD, LMFT

2309 Pacific Coast Hwy, Suite 202, Hermosa Beach, CA 90254

info@reginaabayev.com  |  (323) 646-6263

Effective Date: May 11, 2026

Notice to Clients

Under the No Surprises Act (effective January 1, 2022), you have the right to receive a Good Faith Estimate of expected costs for healthcare services, including mental health services, before your first appointment and upon request at any time. This estimate is provided to help you understand the anticipated cost of care. It is not a contract and does not require you to obtain services from this provider.

Provider Information

  • Provider Name: Regina Abayev, JD, LMFT

  • License: California LMFT License No. 148775

  • Address: 2309 Pacific Coast Hwy, Suite 202, Hermosa Beach, CA 90254

  • Phone: (323) 646-6263

  • Email: info@reginaabayev.com

Services and Estimated Costs

This practice is a cash-pay practice. The following fees apply to services provided. All fees are due at the time of service.

Individual Therapy

  • CPT Code 90837 (60-minute psychotherapy session): $350 per session

  • CPT Code 90834 (45-minute psychotherapy session): $300 per session

Couples and Family Therapy

  • CPT Code 90847 (family/couples psychotherapy with client present, 50 minutes): $350 per session

  • Extended couples sessions (75 minutes): $450-500 per session

Accelerated Resolution Therapy (ART)

  • CPT Code 90837 (60-90 minute ART session): $375-500 per session

  • Extended ART sessions: fees provided at time of scheduling

Telehealth

  • CPT Code 95 modifier applies to all telehealth sessions. Fees are identical to in-person rates above.

Estimated Annual Cost

The total cost of treatment depends on the frequency, duration, and type of services you receive, which will be determined collaboratively based on your clinical needs and goals. The following estimates are provided for planning purposes only and do not constitute a commitment to a specific course of treatment.

  • Weekly individual therapy (52 sessions): approximately $15,600 per year

  • Biweekly individual therapy (26 sessions): approximately $7,800 per year

  • Weekly couples therapy at standard rate (52 sessions): approximately $18,200 per year

  • Biweekly couples therapy at standard rate (26 sessions): approximately $9,100 per year

Most clients are seen weekly or biweekly. Frequency is reviewed regularly and adjusted as clinically appropriate. Some clients complete a defined short-term course of treatment; others engage in longer-term work. There is no minimum or maximum commitment.

Insurance and Reimbursement

This practice does not bill insurance directly and is considered out-of-network for all insurance plans. You are responsible for the full session fee at the time of service.

Upon request, I will provide a superbill (an itemized receipt with the relevant CPT and diagnosis codes) that you may submit to your insurance carrier for potential out-of-network reimbursement. Whether your plan reimburses for out-of-network mental health services, and at what rate, is determined solely by your insurance carrier. I recommend contacting your carrier before beginning treatment to confirm your out-of-network benefits.

Your Rights Under the No Surprises Act

You have the right to:

  • Receive a Good Faith Estimate in writing before your first appointment or upon request

  • Dispute a bill that exceeds this Good Faith Estimate by $400 or more

  • Initiate the patient-provider dispute resolution process if a billed amount significantly exceeds this estimate

If you receive a bill that is at least $400 more than this Good Faith Estimate, you can dispute the bill. For information about the dispute resolution process, visit www.cms.gov/nosurprises or call 1-800-985-3059.

This Good Faith Estimate is not a contract. It does not obligate you to receive services, nor does it obligate this practice to provide services beyond what is clinically appropriate.

Questions

If you have questions about this estimate or your anticipated costs, please contact me before your first session.

Regina Abayev, JD, LMFT

info@reginaabayev.com

(323) 646-6263

reginaabayev.com