Insurance billing forces a fifteen-minute visit and a billing code that does not match the work. The provider has to choose between doing the workup the patient needs and getting paid for the time it takes. Most providers choose the billing code. The patient is the one who absorbs the difference.
I built AVENORA on a direct-pay model so the visit can match the work. Forty-five minutes for an initial workup. Thirty minutes for an established preconception visit. The fee reflects the time, the attention, and the expertise. No upcharges. No coded visits. No prior authorizations.
The patients who come to me through direct-pay are the patients who have already done the math. They have paid for visits that delivered nothing. They are tired of fighting their insurance company for care that should be standard. They want a clinician who is paying attention to their case instead of their billing cycle.
If that is the kind of care you are looking for, the pricing below is the full picture.