Self-Pay Psychiatric Care in Arizona — $179, No Insurance Needed, No Membership
Self-pay psychiatric care in Arizona should have a price you can see before you book. At Sigmon Psychiatric it is $179 for the initial evaluation and $129 for each follow-up, by video, with Angela Marton, PMHNP-BC. There is no membership, no subscription, no platform fee, and no insurance required. Online across Arizona: 5.0★ on Zocdoc across 88 verified reviews, $179 initial evaluation, and same-week openings often available. View current appointment times — same-week openings are often available, though never guaranteed.
The Price, Stated Up Front
- Initial psychiatric evaluation — $179. 45–60 minutes, any condition: ADHD, anxiety, depression, bipolar disorder, OCD, PTSD, insomnia.
- Follow-up medication management visit — $129. 20–30 minutes.
- Emotional support animal (ESA) letter evaluation — $249 flat. Open to new patients.
That is the whole fee schedule for standard care. HSA and FSA cards are accepted. Prescriptions are sent electronically to your Arizona pharmacy at no extra charge; the medication itself is paid at the pharmacy. The full list of evaluations and letters, with each price, is on the assessments page.
"Direct Psychiatric Care" Without the Membership
Searches for direct psychiatric care in Tucson and across Arizona usually turn up two models. One is a membership or concierge practice: a monthly or annual fee, sometimes with a visit allowance, sometimes with visits billed on top. The other is simple fee-for-service — you pay the practice directly for the visit you have and nothing else.
Sigmon Psychiatric is the second kind. You pay $179 for the evaluation and $129 for a follow-up when you have one. There is no enrollment, no monthly charge, no minimum number of visits, and no fee to leave. Patients who are stable on medication and need a follow-up every three months pay for four visits a year; patients early in treatment who need monthly adjustments pay for those visits and then step down. The price does not change based on how soon the appointment is.
What you get is the same thing concierge practices advertise: one named prescriber at every visit, a live calendar instead of a phone queue, prescriptions sent before the visit ends, and the ability to text the office. Because the practice is a single-provider telehealth practice, it does not need a membership fee to offer those things.
Who Chooses Self-Pay
- People without insurance, including the self-employed, contractors, and people between jobs.
- People with a high-deductible plan who would pay the full negotiated rate out of pocket anyway, often more than $179.
- Patients with Medicare, Medicaid, or AHCCCS. Medicare, Medicaid, and AHCCCS (Arizona Medicaid) are not accepted; patients with those plans are still welcome to book as self-pay.
- People whose plan has no in-network psychiatric prescriber taking new patients, which is common in Arizona outside the Phoenix and Tucson cores.
- People who want privacy. A self-pay visit generates no insurance claim and no explanation of benefits — a reason some adults on a spouse's or parent's plan choose it.
- People who want to be seen this month. Self-pay does not buy priority — everyone books from the same calendar — but it removes the step of verifying benefits before the first visit.
Self-Pay or Insurance: How to Decide
Insurance is sometimes cheaper. If your plan has a flat specialist copay, you have met your deductible, and the provider is in your network, a visit may cost you less than the self-pay price. If you have a high deductible you have not met, you may pay the plan's full negotiated rate until you do, which can be more than $179.
The only reliable way to know is to call the member services number on your card before booking and ask four questions: Are outpatient mental health visits covered? Are telehealth visits covered? What is my deductible status and specialist copay? Is this provider in network for my exact plan? Some commercial plans may be accepted at Sigmon Psychiatric; coverage and network participation vary by exact plan and are not guaranteed. The insurance and pricing page walks through the call. If the answers are unclear, self-pay gives you a known price.
What a Self-Pay Visit Includes
The 45–60 minutes initial evaluation covers your history, current symptoms, prior treatment, sleep, medical factors, and goals, using standardized rating scales where they help. You leave with a working diagnosis explained plainly and a plan. When medication is appropriate, it is discussed and prescribed at the same visit — including controlled medications such as stimulants when clinically appropriate, under DEA telemedicine rules and a check of Arizona's prescription-monitoring program. An evaluation is never a guarantee of a particular diagnosis or prescription.
Follow-up medication management visits are 20–30 minutes: how the medication is working, side effects, dose adjustments, labs when needed, and refills. The same provider sees you at every visit, by video, from anywhere in Arizona.
Condition pages describe treatment in more detail: ADHD, anxiety, depression, bipolar disorder, OCD, and PTSD. The ADHD evaluation page explains why there is no separate testing fee.
Self-Pay Psychiatric Care in Tucson, Phoenix, and Everywhere Else in Arizona
Sigmon Psychiatric is based in Tucson, and every visit is by secure video, so the price and the calendar are the same whether you are in Tucson, Phoenix, Scottsdale, Mesa, Flagstaff, Yuma, or a town hours from the nearest clinic. You must be physically in Arizona during the appointment. Online psychiatry across Arizona explains how statewide video care works.
Book a Self-Pay Visit
View current appointment times — new patients often find an opening within the same week, though timing varies and is not guaranteed. Questions about cost before booking? Call or text (520) 650-5111. Telehealth visits are for outpatient care, not emergencies. Call 911 for immediate danger, call or text 988 for the Suicide and Crisis Lifeline, or call Arizona's statewide crisis line at 1-844-534-4673 — all available 24 hours a day.
Your provider: Angela Marton, PMHNP-BC
Angela Marton is a board-certified psychiatric mental health nurse practitioner providing telehealth psychiatric care to patients across Arizona. She specializes in medication management and comprehensive psychiatric evaluations for anxiety, depression, ADHD, and related conditions. Every visit is with the same provider. Same-week openings are often available, but timing varies; view current times when you book. More about Angela.
Insurance & costs
Commercial plans that may be accepted include Aetna, Blue Cross Blue Shield, Cigna, United Healthcare, Humana, Oscar Health, and Optum. Coverage and network participation vary by exact plan, so verify benefits before your visit. Self-pay rates are $179 for an initial evaluation and $129 for follow-up visits; HSA and FSA cards are accepted. Medicare, Medicaid, and AHCCCS (Arizona Medicaid) are not accepted; patients with those plans are still welcome to book as self-pay. Full insurance and pricing details.
Frequently asked questions
How much does a psychiatrist cost in Arizona without insurance?
At Sigmon Psychiatric the self-pay price is $179 for the 45–60 minutes initial evaluation and $129 for each 20–30 minutes follow-up medication visit, with Angela Marton, PMHNP-BC, a board-certified psychiatric nurse practitioner. There is no membership fee, no platform fee, and no separate charge for sending a prescription. HSA and FSA cards are accepted.
What is direct psychiatric care, and is this a membership?
"Direct care" means you pay the practice directly for each visit instead of billing through insurance. Sigmon Psychiatric works this way for self-pay patients, but it is not a membership or subscription: there is no monthly fee, no enrollment, and no minimum number of visits. You pay $179 for the evaluation and $129 for follow-ups only when you have them.
Can I see a psychiatric provider without insurance?
Yes. Sigmon Psychiatric accepts children, teens, and adults for psychiatric evaluations and medication management when they are physically located in Arizona during the appointment. No insurance, referral, or prior records are required to book. Choose a time at sigmonpsych.com/book, complete a short intake, and pay at the time of the visit.
Do you accept Medicare, Medicaid, or AHCCCS?
Medicare, Medicaid, and AHCCCS (Arizona Medicaid) are not accepted; patients with those plans are still welcome to book as self-pay. The self-pay price is the same $179 initial evaluation and $129 follow-up as for any other patient, and HSA and FSA cards can be used.
Is self-pay cheaper than using insurance for psychiatry?
Sometimes. With a high-deductible plan you may pay the full negotiated rate until the deductible is met, which can be more than the self-pay price here; with a plan that has a flat specialist copay and a provider in network, insurance may cost you less per visit. The only way to know is to call the member services number on your card and ask about outpatient mental health and telehealth benefits, your deductible status, and your specialist copay. Self-pay also means no claim and no explanation of benefits is generated.
Are medications and prescriptions included in the price?
The visit price covers the evaluation or follow-up and sending any prescription electronically to your Arizona pharmacy. The medication itself is paid at the pharmacy. Angela considers cost when choosing between options, and most first-line psychiatric medications are available as inexpensive generics; some pharmacies and discount programs price them lower without insurance than with it.
What does a self-pay ADHD evaluation cost?
The same $179 as any initial evaluation — there is no separate testing fee. Follow-up medication visits are $129. The ADHD evaluation page explains what the visit involves.
Do self-pay patients get same-week appointments?
Self-pay and insured patients book from the same live calendar, and new patients often find an opening within the same week. Availability varies from day to day and is not guaranteed. If nothing listed works, text the office; openings from cancellations are frequently available before they appear online.