Chronic Illness and Lyme Associated Diseases

Chronic Illness and Lyme Associated Diseases

We are pleased to offer care for borreliosis (Lyme Disease) and related conditions. Because of its complexity, the charges for these services are different from those of our primary care services.

Be aware that the initial visit will be $400 for the visit and is due at the time of your visit.  Plan to spend 1-½ to 2 hours at the office for your first appointment.  We do not accept insurance, but can provide an itemized receipt that you can submit to insurance for reimbursement.  Reimbursement is up to your insurance company, it is their policy, not ours.

The cost of labs is not included in the appointment fee.  We will discuss which labs we recommend and the associated costs prior to ordering. 

The prices below are based on a $400 per hour rate as patients with complex illness require more care than primary care patients.

Type of Fee



First Lyme appointment for adults

This is the cost of your first appointment with our Lyme Literate Nurse Practitioner


Follow-up visit

Price is based on complexity and time. This includes time both inside and outside of appointments.  Follow up appointments are typically 30-45 minutes and take place every 4-8 weeks. 

As your symptoms improve, follow-up appointments may become less frequent.


Lab testing for Lyme and related infections

We offer a variety of testing options. Read below for details

Varies widely, can be up to $2000.  Medicare and some other insurance plans may reimburse for the cost of testing.

Your provider will help you determine affordability during the appointment and what test is best for you.

Lab Testing for Lyme and Related Infections
We use laboratory testing from from IGeneX, Galaxy Diagnostics, and TLab.  Most results are available within 3 weeks.  A few tests take up to 6 weeks. The majority of these tests are blood draws.


  • With the exception of traditional Medicare (not HMOs or PPOs), insurance companies do not pay directly for specialty labs. This is not our policy, it is theirs.  Payment is due at the time of service.  You will be provided an itemized receipt with diagnosis and lab codes that can be submitted to  insurance or other third party payers for out-of-network reimbursement.  The rate of reimbursement varies widely from plan to plan. See “Insurance” under our services page for more details

Children and Lyme Associated Disease

Treatment for children with Lyme is provided by our certified nurse practitioner, Rachel Lydy Smith. Rachel is a telehealth provider and is able to see patients of all ages. For her appointments, we recommend patients come in person to be seen by Rachel’s nurse here in the office. From our clinic, Rachel will conduct the appointment with her nurse present to assist the patient. Rachel will be in the appointment through telehealth and the nurse will be present in the office.

If patients cannot be present for the appointment, Rachel is able to do appointments through telehealth.
All costs are the same as regular Lyme Associated Disease as seen above.
Type of FeeDescriptionCost
Initial AppointmentIncludes a consultation with nurse practitioner Rachel Lydy Smith. Initial visits will typically last 60 – 90 minutes.(Same as prices above)

Labs and Telehealth Appointments

If you do a telehealth appointment from home, lab kits and orders can be sent to you where you can take them to a local hospital or clinic for help. There they can complete blood draws and lab kits.