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. 

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 for adults

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- 6 weeks.


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.

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 for more details