What to Expect
The Kentucky Tongue-Tie Center works with medical insurance plans as an out-of-network provider. This means payment is made directly to our office, and your insurance company may reimburse you directly after care is completed, depending on your individual plan.
Our knowledgeable insurance team will provide you with the appropriate documentation (including a detailed receipt/superbill) to help you seek the highest possible reimbursement from your medical insurance provider.
Insurance companies often require that tongue-tie or lip-tie treatment be considered medically necessary. When available, notes or referrals from a pediatrician, lactation consultant (IBCLC), speech-language pathologist, or other qualified specialist can be helpful and may speed up the reimbursement process. Please note that submitting a claim does not guarantee coverage, as all reimbursement decisions are made by your insurance provider.
Fees
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Comprehensive Evaluation: $80
This fee is waived if a procedure is completed the same day. -
Tongue-Tie or Lip-Tie Release: $495 per site
This fee includes all recommended follow-up visits related to the procedure.
Payment is due prior to the procedure. Our team is always happy to review costs, insurance questions, and next steps with you ahead of time. We believe families deserve clear, upfront pricing and a supportive experience with no surprises.
Insurance & Pricing
Insurance & Pricing FAQs
Why is the Kentucky Tongue-Tie Center out-of-network?
Tongue-tie and lip-tie treatment is a specialty medical service, and many insurance plans do not contract directly with specialty centers. Operating out-of-network allows us to focus on timely care, advanced laser treatment, and longer appointment times, without restrictions placed by insurance networks.
Will my insurance reimburse me?
Many families do receive partial reimbursement from their medical insurance, depending on their individual plan. We provide a detailed receipt (superbill) and supporting documentation to help you submit your claim. Coverage and reimbursement amounts are determined solely by your insurance provider and are not guaranteed.
Why don’t you bill insurance directly like some offices?
Medical insurance policies vary widely, and direct billing often leads to delays, denials, or unexpected balances for families. By collecting payment at the time of service and providing documentation for reimbursement, we offer transparent pricing with no surprise bills.
What makes your pricing different from other offices?
Our procedure fee is all-inclusive:
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Same-day evaluation and treatment when appropriate
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Advanced laser release
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All recommended follow-up visits included
Many offices charge separately for evaluations, procedures, or post-operative visits.
Do I need a referral?
A referral is not required, but documentation from a pediatrician, lactation consultant (IBCLC), speech-language pathologist, or other specialist can help support insurance reimbursement when available.
Can my baby be treated the same day as the evaluation?
Yes. Same-day evaluation and treatment is available for many patients, which helps families avoid multiple appointments and delays in care.