I deeply believe in midwifery care being accessible for families who desire this option. My current rates are listed below and include the birth assistant fee. Flexible payment options are available. FSA/HSA and HRA accepted. There is a reduced fee for Medicaid families. I do not accept insurance. The fee is an out of pocket expense. I work with a third-party insurance billing company to assist you in getting services approved and obtaining the best reimbursement possible. They will handled verification of benefits, requesting in-network exception and waivers, submission of claims, and appeals so you can enjoy your baby.