Built on transparency:

Why Our Cash-Pay Model Saves You Time and Money

Many people assume using health insurance is always the cheapest option for healthcare. However, with high deductibles and rising copays, traditional insurance-based physical therapy often costs more in the long run.

1. You Need Fewer Visits
Every session at Northline Performance is 60 minutes of uninterrupted, 1-on-1 care with a specialist, you get better faster. Most of our clients achieve their goals in 4 to 6 visits, compared to the 12 + visits required at high-volume clinics.

2. No Surprise Bills or Hidden Costs
Insurance billing is unpredictable. You might receive a bill months after your treatment because a claim was denied. With us, you pay a clear, flat rate upfront. You know exactly what your care costs before you walk through the door.

3. Skip the Doctor's Referral
Insurance companies usually require you to visit a primary care doctor to get a referral before you can start physical therapy. In Alaska, you have direct access to physical therapy. Bypassing that extra doctor's visit saves you an extra copay and gets you out of pain weeks faster.

We gladly accept HSA and FSA cards, and we can provide you with an itemized Superbill to submit to your insurance company for potential out-of-network reimbursement.

FAQ:

  • We are an out-of-network, cash-pay provider. This allows us to give you 100% focused, 1-on-1 care without insurance companies dictating your treatment.

  • Yes! We gladly accept all standard Health Savings Account (HSA) and Flexible Spending Account (FSA) cards. If you would like to attempt to seek out-of-network reimbursement from your insurance provider independently, we can provide you with an itemized receipt (a Superbill) detailing your care. However, please be aware that your provider will likely deny the dry needling portion of the session based on their nationwide non-coverage policies.

  • Paying cash gives you 100% uninterrupted, 1-on-1 expert care that gets you results in fewer total visits.

    Traditional insurance models force clinics to prioritize paperwork and patient volume over individual recovery.

  • No, we do not bill health insurance for dry needling, and it is processed strictly as a cash-pay service.

    The Centers for Medicare & Medicaid Services (CMS), along with the vast majority of commercial insurance providers, classify dedicated dry needling codes (CPT 20560 and 20561) as a non-covered benefit. This means insurance companies explicitly exclude dry needling from standard member reimbursement.