Dr. Miles and associates accept some of the major insurance plans in the area, but may be considered out-of-network for some plans. The practice does accept out-of-network patients, but the full fee for the appointment is due at the time of service.


We accept all major credit cards, check, and cash payments.


Insurance Plans Accepted:


  • Cigna

  • Cigna Behavioral Health For Duke University

  • Duke University Student Health Insurance

  • Blue Cross Blue Shield PPO


Dr. Miles is NOT a participating provider for Blue Local plans.


For participating insurance plans, you are only responsible for your co-payment, co-insurance, or deductible at the time of service.

  • These typically range from $20-$60 per visit, depending on your plan. However, you may have to pay the full insurance negotiated charge if you have a deductible plan.

For non-participating insurance plans:

  • Appointments with Dr. Miles:

    • Psychiatric evaluation - $300

    • One hour return appointment - $225

    • 30 minute return appointment - $160

  • Appointments with Associates:

    • Initial evaluation - $175

    • One hour psychotherapy sessions- $150

    • 45 minute psychotherapy sessions- $120

    • 30 minute psychotherapy sessions- $85

    • Crisis appointments - $225

We recommend that you contact your insurance plan directly prior to the appointment. Please verify benefits and eligibility and confirm that Dr. Miles and associates are considered participating providers.

Karen D. Miles, MD, PLLC

2741 Campus Walk Avenue

Building 400, Suite 100

Durham, NC 27705

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© 2015 Karen D. Miles, MD, PLLC