Your first visit
Nervous about your first visit? That’s normal. Here’s exactly what happens, what it costs, and how insurance works.

- 30 minutes
- for your new patient exam and adjustment
- $95
- for your first visit. Using insurance? We check your coverage first.
- Your choice
- of Dr. Nichole or Dr. Jason
- Suite A
- 1156 Emerald Bay Road, South Lake Tahoe
What happens at your first visit
Consultation
Our chiropractic assistant helps you with a few forms. Then your doctor sits down with you to talk about what brought you in and what you want to get back to. Then you and your doctor decide together if we’re the right fit.
Examination
A thorough, gentle exam of your range of motion, reflexes, posture, and nerves. If needed, the doctor may order x-rays.
Report of findings
Your doctor explains what we found in plain words and walks you through the care we recommend.
Gentle care
If it’s right for you, you get your first gentle adjustment that day. Your doctor explains how often to come in, based on your goals.
First visit
“Dr. Nicole was so patient with me and made me feel at ease within the first few seconds of meeting her.”
First visit
“Since it was my first time ever, Dr. Nicole took time to learn about my goals and expectations and explained how the techniques she uses would help with the process of restoring mobility and easing the pain.”
Visiting Tahoe
“Dr Jason was thorough, listened to my concerns and explained every touch he made.”
Insurance and payment
Check your insurance first
We accept most insurance plans, including Anthem, Blue Shield, Cigna, Medicare, Hometown Health, and most Aetna plans. We also take car accident and personal injury claims. Plans vary, so we check your benefits and explain them before your first visit, at no charge.
- No insurance?
- We have an affordable plan for you or your whole family. See your options
- Ways to pay
- Cash, check, Visa, and Mastercard.
No insurance
Care without insurance
Casto Chiropractic believes in the value of wellness care for all people. If you don’t have health insurance, we have an affordable plan for you as an individual or for the whole family.
- First visit, $95
- About 30 minutes. We do a physical exam, talk about what’s going on, and make any adjustments you need.
- Drop-in visits, $65
- Pay as you go, one visit at a time.
- 5 visits, $275
- $55 a visit. You have 5 months to use them.
- 10 visits, $500
- $50 a visit. You have 10 months to use them.
Questions people ask
Can I meet you before I book a visit?
Yes. We offer a free consultation for chiropractic care and for MLS Laser Therapy. It’s a 5 to 10 minute conversation to meet us, see the office, and ask a few questions. Call (530) 543-1201 to set one up.
How long is the first visit?
About 30 minutes for the new patient exam and adjustment.
Will the adjustment hurt?
Our doctors use gentle, non-force techniques and adjust to how you feel that day. Tell us what feels right to you, and we’ll go from there.
Do I need x-rays?
Not always. If needed, the doctor may order x-rays after your exam.
Is chiropractic care covered by insurance?
We accept most insurance plans, including Anthem, Blue Shield, Cigna, Medicare, Hometown Health, and most Aetna plans. We also take car accident and personal injury claims. We check your coverage before your first visit, at no charge, so you know what to expect.
Can I choose Dr. Nichole or Dr. Jason?
Yes. When you book online, you can pick either doctor or take the first open time. Book with Dr. Nichole or book with Dr. Jason.
What should I bring?
Your intake form, if you filled it out at home, and your insurance card.
Book your first visit
Pick a time online. Or text or call, and we’ll help you find one.
We accept most insurance plans, including Anthem, Blue Shield, Cigna, Medicare, Hometown Health, and most Aetna plans. We also take car accident and personal injury claims.No insurance? Our rates
