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What it costs

What therapy costs here.

Three ways people pay: through insurance, at our self-pay rate, or at a reduced rate set against household income. Ask about any of them on the consultation.

Whichever way you pay, you get the number before your first session.

Three ways to pay

If you are not sure which applies to you, we work it out with you on the consultation, which is free.

Using insurance

Your plan's rate

Your copay, coinsurance or deductible, set by your plan and not by us. We verify your benefits and tell you the number before your first session.

How insurance works here →

Paying yourself

What self-pay includes →

Reduced fee

Adjusted to your household

A self-pay rate set against your income and household size. You apply, we tell you your rate, and it holds for the year.

Apply for a reduced fee →

The one rule worth knowing up front

Reduced fees apply when you pay without insurance.

If we bill your plan, the rate your plan sets is the rate you pay. We are contractually held to it and cannot reduce it. So the choice is between using your coverage and taking a self-pay rate, and we will help you work out which one costs you less.

The two never stackYou are either using your plan or you are on a self-pay rate. Not both in the same session.
It is not applied backwardsA reduced fee starts from the date it is approved. Sessions already billed stay as they were billed.
You can change pathsIf your coverage or your circumstances change, tell your clinician and we look at it again.

Using insurance

Find out what it costs before you book anything.

Start with whether we can bill your plan at all. That answer is free and it is on this page. The dollar figure comes after, once we have checked your benefits, and it comes before you book anything.

Step one, free

Can we bill your plan?

Aetna, Cigna, UnitedHealthcare and Blue Cross Blue Shield work in every state we practise in. Others depend on the state, so it is worth checking.

Use the name printed on your card, even if it is a company you have not heard of. Nothing is sent anywhere and nothing is stored.

Then, if the answer was yes

Four steps to a real number. None of them commit you to a session.

Set up your portal and add your card

Not sure who you are seeing yet? Book the consultation and we will send you the right link. If the portal gives you trouble, email your card to us instead. It reaches our care team directly rather than a website form. The portal is the more secure of the two, so use it first if you can.

Paying yourself

Two rates, depending on who you see.

Some people choose self-pay even when they have coverage, because it keeps a diagnosis off file with an insurer and puts no limit on how long you stay in therapy.

Fully licensed clinician

Fifty minutes. Independently licensed in your state.

Associate clinician

Fifty minutes. Master's-level and state-registered, working toward full licensure under supervision.

Included

A fifty-minute session with your clinician, secure video, and the notes and coordination that go with your care.

The consultation is free

Always, and it is not counted against anything. It is a conversation about fit, not a first session.

No fees to get started

No intake fee, no membership, no admin charge, no card held on file to book a consultation.

Cancellations

Let your clinician know as far ahead as you can. Late cancellations and no-shows may be charged. Your clinician will tell you their policy in writing before it applies.

Reduced fee and financial aid

If the standard rate is out of reach, apply.

Your rate is worked out from your annual household income and the number of people it supports, measured against the federal poverty guidelines. The same household gets the same answer whoever reviews it, so there is nothing to negotiate.

Applications are reviewed in the order they arrive, and the number of reduced-fee places each clinician can hold at once is limited. Applying early in your search is better than applying after you have run out of room.

Apply for a reduced fee

The application asks for household income and size. It runs on our secure portal, not a website form.

A woman sitting back in an armchair at home, at ease

What happens after you apply

You send income and household size

Two figures. No bank statements, no tax returns unless we cannot verify what you have told us.

We give you one rate, not a range

A single number for a fifty-minute session, in writing, so there is nothing to negotiate afterwards.

It holds for a year

Reviewed annually, or sooner if you tell us your circumstances have changed. It applies from approval onwards.

If we cannot place you

When every reduced-fee place is full we will tell you plainly and offer the waitlist or a referral out, rather than putting you on the standard rate and hoping.

We also hold a small number of pro bono places. Those are decided case by case rather than by the table, and the application is the way to be considered.

Questions people ask about the money

If yours is not here, ask it on the consultation.

Still not sure what you would pay

Then let us work it out with you, for free.

Fifteen minutes by video. We look at your coverage, tell you honestly what it is likely to cost, and point you to the reduced-fee application if that is the better path. Nothing is scheduled or charged on the call.