Fees & Insurance

Understanding Therapy Includes Understanding The Financial Side Of Care.

Beginning therapy is an important investment in your emotional health and relationships. We believe financial transparency is part of good care.

Our goal is to help you understand not only what different therapy services cost, but why they exist, how they're recommended, and what you can expect throughout the process.

Our Philosophy

Our Philosophy About Fees

Therapy is an investment in long-term emotional health, not simply an hour-long appointment.

You deserve to understand how session recommendations are made, what you're actually paying for, and why different appointment types exist in the first place. We aim to be transparent about all of it, without treating your questions as something to manage or deflect.

Appointment Types

Our Current Fees

We offer several appointment types, each suited to a different stage or type of care:

Initial Consultation15 minutesNo Charge
Initial Diagnostic EvaluationCPT 90791
Individual Therapy, 45 MinutesCPT 90834
Individual Therapy, 50 MinutesCPT 90837
Couples & Family TherapyCPT 90847

Current fees for each appointment type are shared when you schedule, so you have accurate, up-to-date information at the time you book. The appointment type recommended for you is always based on your clinical needs and treatment goals, not simply on session length or cost.

Beyond The Appointment

What Happens Beyond Your Therapy Session?

Many people understandably assume they're paying only for the time spent together during a therapy appointment. In reality, therapy includes a significant amount of professional work before, during, and after every session.

Depending on your needs, your therapist may spend additional time:

Reviewing previous sessions

Documenting progress notes that meet legal, ethical, and professional standards

Developing and updating treatment plans

Preparing for upcoming sessions

Creating homework assignments

Identifying helpful resources

Researching evidence-based interventions for complex situations

Reviewing assessments

Consulting with other professionals when clinically appropriate, and with your authorization

Maintaining secure clinical records and completing required documentation

While clients participate in 45- or 50-minute therapy sessions, providing high-quality clinical care often requires an hour or more of professional time once documentation, treatment planning, preparation, and other required responsibilities are included. Therapy is a comprehensive professional service, not simply time spent talking.

A Clinical Decision

Choosing The Right Session Is A Clinical Decision, Not A Billing Decision

Appointment recommendations are based on your treatment goals, clinical complexity, the type of therapy being done, the pace of treatment, and what will best support meaningful progress, not on maximizing reimbursement.

Your therapist recommends the amount of time most appropriate for the work being done, and that recommendation can shift as your needs change.

The Details

Understanding Therapy Appointment Types

No Charge

Initial Consultation

Choosing a therapist is an important decision. This complimentary 15-minute conversation allows you to briefly discuss what brings you to therapy, ask questions, and learn about our approach to determine whether it feels like a good fit.

This is not a therapy session. It does not include assessment, diagnosis, or treatment. Its only purpose is to determine whether moving forward together feels appropriate.

CPT 90791

Initial Diagnostic Evaluation

Your first full appointment is different from ongoing therapy. It focuses on understanding why you're seeking therapy, gathering relevant personal, family, relationship, and medical history, and identifying your strengths and current concerns.

Meaningful therapeutic work often begins here, but the primary purpose is understanding the whole person and collaboratively developing an appropriate treatment plan.

CPT 90834

Individual Therapy, 45 Minutes

This appointment may be appropriate for maintenance therapy, focused skill-building, symptom management, follow-up sessions, or periods of greater stability.

Shorter sessions can still be highly effective when they match your goals and current needs.

CPT 90837

Individual Therapy, 50 Minutes

This is our standard therapy session, offering enough time for meaningful therapeutic work while allowing your therapist to complete the clinical responsibilities required after each appointment.

It's often recommended for trauma therapy, EMDR, attachment-focused work, grief, relationship patterns, nervous system regulation, and other complex or long-standing concerns. You may see this billed as CPT 90837, the standard psychotherapy code commonly used for longer sessions, even though your appointment is scheduled as 50 minutes.

CPT 90847

Couples & Family Therapy

This work focuses on the relationship itself, including communication, conflict, emotional safety, rebuilding trust, attachment, teamwork, and interaction patterns.

Treatment focuses on helping the relationship function differently, not simply treating one person's symptoms.

For Reference

Why You May See CPT 90838 Elsewhere

CPT 90838 refers to psychotherapy provided alongside medication management. It's most commonly used by psychiatrists and other prescribing providers.

Because this practice provides psychotherapy rather than medication management, you generally will not receive this code here. It's included simply to help you understand why you may see different codes at other practices.

Beyond The Calendar

Therapy Continues Between Sessions

Therapy doesn't only happen during appointments. Many clients notice progress throughout the week by recognizing emotional patterns, noticing body sensations, practicing healthier communication, reflecting differently, experimenting with new boundaries, and responding differently to stress.

These moments between sessions are often where meaningful change begins to take root.

Two Paths

Insurance And Private Pay

Both are valid ways to access care, and the right choice depends on your priorities.

Insurance

Can Be An Excellent Option

  • Generally requires a mental health diagnosis
  • Requires documentation supporting medical necessity
  • May involve periodic review of treatment
  • Requires compliance with insurance requirements
Private Pay

Some Clients Choose This Intentionally

  • Increased privacy, without insurance involvement
  • Greater flexibility in treatment approach
  • Treatment guided by personal goals, not only diagnosis
  • Room to focus on growth and self-understanding, not only symptom reduction
Reimbursement

Using Out-Of-Network Benefits

If applicable to your plan, we can provide a superbill you can submit to your insurance company for possible reimbursement. Reimbursement amounts vary widely by plan, and we recommend verifying your specific out-of-network benefits directly with your insurance company before beginning treatment. We are not able to guarantee reimbursement.

The Bigger Picture

Investing In Meaningful Change

Therapy is rarely measured by the number of appointments alone. Meaningful progress often includes:

Healthier relationships

Better communication

Stronger boundaries

Emotional regulation

Reduced anxiety

Improved sleep

Increased resilience

Deeper self-understanding

Questions

Frequently Asked Questions

Do you accept insurance?
Please contact us directly to confirm current insurance participation, as this can change over time. We're happy to discuss both insurance and private pay options during your consultation.
Can I use out-of-network benefits?
Many clients use out-of-network benefits by submitting a superbill to their insurance company for possible reimbursement. Coverage and reimbursement amounts vary, so we recommend verifying your specific benefits directly with your insurer.
Why are therapy sessions different lengths?
Different session lengths exist to match different clinical needs. A shorter follow-up session may be appropriate during a stable period, while deeper trauma work or relationship therapy often benefits from more time.
How do I know which appointment is right for me?
This is determined collaboratively based on your goals, history, and the type of work you're doing, typically starting with your initial diagnostic evaluation and adjusted as treatment progresses.
What is included in the free consultation?
The complimentary 15-minute consultation is a chance to briefly discuss what brings you to therapy, ask questions, and get a sense of fit. It does not include assessment, diagnosis, or treatment.
Why does therapy cost what it does?
The fee reflects more than the face-to-face session time. Providing quality care typically involves documentation, treatment planning, preparation, and other professional responsibilities beyond the scheduled appointment.
What happens after my therapy session ends?
Your therapist typically completes clinical documentation, reviews progress, and prepares for future sessions. This work supports the quality and continuity of your care even though it happens outside your appointment time.
Can I change session lengths later?
Yes. Session length and frequency can be adjusted over time as your needs and treatment goals change.
Do I have to start with an intake appointment?
Yes. The initial diagnostic evaluation allows your therapist to understand your history, current concerns, and goals in order to build an appropriate treatment plan before ongoing therapy begins.
Can I use an HSA or FSA?
Many clients are able to use HSA or FSA funds for therapy. We recommend confirming eligibility details with your plan administrator.
What happens if I miss an appointment?
Please contact us directly for our current cancellation and missed appointment policy, which will be reviewed with you when you begin care.
Is therapy worth the investment?
Many clients find that the investment supports meaningful, lasting change in areas like relationships, communication, emotional regulation, and self-understanding. Value is ultimately personal, and we're glad to discuss your specific goals during a consultation.

We Believe Transparency Is Part Of Good Therapy.

Beginning therapy involves both personal and practical decisions. If you have questions about fees, insurance, appointment options, or where to begin, we're happy to answer your questions and help you understand your options so you can move forward with confidence.