Fees, insurance, and superbills

What a session costs

Service	Length	Fee
Individual therapy	45 minutes	$250
Couples therapy	45 minutes	$275
Coaching	Varies	Quoted individually
Initial consultation	20 minutes	Free

Supervision and case consultation for other therapists are on clinical supervision.

• There’s no separate intake fee. The first session costs the same as every other one.
• I don’t have sliding-scale spots open.
• Forty-five minutes is a standard length for individual psychotherapy, and it matches the procedure code insurers use for one.

Why private pay

Paying me directly keeps the work between us. No claim or diagnosis goes to an insurer unless you choose to send one a superbill, and no plan decides how many sessions you get or how often we meet.

Paying

• When: payment is due at the time of service. I keep a card on file through my secure client portal and charge it on the day of each session.
• HSA or FSA: you can use either card. Therapy with a licensed clinician is generally a qualified medical expense, but check with your plan administrator.
• Cancellations: less than 72 hours’ notice, including a no-show, is charged the full fee, and insurers don’t reimburse missed sessions. I work three days a week, so a slot canceled a day ahead almost never gets filled.
• Fee changes: current clients get at least 30 days’ notice in writing, and a new rate never applies to sessions already scheduled.

Do you take insurance?

No. I’m fully out of network: I don’t bill insurers, and you pay me directly. At the start of each month I send you a superbill, an itemized receipt you can submit to your insurer, and many plans, especially PPOs, pay some of it back to you. HMO and EPO plans often don’t, and I’ve opted out of Medicare. Using your out-of-network benefits explains superbills, how much you might get back, and what to ask your insurance company.

Good Faith Estimate

Under the federal No Surprises Act, if you’re paying out of pocket (including if you seek reimbursement yourself), you have the right to a Good Faith Estimate of what your care will cost. If your bill comes in at least $400 above the estimate, you can dispute it at cms.gov/nosurprises.

Court work

I don’t do forensic work of any kind. What I don’t treat has the full list.