Fees and insurance
Know the cost before the first call.
Everything about paying for therapy here, in one place.
- Free 15-minute consultation
- $0
- Individual therapy, 45 minutes
- $250
- Gender-affirming letter of support
- $0 to $50, you decide
If I am not in your plan's network.
When you pay for therapy directly, no insurance company decides how many sessions you can have or whether your care is "medically necessary." You do not need a diagnosis on file to begin, and what we talk about stays between us. It also keeps this practice small enough that I can be present for every client I see.
Your insurance may still pay you back.
I am now taking out-of-network clients in New York and Texas.
If your plan has out-of-network benefits, I provide a superbill after each session that you submit to your insurer for reimbursement. Many plans reimburse a portion of the fee. Call the number on your card and ask about "out-of-network outpatient mental health benefits" and your deductible.
Insurance
I am paneled with some insurance plans in Virginia and Wisconsin. Reach out to see if I am in your plan's network.
I am not paneled with any insurance in New York or Texas, so clients there use out-of-network benefits.
Sliding scale
The sliding scale applies to gender-affirming letters of support only, $0 to $50. Individual therapy is $250 per session.
How payment works
Cards are charged securely through Jane, the practice's scheduling and records system, after each session.
You receive a Good Faith Estimate of costs before your first session, as required by law.
Lower-cost options
If the fee is out of reach, my post on paying for therapy lists sliding-scale directories and low-cost care.