Clarity Counseling Seattle

Rates & Insurance

Rates, Payment, and Insurance Questions

Standard Rates

Therapy is an investment in your well-being, relationships, and long-term health. We want you to feel informed and supported as you make this choice.

Our standard 50-minute appointment rates are:

Emma, Corey, Lisa: $175 for both individuals and couples/relationships
Hyacinth and Misa: $185 for individuals, $195 for couples/relationships
Rosa, Maggie, and Lindsey: $195 for both individuals and couples/relationships
Justin: $195 for individuals, $215 for couples/relationships

 

Payment

 

All payments are handled through our secure client portal. We accept all major credit and debit cards, as well as HSA (Health Savings Account) and FSA (Flexible Spending Account) cards. Using HSA/FSA funds can significantly reduce your out-of-pocket costs, as therapy is typically an eligible expense.

 

Insurance for Individual Therapy

 

We are an out-of-network provider, which means most of our therapists can provide monthly superbills (detailed invoices) that you can submit to your insurance for possible reimbursement. Many of our individual clients use this process.

Coverage varies by plan, so we recommend contacting your insurance provider to learn about your out-of-network mental health benefits. Apps such as Reimbursify can also simplify the reimbursement process.

Because insurance involvement affects your care in ways people don’t always expect—such as requiring a mental health diagnosis and reducing privacy—we provide a short waiver that outlines the key considerations before you decide whether to use insurance.

 

Why isn’t couples therapy covered by insurance?

 

This is one of the most common questions we receive. The short answer is that insurance companies do not view relationship issues as a medically necessary condition, even when those relationship concerns are serious or painful.

Insurance will typically cover couples sessions only when all of the following are true:

  • One partner has an official mental health diagnosis (the “identified patient”)
  • The sessions focus exclusively on treating that diagnosed condition
  • The other partner’s presence is solely to support that individual’s treatment

Most couples don't come to therapy for this reason. They’re seeking support for communication, trust, intimacy, conflict, parenting, or emotional connection—all of which are important, but not billable under medical necessity rules.

Submitting couples therapy to insurance under a diagnosis that does not truly apply could constitute insurance fraud, and it risks harming you in the long run. We take both ethics and your protection seriously, so we don’t bill couples therapy through insurance unless the situation legitimately meets medical necessity guidelines.

We also want clients to be aware that any diagnosis submitted to insurance becomes part of the patient’s permanent medical record. This can affect eligibility for life insurance, long-term care insurance, military service, law enforcement, firefighting, pilot licenses, and other areas where mental health records may be reviewed.

We know this is often frustrating. We wish insurance operated differently. Our session rates—$175 to $215 depending on therapist—reflect the advanced training required to provide high-quality couples therapy.

If you’d like help understanding your options, we’re always happy to talk things through.

 

Good Faith Estimate

 

In accordance with the No Surprises Act, a Good Faith Estimate of costs is available when scheduling or anytime upon request.

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