Standard Rates
We understand that therapy is an investment, and our therapists are committed to helping you get the most from it.
The standard 50-minute appointment rates are:
Emma, Misa, Corey, Lisa: $175 for both individuals and couples/relationships
Hyacinth: $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 can accept all major credit and debit cards, including HSA (Health Savings Account) and FSA (Flexible Spending Account) cards. These accounts can often significantly reduce your out-of-pocket costs, as therapy is typically a qualified expense.
Insurance for Individual Therapy
We are an out-of-network provider, so we give monthly superbills (invoices) to individual clients who wish to submit for possible reimbursement, which most of our individual clients do. Coverage varies by plan, so we recommend contacting your insurance provider to understand your out-of-network benefits. Apps like Reimbursify can also streamline the claims process.
Involving health insurance into your care can actually be a tricky and possibly impactful decision (a lot happens behind-the-scenes when insurance is in-play that you'll want to be aware of), so to support your decision-making we provide a brief waiver that outlines important considerations when using insurance for therapy — including relinquishing privacy, and insurance's requirement of you having a diagnosed mental illness.
Insurance for Couples Therapy, and why it's rarely covered
We’re often asked: “Do you take our insurance for couples or relationship counseling?” And the answer is complicated — but important to understand.
Even if your insurance representative says couples therapy is covered, they’re usually referring to this very specific scenario:
- One partner is officially diagnosed with a mental illness (the “identified patient”),
- The couples therapy sessions are focused solely on treating that person’s mental illness,
- The other partner is attending couples therapy only to support their partner's treatment.
This is the only situation in which couples counseling is typically covered by insurance. The focus is on one person's medical necessity — not the relationship itself.
But here’s the issue: most couples don’t come to therapy for this. Instead, they're seeking support for communication, emotional connection, trust, intimacy, parenting, conflict...all the many reasons why our relationships need help...but none of these qualify as a billable mental illness in the eyes of insurance companies. Insurance created the term “medical necessity” to express that they only cover the treatment of someone's diagnosed mental illness...not their relationship struggles.
Additionally, using insurance for relationship work inappropriately (e.g., by assigning a diagnosis just to get coverage) could constitute insurance fraud. That’s not a risk we’re willing to take — for your protection or ours.
And lastly, we believe it’s important for clients to understand that if a mental health diagnosis is submitted to an insurance company, that diagnosis becomes part of the patient’s permanent medical record. This can have future implications when applying for life insurance, long-term care insurance, military service, law enforcement, firefighting roles, or pilot licenses.
We know this may be frustrating to hear. We wish insurance worked differently — but we’re committed to transparency and ethical care. Our couples therapy sessions range from $175 to $215, which reflects the specialized training our team brings to relationship work.
If you have questions, please feel free to reach out. We’re happy to clarify any part of this.
Good Faith Estimate
A Good Faith Estimate of costs is available at the time of scheduling or upon request, in accordance with the No Surprises Act.
Can I just try therapy before committing to a weekly or bi-weekly schedule?
We completely understand this request. The reason why we’re careful not to start someone with one of our therapists without first establishing a weekly or bi-weekly appointment time slot that works for both you and the therapist is that there are very few openings in our schedules. If we don’t reserve one of those limited time slots for you now, it’s likely that it will be taken by someone else by the time you’ve completed your first session.
Most people who start with our therapists choose to continue working with them on an ongoing basis. We want to avoid a situation where you connect with your therapist, only to find that they no longer have a regular time slot available that fits your schedule. In fact, we’ve had moments like this before:
Client: "You're great, I can't wait to work with you! Let's get it in the books!"
Therapist: "Wonderful, I'm excited to work with you too! The openings I currently have are every other Tuesday at 2pm and every Thursday at 9am... which would you prefer?"
Client: "Oh shoot, neither of those work for me."
To avoid that, we ask that your availability and your therapist’s availability align in advance, meaning we’ll need to reserve a specific weekly or bi-weekly time slot as part of the intake process.
That said, you’re not signing a contract—therapy with us is always voluntary, and you can stop at any time. We just need to make sure a consistent time is reserved in advance to prevent scheduling issues. Our intake coordinator will walk you through the process and confirm your preferred time slot, should you decide to continue after your initial session. If you're looking for individual counseling or any of our ongoing services, we’re here to help you get started.
Therapy is most effective when it happens consistently, so we ask all clients to begin with either weekly or every-other-week appointments. Research—and our experience—shows that meeting less frequently than that doesn’t provide the structure or momentum needed for real progress.
Later in therapy, some clients choose to scale back and schedule appointments on a more flexible, as-needed basis. At that point, you’re welcome to use our online calendar to book sessions at your own pace, assuming your therapist has availability. But to start, we’ll need to commit to a regular weekly or biweekly time slot so the work can be as effective as possible.
Reach out to us if you have questions about what therapy could look like for you in Seattle or online throughout Washington.
Most people stay in therapy for several months, though the length of time is entirely up to you. You're not signing a contract with us, and you can stop therapy at any time. That said, it’s common for clients to discover that meaningful, lasting change often takes more time than initially expected—and that more than a few sessions are needed to really address deeper concerns.
Therapy is a process, and people and relationships are complex. Our therapists work very hard in sessions to help you get the most out of your time and to move you through the process efficiently, but in most cases, real progress takes a little while.
If you’re curious about what you might gain from a longer course of therapy, you might find our blog post on why therapy isn’t a quick fix insightful.
We’re happy to talk more about what therapy might look like for you. Reach out to us to learn more about starting therapy in Seattle or online throughout Washington.
You have the right to receive a Good Faith Estimate explaining how much your medical care will cost. Under federal law, health care providers must give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.
This includes the total expected cost of any non-emergency services, such as therapy, as well as related costs like medical tests, prescription drugs, or equipment. Mental health providers, including those offering individual counseling or couples therapy, are required to comply with this rule when treating uninsured or self-pay clients.
Be sure to request your Good Faith Estimate in writing at least one business day before your scheduled appointment. You may also proactively ask any provider for a written estimate before confirming services.
If you receive a bill that is $400 or more above your Good Faith Estimate, you have the right to dispute the charge.
Always save a copy or photo of your Good Faith Estimate for your records.
For more information about your rights, visit www.cms.gov/nosurprises.
We are often asked about how/if health insurance can be part of paying for individual or couples therapy. It's an important and surprisingly not-so-simple answer, so we have devoted a page to providing a detailed explanation of how insurance works as well as what our rates are, so that clients are making informed decisions about their care.
Please reach out to us if you have questions.