Rates + Insurance

General and customary fees:

Intake appointment, 60 minutes: $110-125 

Individual therapy, 50 minutes: $100-110

Individual therapy, 60 minutes: $110-120 

Individual therapy, 90 minutes: $150-180 

Sliding scale availability:

We keep three sliding scale spots on our caseload for each clinician. We also provide short-term pro bono therapy for survivors of intimate partner violence via The Zoe Project.

Our sliding scale fees range between $40-$95 and are set to allow for fair distribution of discounted services. They are based on the 2022 Federal Poverty Guidelines, and they also take into account Washington State’s cost of living. The particular fee a client may qualify for is based on gross (pre-tax) income level and household size - if you're requesting a sliding scale spot, we request this information with your inquiry so that we can provide you clear information about the potential cost of services.

Insurance: In-network

At this time, we are in-network with Aetna, Cigna, First Choice Health Networks, Premera, Regence, and UnitedHealthcare (excluding Medicaid). For all other plans, we are considered an out-of-network provider - this means we cannot directly bill your insurance for services.


Please note that we are not currently entering into single-case agreements with other insurance plans.

Insurance: Out-of-network

Many insurance plans have out-of-network (OON) benefits. Our practice partners with Advekit, a billing platform that takes care of OON insurance billing for you at no fee. With Advekit, you only pay your co-insurance amount per session (if deductible has been met) and so this can greatly reduce your upfront costs. 

Please note that neither we nor Advekit can guarantee your insurance plan will reimburse your out-of-pocket payments as this is up to their discretion and your particular plan's policies. Medicare, Medicaid, Tricare, and some state marketplace plans do not have out-of-network benefit options.


If you'd like to find out about your OON benefits without Advekit, we suggest clients contact their insurance company with the following questions:

  • Does my plan include out-of-network coverage for mental health?

  • Is there an annual deductible for out-of-network mental health benefits? If so, how much of my deductible have I met?​

  • Is there a limit on the number of sessions my plan will cover per year? If Yes, How many?

  • Is there a limit on out-of-pocket expenses per year?

  • What is my co-insurance percentage for mental health services?

  • Does my plan require pre-authorization for psychotherapy?

  • Does my plan require a referral for psychotherapy?

Holding Hands

Good Faith Estimate

Effective January 1, 2022, Congress passed the No Surprises Act as part of the Consolidated Appropriations Act of 2021. The NSA is designed to protect patients from surprise bills for emergency services at out-of-network facilities or for out-of-network providers at in-network facilities, holding them liable only for in-network cost-sharing amounts. The No Surprises Act also enables uninsured patients to receive a good faith estimate of the cost of care - the good faith estimate is relevant to outpatient mental healthcare.

Under the law, healthcare providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services. You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.​