Fees, up front.
What it costs and how it runs.
- Fee
- $325 per 50-minute session. The same rate whether we meet once or twice a week.
- Payment
- Private pay. I don't bill insurance or work with managed care. Some PPO plans with out-of-network benefits may reimburse part of the fee; check with your plan. Payment is taken through a secure portal at the time of each session.
- Frequency
- Weekly at minimum. Twice weekly for those ready to go deeper. Short-term or long-term, depending on what you're working on.
- Format
- Secure video only, on a HIPAA-compliant platform. You need to be located in California at the time of each session.
- Cancellation
- 48 hours' notice. Sessions canceled later than that are charged in full, since the hour is held for you.
- Reduced fee
- I keep a few reduced-fee spots for people who can't pay the full rate; ask on the consultation call.
- Availability
- If there's no opening when you reach out, I'll tell you and help you find someone else.
No insurer in the room.
Billing insurance means sending a diagnosis to the insurer, justifying medical necessity to a reviewer, and writing a treatment plan for someone other than you. It can also cap the number of sessions by formula rather than by what the work needs.
Paying directly means no diagnosis goes to an insurer and no third party sets how long the work runs. The usual limits of confidentiality still apply, and I go through them with you in the first session.
Can I claim it back?
Possibly. Some PPO plans with out-of-network benefits reimburse part of the fee. Coverage varies a lot, so call your plan and ask about out-of-network outpatient psychotherapy before we start.
Is there a sliding scale?
Yes, for a limited number of clients. If the full fee is out of reach, say so on the consultation call and we can talk about what would work.
How long does this take?
It's open-ended. Most of this work runs in years rather than weeks, though you should notice something shifting within a few months. If you don't, we talk about it rather than waiting.
What if I'm not sure it's worth it?
Say so on the consultation call. It's a reasonable thing to talk through.
You have the right to receive a Good Faith Estimate explaining how much your care will cost. Under the law, health care providers need to give patients who do not have insurance, or who are not using insurance, an estimate of the bill for items and services.
You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency services, including related costs. Make sure your provider gives you a Good Faith Estimate in writing at least one business day before your scheduled service. You can also ask for one before you schedule.
If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. Make sure to save a copy or picture of your Good Faith Estimate.
For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises/consumers or call 1-800-985-3059.
Start with a conversation
A free 15-minute phone call. We can go over the fee, how often we'd meet and whether I'm the right fit before anything is booked.
Book a free call