Rates for Therapy Services
Forms of Payment:
All major credit cards accepted.
We do not participate in any insurance panels. We don't diagnose individual mental health concerns, as our "client" is the relationship. Payment is expected in full for each session. We require a credit card on file stored in our secure electronic health record system.
If a client would like to use their health savings account (HSA), it is the client's responsibility to check with their health savings account to ensure relationship counseling is a covered service. We advise clients to ask about billing code 90847 and diagnosis code Z63 (“Problems in relationship with spouse or partner”).
Session Rates
Initial Appointment, 90 minutes, $275
Follow-Up Appointment, 90 minutes, $275
Follow-Up Appointment, 60 minutes, $205
Extended Sessions, $205 per hour
Benefits of Private Pay Therapy
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Insurance requires a mental health diagnosis on at least one partner to cover couples therapy. That means labeling one of you as "the sick one" when the problem is the relationship, not an individual disorder. It goes in your medical record permanently. With private-pay, we work on what's actually broken without pathologizing either of you to satisfy an insurance company.
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Insurance companies require treatment plans, and track your therapy to determine if it's "medically necessary." Your relationship struggles aren't their business. With private-pay, what you talk about stays between us. No one is monitoring whether your marriage is sick enough to justify treatment.
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Sex issues. Kink. Ethical non-monogamy. Infidelity. Financial betrayal. Relationship structure. These topics make insurance companies nervous, and they'll flag them as "not medically necessary" or refuse coverage altogether. We work on what's actually affecting your relationship, not just what an insurance company deems appropriate.
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We're not general therapists who "also do couples work." We're trained in Emotionally Focused Couples Therapy and Gottman Informed Couples Therapy. We've invested years in specialized training because this work matters. Private-pay practices attract therapists who are serious about couples work, not just filling sessions to meet insurance panel requirements.
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Our job is to help you fix your relationship and move on with your life—not keep you in therapy forever to maximize billing. We're incentivized to do good work efficiently, not drag things out. You're paying for focused, specialized work that actually changes things.
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Want to meet every other week instead of weekly? Prefer telehealth so you can do sessions from home without arranging childcare? Private-pay lets us structure therapy around what works for you, not what insurance dictates.
Insurance caps the number of sessions, decides when you're "done," and sometimes requires justification for continuing treatment. We work with you as long as it takes to actually fix what's broken—whether that's 8 sessions or 20—and stop when you're ready, not when your benefits run out.
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Yes, therapy costs money. So does divorce (tens of thousands of dollars). So does staying miserable for years. So does repeated marriage counseling that doesn't work because the therapist wasn't actually trained in couples therapy. You're paying for expertise, privacy, flexibility, and work that's designed around fixing your relationship—not navigating insurance bureaucracy.
Frequently Asked Questions (FAQs)
Why have you chosen not to participate in insurance panels?
Because insurance companies put restrictions on couples therapy that interfere with doing good work. They require a mental health diagnosis on one partner (even when the problem is the relationship, not an individual disorder), limit session length (which often isn't enough time to work through real conflict), cap the number of sessions you can have, and require us to justify continued treatment.
We run Relationship Repair as a private-pay practice so we can work without artificial time limits, keep your therapy completely private, and focus on what will actually help your relationship instead of what an insurance company will approve. We're also able to work on issues like sex, infidelity, kink, or ENM that insurance companies often flag as "not medically necessary." Our job is to help you, not navigate insurance bureaucracy.
Why don't you provide a diagnosis for couples counseling even if one or both of us has a mental health diagnosis?
Because couples therapy is about fixing the relationship. Even if one or both of you has an individual diagnosis like depression, ADHD, or anxiety, the work we're doing together is focused on your patterns, communication, conflict cycles, and connection.
Insurance requires a diagnosis for couples therapy, which means labeling one partner as "the sick one" to justify treatment. That's not how relationships work. The problem isn't that one of you is broken; it's that the dynamic between you isn't working. We're not interested in pathologizing either of you to satisfy an insurance requirement. If you have an individual diagnosis and need treatment for that, we can refer you to appropriate individual therapy. But in couples work, we focus on the relationship itself.
Do you accept Health Savings Accounts (HSA) or Flexible Spending Accounts (FSA) as a form of payment?
Yes. HSA and FSA cards work like debit cards, and you can use them to pay for therapy sessions. Keep in mind that couples therapy may or may not qualify as an eligible HSA/FSA expense depending on your plan's rules and whether the therapy is considered "medical treatment" versus "relationship counseling." You'll want to check with your HSA/FSA administrator to confirm coverage. We're happy to provide detailed receipts (superbills) if you need documentation for reimbursement.
Good Faith Estimate
You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.
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 or call 1-800-985-3059.