Rates | NWCATT

Rates and Insurance

Out of Pocket Rates

$175 / 50 min / Individual sessions

$200 / 80 min / Couples sessions

Please contact us for sliding scale availability.

Insurance - only available for individual therapy

We are in the process of in-network credentialing with Regence and Premera.

If you have out-of-network benefits, we can provide you with a superbill that you can submit to your insurance provider for reimbursement.

Payment Information

Payment is due at the time of session. This includes any insurance copays that may apply.

Clients are required to have a card on file. Payments will be automatically processed via our online billing system.

Cancellation Policy

We require 24 hours notice to cancel or reschedule sessions, otherwise the card on file will be charged at the out of pocket rate listed above. Insurance benefits cannot be billed for missed or cancelled appointments. If there is an emergency (unexpected childcare issues, illness, etc.) with less than 24 hours notice, you will not be charged for the missed session if we are able to reschedule within the same week.

A quick-ish note about insurance

Having the option to utilize insurance benefits for therapy can be very helpful, and at times it might be the only way someone can afford therapy. Utilizing insurance benefits can also come with limitations or requirements that often aren't clearly communicated to clients. We strongly encourage every client to fully inform themselves about the benefits and risks of utilizing insurance benefits for therapy services.

When utilizing insurance benefits, insurance companies require therapists to diagnose a mental health condition and maintain detailed treatment records that cannot be removed from a client's medical records. Insurance companies have the authority to audit a client's treatment records, even for a number of years after services have been terminated. For some clients, this can pose risks to their safety and security, especially for those who work in fields that require access to a client's medical records. When paying out of pocket, Washington state law does not require a diagnosis to access mental health care. Clients are also allowed to request that their therapist maintain minimum documentation.

Regarding insurance billing for couples therapy:

Because insurance companies require a mental health diagnosis in order to cover therapy sessions, one partner must be identified as “the patient,” and the sessions and documentation have to focus on treating that person’s diagnosis. In practice, this setup looks less like true couples therapy and more like individual therapy with a family member present in support of one person’s mental health.

True couples therapy has a different goal. The focus is on improving the relationship itself. That might mean working on communication, conflict, intimacy, or shared decision-making. Because the relationship is the client (not just one partner), insurance companies don’t recognize this type of work as medically necessary, and therefore, they don’t cover it.

If paying out of pocket is not a sustainable option, we would be happy to chat about other options that might be available.

Good Faith Estimate

The No Surprises Act (NSA) requires therapists to provide a 'Good Faith Estimate' (GFE) in order to protect clients from receiving surprise medical bills. All clients who enroll in services will receive a GFE with their intake paperwork. A GFE is also available upon request for folks not yet ready to enroll in services.