Costs and Out-of-Network Considerations
What does therapy at Rosebud Psychotherapy cost?
Therapy sessions at Rosebud Psychotherapy are private-pay and range from individual, group, and couples rates depending on the service. I offer transparent pricing, do not accept insurance, and provide superbills for potential out-of-network reimbursement. Rates reflect specialized, values-driven care and time dedicated both in and outside of sessions.
I’ve chosen to operate as a private-pay practice so I can offer care that’s flexible, collaborative, and responsive to each client’s needs — without requiring a diagnosis, limiting session focus, or sharing treatment details with insurance companies. This allows therapy to move at a pace that’s clinically and ethically aligned with your goals.
Session Rates
Initial Consultation Call
Free (15 minutes): You can schedule your consultation call here.
Individual Therapy
Individual therapy offers a dedicated space for personalized, trauma-informed care tailored to your goals, pace, and nervous system needs. My rates reflect not only time in session, but thoughtful preparation, integration, and ongoing professional consultation and education to support high-quality care.
50-minute Session: $190 *
90-minute session: $275
I also offer therapy intensive. These are longer, more in-depth sessions. You can learn more about them here.
Group Therapy
Group therapy is often a more accessible way to receive consistent, high-quality therapeutic support while also benefiting from connection and shared experience. Many clients find group work to be both impactful and cost-effective.
Intake Assessment: $150-190, depending on sliding scale needs
Group Fees: $55-80, depending on length of group and materials required
Premarital or Pre-Commitment Couples Counseling
Premarital counseling offers intentional space for couples to strengthen communication, explore expectations, and build shared skills before marriage or commitment. The Prepare/Enrich assessment is included to guide personalized work.
Intake Assessment: $250 for a 75 minute intake session
Cost of Prepare/Enrich Assessment: one-time $35 fee per couple (not person). This fee covers your online questionnaire and personalized feedback report.
Subsequent 50-minute Sessions: $215
Subsequent 75-minute sessions: $250
Professional Consultation and Speaking Engagements/Workshops
Professional consultation and speaking engagements draw on my clinical expertise, group therapy specialization, and experience facilitating thoughtful, values-driven conversations. Rates reflect preparation time, customization, and the depth of clinical and educational experience brought to each offering.
Determined on an individual basis; please reach out to discuss.
*Please inquire if my full fee would pose a hardship, as I do keep a couple of reduced fee, or sliding scale, spots in my caseload.
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It’s common to have a strong reaction to private-pay therapy and seeing private-pay rates. I understand that, and I want to offer transparency about what goes into my fees.
You can read more about why I don’t take insurance in this blog.Regarding my individual rate, please consider:
my years of education, clinical experience, and ongoing training
the financial cost of continuing education, advanced trainings, and professional consultation to ensure ethical and evidence-based care
that charging a higher rate for clients for whom the full fee is not a hardship allows me to offer a limited number of greatly reduced-rate slots for clients experiencing financial barriers
the unpaid hours spent on correspondence, documentation, research, consultation, and administrative work
that a higher rate helps support low-cost and free offerings, such as the therapeutic book club, community support groups, and community workshops
that seeing fewer clients than most insurance-paneled therapists allows greater flexibility for last-minute needs, more clinical presence, and better care for my own health — which ultimately benefits my clients
None of these factors are meant to pressure you — they’re simply part of how I structure my practice so I can offer ethical, sustainable care.
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No — with a caveat.
I do not bill or receive payment directly from insurance companies and am not paneled with any insurers. However, I can provide superbills, which are special receipts that clients may submit to their insurance company for potential out-of-network reimbursement.
I am also registered with Mentaya, a service that can submit superbills on your behalf and help determine reimbursement eligibility. I do not receive any benefit from Mentaya; it is simply a resource available to clients. Mentaya does charge a small fee for submitting superbills, but it can help make therapy more accessible for some clients.
To understand your specific out-of-network benefits — including deductible, copays, and reimbursement rates — contact your insurance provider directly.
If insurance details feel confusing or overwhelming, you’re not alone — and you don’t need to have them figured out before reaching out. -
Whether you work with an insurance-paneled therapist or an out-of-network provider like me, it’s important to know:
Insurance companies require a mental health diagnosis to be included on billing forms or superbills.
Insurers may request clinical records at any time to review treatment and determine coverage.
If records do not meet an insurer’s internal standards or preferences, they may deny payment or reimbursement.
For some clients, private-pay therapy offers greater privacy, flexibility, and autonomy in care.
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It’s okay to have questions about finances or to feel unsure before starting therapy. You’re welcome to reach out to ask questions, explore options, or request referrals if I’m not the right fit.
Therapy should feel like a supportive choice — not a pressured one.
Ready to explore options or ask a question about fit or finances?
I’m happy to talk through your questions in a consultation — you don’t have to have everything figured out before reaching out.