Fees & Services — Sagebrush Counseling
Fees & Services

Therapy fees & services

Individual and couples therapy for adults across Texas, Maine, New Hampshire, and Montana. All sessions are conducted via secure telehealth.

New to online therapy? See how it works →

Two payment options are available

Private pay and in-network insurance. Both are explained below so you can choose what fits your situation. Couples and individuals are welcome under either option.

Private Pay

Private pay

You can choose private pay with or without insurance. Below are some of the reasons clients choose private pay, along with current rates.

Privacy and confidentiality

With private pay, no diagnosis or treatment information is submitted to a third-party payer. Standard confidentiality protections under HIPAA and state law still apply, including the limits we'll review together at your first session.

No diagnosis on file

Insurance reimbursement requires a billable mental health diagnosis. With private pay, no diagnosis is submitted to insurance, so clients can work on relationships, life transitions, personal growth, and other concerns without insurance documentation getting involved.

Flexibility on session length

Insurance reimbursement is structured around specific CPT codes for 45 to 60-minute individual sessions. Private pay accommodates extended sessions, intensives, and pacing tailored to your clinical needs.

Couples and intensive work

Insurance coverage for couples therapy varies by plan, and intensives generally fall outside what insurance reimburses. Private pay accommodates these formats directly, without coverage uncertainty.

Current rates

Standard
$200
50-Minute Session
Available for individuals and couples. Scheduled weekly or biweekly.
Extended
$350
90-Minute Session
For individuals and couples who benefit from more space. Scheduled weekly or biweekly.
Intensive
$600
3-Hour Session
Concentrated couples work in a single sitting. Scheduled as a standalone session.

All sessions held via secure telehealth. Payment is due at time of service.

Insurance

Insurance

I'm in-network with several major insurance plans across the states I'm licensed in. Coverage varies by plan and by state. Reach out to your insurance company to verify what's covered before scheduling.

Lower out-of-pocket cost

For covered services, insurance can significantly reduce what you pay per session. Your specific out-of-pocket cost depends on your copay, coinsurance, and whether your deductible has been met.

Builds toward your deductible

Sessions with an in-network provider generally count toward your annual mental health deductible, which can reduce costs across all of your healthcare for the year.

Continuity with existing care

If you already see in-network providers for other healthcare needs, staying in-network keeps your records, billing, and care coordination within the same system.

Coverage for ongoing individual work

For individual therapy with a billable diagnosis, insurance can support longer-term work without the full cost falling on you each session.

In-Network Plans
Insurance coverage for couples therapy varies by plan, and intensives are generally not covered by insurance. Most plans require a billable mental health diagnosis for reimbursement. Contact your insurance provider directly to verify your specific benefits before scheduling.
No Surprises Act

Good Faith Estimate

You have the right to receive a "Good Faith Estimate" under the No Surprises Act, estimating how much your mental health care will cost. Under the law, health care providers need to give patients who don't have certain types of health care coverage, or who are not using certain types of coverage, an estimate of their bill before those services are provided.

  • You have the right to receive a Good Faith Estimate for the total expected cost of any health care items or services upon request or when scheduling.
  • If you schedule at least 3 business days in advance, your provider must give you a Good Faith Estimate in writing within 1 business day after scheduling. If you schedule at least 10 business days in advance, your provider must give you a Good Faith Estimate in writing within 3 business days after scheduling.
  • You may also ask for a Good Faith Estimate before scheduling. Your provider must respond in writing within 3 business days.
  • If you receive a bill that is at least $400 more than your Good Faith Estimate from that provider, you can dispute the bill.
  • Make sure to save a copy or picture of your Good Faith Estimate and the bill.

For questions or more information about your right to a Good Faith Estimate, visit cms.gov/nosurprises/consumers.

Ready to get started?

The free 15-minute consultation is the easiest way to ask questions and get a sense of fit before committing to anything.