Fees & Equity

Because care should be accessible and not conditional

Why I Use a Sliding Scale

Let’s be honest, therapy is an investment. But that investment shouldn’t be out of reach just because traditional systems weren’t built with equity in mind.

That’s why I use a sliding scale based on the Green Bottle Method, a community-centered model that invites you to consider not just your income, but your access to resources, support, and systemic privilege.

Instead of asking for proof or making you jump through hoops, I trust you to choose the rate that fits your life. No judgment. No gatekeeping. Just care.

This approach allows me to:

  • Offer consistent, sustainable care

  • Make therapy more accessible across financial realities

  • Prioritize relationships and healing over red tape

Whether you pay the full rate or a reduced fee, you receive the same level of care, presence, and intention.

You are not a burden.

You don’t need to explain why you’re choosing the rate you are. This model is here to support both you and the wider community because healing shouldn’t be a privilege reserved for the few.

Equity-Based Private Pay/Out of Network Session Rates

Choose the rate that best reflects your current circumstances. No proof required.

This scale is grounded in trust, sustainability, and the belief that mental health care should be more accessible.

Your selected rate helps support both your care and the care of others in the community.

You don’t have to justify your needs or prove your worth here.

Whatever rate you choose, you’ll receive the same care, presence, and support.

  • Choose this if you:

    • Have stable income and access to savings

    • Own property or travel for leisure

    • Can comfortably meet your needs and wants

    • Want to support equity by helping offset reduced-fee clients

  • Choose this if you:

    • Have steady income but limited savings

    • Carry moderate student loans, medical costs, or care expenses

    • Have limited or no financial family support

    • Can meet your needs but need to budget carefully

  • Choose this if you:

    • Are underemployed, on a fixed income, or living paycheck to paycheck

    • Face financial hardship due to systemic barriers (e.g., racism, fatphobia, disability, queerness)

    • Are a full-time caregiver or in a single-income household

    • Have high medical, accessibility, or survival-related costs

  • Choose this if you:

    • This tier is reserved for those facing significant financial hardship and systemic barriers.

    • These spots are time-limited and offered based on availability.
      If this rate would make therapy possible for you in the future, feel free to inquire about upcoming openings.

Insurance & Superbills

I’m currently in-network with the following insurance providers: Premera, Lifewise, Regence, Aetna, Moda, United Healthcare, HMA, and Anthem.

If you’re using one of these plans, I’ll bill your insurance directly. You’ll still be responsible for any copay, coinsurance, or deductible determined by your plan. I’ll let you know what that looks like before we begin so there are no surprises.

If I’m not in-network with your plan, you may still be eligible for out-of-network reimbursement (meaning your insurance company might pay you back for part of your session fee). I provide monthly superbills (a special receipt with all the info your insurance needs), which you can use to submit a claim.

To make the reimbursement process a little easier, I’ve partnered with a free service called Thrizer. Here’s how it works:

  • You can create a free Thrizer account and upload the superbills I provide.

  • Thrizer will submit your claims for you and track the reimbursement process through your insurance.

  • If your plan includes out-of-network mental health coverage, the reimbursement goes directly to you.

Some clients also qualify for Thrizer Pay, which allows you to pay only your copay or coinsurance up front while Thrizer floats the rest. This option depends on your specific plan and requires pre-approval through Thrizer.

I offer sliding scale rates based on the Green Bottle method ($175, $150, or $125). Just a heads-up: reimbursement is based on the actual fee you pay, so lower fee tiers—especially $125—may result in reduced or no reimbursement depending on your plan. I always include a note on the superbill explaining your reduced rate through my sliding scale.

Not sure if you have out-of-network benefits?
Here are a few good questions to ask when you call your insurance provider (use the number on the back of your card):

  • Do I have out-of-network mental health coverage?

  • What’s the reimbursement rate for CPT code 90837 (individual therapy)?

  • Do I need to meet a deductible first?

Every plan is different, and it can definitely be confusing. I’m always happy to walk you through the options and help you figure out what’s best for your situation.

A gentle note:

I do not accept Medicaid or Medicare at this time.

If those are your forms of coverage, I’d be happy to help you find a provider who does.

Let’s find a rate that honors your reality.

You deserve support that’s both meaningful and sustainable.
Whether you're paying privately, using insurance, or exploring sliding scale options, I'm here to make it as easeful and transparent as possible.

Good Faith Estimate Notice

Under the law, health care providers must give clients who don’t have insurance or who are not using insurance an estimate of the expected charges for medical services, including psychotherapy services.

You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency services.

You can request a Good Faith Estimate before you schedule a service, and you’ll receive one in writing as part of my intake process for private pay clients.

For more information or to request an estimate, feel free to email me.