Please review our provider profiles on the home page to see which plans each provider accepts.

To reduce the possibility of potential awkwardness of collecting payment after a session, payment information is securely stored electronically, and your account will be charged automatically after each session. We accept cash, American Express, Discover, Mastercard, and Visa credit and debit cards. FSA and HSA debit cards with the Visa or Mastercard logo are also accepted. Sorry, no checks, or electronic transfers (e.g., PayPal, Venmo, Zelle, etc.).

The amounts listed below may differ from what your insurance plan pays:

• $250 Initial Diagnostic Evaluation, 60-90 minutes (90791)

• $25 Interactive Complexity (Communication Intervention) (90785)

• $250 Psychotherapy, 16-37 minutes (90832)

• $250 Psychotherapy, 38-52 minutes (90834)

• $250 Psychotherapy, 53 minutes or longer (90837)

• $250 Family therapy without client present, 26-50 minutes (90846)

• $250 Family therapy with client present, 26-50 minutes (90847)

• $250 Psychotherapy for crisis, first 60 minutes (90839)

• $250 Psychotherapy for crisis, each additional 30 minutes (90840)

• $65 Case management, each 15 minutes (rounded up) (T1016)

• $250 Behavioral health screening (T1023)

• $160 Couples/Relationship therapy, 50 minutes (CRT)*

• $200 Extended couples/relationship therapy, 80 minutes (RELX)*

• $150 No show or late cancellation fee, each occurrence (NSLC)*

* Note that the fees marked with an asterisk are not covered by health insurance and will be charged to the card on file.

To get a better idea of what other providers in the area charge for mental health counseling, check out the Fair Health Consumer website. On the site, you can enter your ZIP code and a CPT code to see what the average cost for services are in your area. You'll want to check the following CPT codes:

• 90791 Initial Diagnostic Evaluation

• 90834 Psychotherapy, 38-52 minutes

• 90837 Psychotherapy, 53 or more minutes

• 90847 Family therapy, 16-50 minutes

A full explanation of our fee structure and policy can be found in the Payment Policy and Fee Agreement that's included with intake documents. Also see "A Note to Our Clients" below.

Established January 1, 2026.

Therapists may be able to offer appointments at a reduced rate on a case-by-case basis for people paying out of pocket. Please consult with staff prior to scheduling, or your therapist over the course of treatment if your financial situation changes.

Medicaid members may be able to pay out of pocket for services that are typically covered by the health plan. If you are interested in paying out of pocket and are covered by Medicaid, please let staff know prior to scheduling, or your therapist know over the course of treatment. 

Our commitment

We believe cost should not be the reason someone goes without care. Community Roots Counseling, LLC, offers reduced fees to a limited number of clients whose financial circumstances make our standard rates out of reach.

Reduced fees are approved individually. There is no application scoring system and no income documentation requirement — we ask you to tell us what you can afford, and we work from there. Because the number of reduced-fee arrangements we can carry is limited by what the practice can sustain, we cannot approve every request, and approval of one request does not guarantee approval of another.

Fees are set on a case-by-case basis and are set through collaborating with your therapist. If we are not able to meet the fee you need, we will tell you directly rather than leaving the request open, and we will help you look at other options outside of our practice.

Who is Eligible?

Private-pay clients. Anyone paying out of pocket may request a reduced fee, whether you are starting services or already working with one of our clinicians.

Clients using insurance. If you have insurance, your plan sets your copay, coinsurance, and deductible, and our contracts with payers require us to collect those amounts. We are not able to waive those amount, nor allow those amounts to build a balance on your account with us. If paying your cost-share is creating real financial hardship, please let your therapist know as soon as possible. Your therapist will review the situation individually and let you know what, if anything, we can do within our payer agreements. In some cases, the better answer is a different clinician on our team, a different schedule, or a referral, and we will talk that through with you honestly.

How to Request a Reduced-Fee Agreement

Ask. Bring it up with your clinician. You do not need to wait for a particular point in treatment, and you do not need to justify the request at length.

Tell us what works. Share the fee you can pay consistently and anything about your situation you want us to know — income, household size, dependents, recent job loss, medical or caregiving costs, or other obligations. We do not ask for pay stubs or tax returns.

We respond within five business days. Every reduced fee is reviewed with the clinician by practice owner. If your clinician has already discussed a rate with you, it is not final until the practice owner has approved it.

We put it in writing. Approved arrangements are documented in an updated fee agreement stating your rate, the date it starts, and the date we will review it. Nothing changes on your account until that agreement is signed.

What We Consider

• Household income relative to household size.

• Dependents and caregiving responsibilities.

• Medical, disability, or other unavoidable expenses.

• Recent changes such as job loss, reduced hours, or a change in benefits.

• Whether other resources are available to you, including insurance you have not activated, an employee assistance program, or a health savings account.

• How many reduced-fee agreements the practice is currently carrying.

Statement of Nondiscrimination

We do not consider race, color, national origin, sex, gender identity or expression, sexual orientation, religion, age, disability, veteran status, or immigration status when determining fees. Reduced fees are available on the same terms to every client who applies for one.

What We Ask in Return

Consistent attendance. Reduced-fee slots are limited, and repeated late cancellations or no-shows will end the arrangement. In acccordance with our no-show/late cancellation policy, three (3) no shows and/or late cancellations (combined) will result in the automatic termination of the reduced-fee agreement in addition to being discharged from the practice.

The same cancellation policy. Our standard cancellation policy and fee apply. Missed-session fees are charged at your reduced rate, not the standard rate.

Payment on schedule. Reduced fees are due at the time of service under the same terms as any other client account.

Let us know when things change. If your income increases, you gain insurance coverage, or your circumstances shift meaningfully, tell your clinician right away. We would rather adjust with you than discover it later.

Review and Renewal

Every reduced fee is reviewed at 90 calendar days. Review is a short conversation, not a re-application. Upon review, we may continue the rate as is, adjust it, or step it back toward the standard fee.

If your circumstances improve before the review date, we will normally raise the fee in stages rather than all at once, with at least 30 days' notice in writing before any increase takes effect.

Ending a Reduced-Fee Agreement

We may end or adjust a reduced-fee agreement if your financial situation changes substantially, if the account falls behind, if the attendance expectations above are not met, or if the practice can no longer sustain the arrangement. We will give you at least 30 days' written notice and talk with you first.

A fee change is never a reason we end care abruptly. If you cannot continue at the adjusted fee, we will work with you on a transition plan and provide referrals to lower-cost options, including Open Path Collective, community mental health programs, and training clinics in the area.

Good Faith Estimate

If you are not using insurance, federal law entitles you to a Good Faith Estimate of what your care will cost. We provide one at the start of services and update it when your fee changes, including when a reduced fee is approved or ends. If you are billed substantially more than your Good Faith Estimate, you have the right to dispute the bill. Ask us for a copy at any time.

Privacy

What you tell us about your finances is confidential and handled with the same care as anything else you share with us. We use it only to decide the fee and to review it, and we do not disclose it to payers or outside parties.