Rates & Insurance

Quality Care. Clear Pricing.

Thoughtful, personalized counseling in Midlothian and Greater Richmond, with secure virtual therapy throughout Virginia.

Insurance AcceptedMany major plans
Care OptionsLicensed clinicians, residents & interns
Flexible AccessIn-person or virtual sessions

Transparent, straightforward pricing

Counseling Rates & Fees

Quality counseling with options to fit your needs.

Independently Licensed

LPC Clinicians

Individual Counseling$175

Initial Intake$185
Couples / Family Counseling$185

Supervised Clinical Care

Residents in Counseling

Individual Counseling$145

Initial Intake$160
Couples / Family Counseling$150
Counseling Intern$60

Standard private-pay rate: $60 per session. Insurance may also be accepted with eligible plans; coverage varies by insurer and clinician.

Therapy & Support GroupsVaries by Program

Group-specific pricing and insurance options are available on each program page.

Explore Available Groups

Accelerated counseling programs have separately established pricing.

Listed rates reflect our standard private-pay fees. Your actual out-of-pocket costs may be lower when using insurance, depending on your benefits, clinician, and services.

We Accept Many Insurance Plans

Using insurance? Your out-of-pocket cost may be lower than our published session fees.

Aetna Anthem / Blue Cross Blue Shield Carelon Behavioral Cigna / Evernorth UnitedHealthcare (UHC) Optum Behavioral Health Sentara Health Plans (formerly Optima Health) UHC / Optum Medicaid UPMC GEHA (some plans)

Our plan offerings also include Aetna EAP and Medicaid, Anthem EAP and Medicaid, Cigna EAP, and Sentara Medicaid, where contracted. Participation varies by specific plan, service, and clinician; not every clinician is in-network with every listed plan. We currently do not accept Medicare or Medicare Advantage plans. Please confirm your benefits before scheduling.

Check Your Coverage

Our team can help you review participating clinicians, deductibles, copays, and next steps. Your insurer makes the final determination of benefits and claims payment. Please don’t include sensitive clinical details in your initial inquiry.

Ask About Insurance

Why Choose Counsel RVA?

Finding the right fit matters as much as understanding the cost.

Care Matched to You

Explore therapists with different specialties, perspectives, and fees so you can find care suited to your needs and goals.

Evidence-Based & Specialized

Our team offers research-informed approaches, including CBT, EMDR, trauma-focused treatment, and couples counseling.

In Person or Online

Attend at our Midlothian office or connect via secure telehealth if you’re located anywhere in Virginia.

More Ways to Get Support

Care options extend beyond traditional individual sessions.

Cancellation &
Payment Policies

Late Cancellation$85

Less than 24 hours’ notice; not more than the scheduled service fee.

Missed Appointment / No-ShowFull Session Fee

The applicable published self-pay fee for your scheduled service, where permitted.

  • Please provide at least 24 hours’ notice to cancel or reschedule.
  • One courtesy waiver is available within a rolling 12-month period for clients eligible for missed-appointment fees; additional emergency exceptions may be considered.
  • Arriving more than 15 minutes late may be treated as a missed appointment and require rescheduling.
  • Missed-appointment fees are not billed to insurance and apply only where permitted by law and the client’s insurance plan.
  • Specialty groups and accelerated programs may have different cancellation terms, provided during enrollment.
Payment methods: Major credit/debit cards and eligible HSA/FSA cards; a valid payment card is required on file. Copays and deductibles are generally charged the morning of the appointment. Cash and checks are not accepted.

The updated cancellation fees above take effect January 1, 2027. Until then, the existing financial agreement and cancellation policy remain in effect.

Common Questions About Cost & Insurance

Quick answers to help you plan your care.

Will my insurance cover counseling?

It depends on your plan, your clinician’s network status, the service provided, and any deductible, copay, or coinsurance. Our listed fees are standard private-pay rates. Insurance determines benefits and payment; our team can help you understand what to ask before your appointment.

How can I verify my insurance benefits?

Contact your insurer using the number on your insurance card. Ask whether Freeman Counseling Solutions PLLC (doing business as Counsel RVA) and your preferred clinician are in-network. Helpful questions include:

  • Do I have outpatient mental health benefits?
  • What is my deductible, and how much remains?
  • What copay or coinsurance applies to individual or couples/family counseling?
  • Are there visit limits or prior authorization requirements?
Can I choose private-pay counseling?

We offer private-pay options, including supervised counseling interns. Some clients may have out-of-network benefits, but reimbursement is not guaranteed. If you have insurance with which your clinician is in-network, applicable plan rules and contracts may limit private-pay arrangements for covered services; our team can review the available options.

What is a Resident in Counseling?

A Resident in Counseling has completed the required graduate education and works under approved clinical supervision while completing Virginia’s requirements for independent licensure. Residents provide professional counseling services with ongoing oversight and consultation.

Do group therapy or accelerated programs cost the same as individual counseling?

Not necessarily. Group counseling and support programs have different fees, schedules, and insurance options depending on the program. Accelerated counseling programs also have separately established pricing and policies. Review the details on our Therapy Groups page or the Accelerated Trauma Recovery page.

What is a Good Faith Estimate?

Uninsured and eligible self-pay clients have rights to information about the expected cost of scheduled care under the No Surprises Act. Learn more on our Good Faith Estimate page.

Find Care That Fits Your Needs.

Have questions about cost, insurance, or which therapist might be right for you? We’re here to help you get started.

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