I accept most insurances including Blue Cross/Blue Shield, Blue Choice, Aetna, United HealthCare/United Behavioral Health, Value Options, MVP, Cigna, Compsych, and a few others. Many of these insurances have a copay which is usually in the $20 to $40 range. Some plans are even lower, and some plans require policy holders to pay the full fee until a deductable is met. This is the case with "High Deductable" plans. The full self pay fee for a session is $95.
While not all insurance plans do, increasingly many insurance plans are allowing payment for couples and marriage counseling. However, they require that one of the parties have an identifiable mental health condition. To quote one large insurance provider "Coverage is provided for family and/or couple therapy when used to treat the identified patient’s mental illness." Their reasoning is that they cover conditions that exist within an individual, not conditions that exist within a relationship. Due to the requirement that one party be assigned a mental health diagnosis some couples who see me choose to NOT use their insurance benefits for marriage counseling. In these cases they elect to self pay. For those couples who choose to use their insurance for couples counseling, usually the person who makes the initial call will be considered the "identified patient."