Insurance & Fees

Therapy Costs & Insurance in Bozeman, MT

We want therapy costs to feel clear from the start. Here you will find our private-pay rates, the insurance plans we are in-network with, out-of-network and sliding-scale options, and answers to common questions, so you can plan with confidence.

Costs & insurance at a glance

  • Session fees: $200 to $250 per 60-minute session, depending on the clinician.
  • In-network: we accept many major plans, including Blue Cross Blue Shield, Aetna, Cigna, and more.
  • Out-of-network: we provide Superbills for possible reimbursement.
  • Sliding scale: reduced-fee options may be available based on need and availability.

Session fees

Our current session rates vary by provider:

  • Cindy Poulsen, LCSW – $250 per 60-minute session
  • Sarah Loux, LCPC – $250 per 60-minute session
  • Sarah Marsh, SWLC – $200 per 60-minute session
  • Kelsie Ortiz, PCLC – $200 per 60-minute session
  • Allison Floyd, PCLC – $200 per 60-minute session

Please note: we cannot accept Healthy Montana Kids (HMK) due to licensing restrictions.

Therapy is an investment in yourself and your relationships, and we'll help you understand the costs clearly.

In-network insurance

We are currently in-network with the following insurance providers:

  • Mountain Health CO-OP
  • Allegiance
  • Aetna
  • Cigna
  • Acuity Group
  • First Choice Health Network
  • PacificSource Health Plans
  • UnitedHealthcare
  • Blue Cross Blue Shield plans, including MCN (Managed Care), PPO, PMC-PPO (Medicare Advantage), TRA (Traditional), FEP (Federal Employee Program), and BLC (Blue Focus POS)

Insurance plans and eligibility can vary, so we always recommend verifying your individual benefits before starting therapy.

How in-network coverage works

If we are in-network with your plan, your session fee is discounted to the rate we have negotiated with that carrier. After that adjustment, your out-of-pocket cost depends on your plan's benefits, which may include a copay, deductible, coinsurance, or a remaining balance based on your plan rules. Your final cost depends on your specific policy, not just the carrier name; even within the same carrier, benefits can vary widely from one plan to another. Once we receive your insurance information, we can review your benefits and give you an estimate of your expected out-of-pocket cost. Benefit checks are estimates, and only your insurance company can make the final determination after claims are processed.

Out-of-network insurance and Superbills

If we are not in-network with your plan, you may still choose to work with us as an out-of-network client. For out-of-network therapy, we can provide a Superbill, a detailed receipt you may be able to submit to your insurance company for possible reimbursement. Before starting, we recommend asking your insurer whether you have out-of-network mental health benefits, what percentage of the fee is reimbursed, whether you need to meet a deductible first, how to submit a Superbill, and whether family and telehealth sessions are eligible. Out-of-network reimbursement is never guaranteed, so confirm your benefits directly with your plan.

Sliding scale and reduced-fee options

We offer sliding-scale, reduced-rate, and discounted fee options across our services when availability allows. Availability depends on clinician openings, current reduced-fee slots, financial need, and the type of service requested, and may apply to individual, couples, family, and child therapy. If cost is a concern, please reach out; we are happy to discuss current options. If we are not the right financial fit, we still want you to find support and can point you toward community mental health centers, university training clinics, employee assistance programs, or other lower-cost resources.

Good Faith Estimate and questions to ask your insurer

If you are uninsured or choosing not to use insurance, you have the right to request a Good Faith Estimate of expected charges before beginning services, under the federal No Surprises Act. Before your first appointment, it can also help to call the member-services number on your insurance card and ask: Do I have outpatient mental health benefits? Is this provider in-network with my specific plan? What is my copay, coinsurance, or deductible? Are telehealth sessions covered? Is couples or family therapy covered? These questions can help you understand your likely cost before treatment begins.

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Our Expertise

Specialized training in Emotionally Focused Therapy

Bozeman Therapy & Counseling is an EFT-focused practice. Our clinicians pursue advanced training in Emotionally Focused Therapy (EFT) — the leading evidence-based, attachment-based model developed by Dr. Sue Johnson for strengthening connection in couples, individuals, and families. That shared foundation means consistent, research-backed care across our entire team.

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Therapy costs, insurance, and payment options in Bozeman

How much does therapy cost per session?

It depends on the clinician, type of service, session length, and whether you are using insurance or paying out of pocket. Our private-pay rates range from $200 to $250 per 60-minute session. If you are using insurance, your out-of-pocket cost may depend on your deductible, copay, coinsurance, and whether the clinician is in-network.

Does insurance cover therapy?

Many plans include mental health benefits, but coverage varies. We recommend calling the number on the back of your insurance card and asking about outpatient mental health benefits, your deductible, your copay or coinsurance, whether prior authorization is required, and whether telehealth and couples or family therapy are covered.

What if I do not have insurance?

You can pay out of pocket; self-pay rates vary by clinician and service. Some people choose self-pay for more privacy or to avoid a required diagnosis. If you are uninsured or not using insurance, you may also request a Good Faith Estimate of expected charges in advance.

Do you offer sliding scale therapy?

Some clinicians offer reduced-fee options depending on availability and financial need. If cost is a barrier, ask about current fee options before scheduling, and we can also point you to lower-cost community resources.

Does online therapy cost less than in-person?

Not necessarily. In a local practice, the cost is often similar online or in person because the clinical service and therapist time are the same. Insurance coverage for telehealth varies by plan, so confirm whether virtual sessions are covered.

Start therapy in Bozeman

Beginning therapy can feel vulnerable. We aim to make the process clear and welcoming. Whether you are looking for support for yourself, your relationship, your child, your teen, or your family, we are here to help you take the next step.

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