Facts & Fees
Therapy Fees, Insurance & Self-Pay Rates
Clear pricing, no hidden costs.
Here is what sessions cost, which insurance plans we accept, and how payment works, so you can make an informed decision before your first appointment. Sessions are available by secure telehealth for clients located in Nebraska, Texas or Iowa.

How Your Fees Support Our Mission
As a 501(c)(3) nonprofit, ProSightful uses session fees and donations to fund our sliding scale, low-cost intern sessions and counseling grants, so care stays within reach for people who could not otherwise afford it.
Counseling Grants
If you are unable to pay, you may apply for a counseling grant. Complete every field of our Grant Request Form and attach proof of income (your latest tax return or W-2). Our Grant Review Committee reviews each request.
Because the form includes private financial information, please email the completed form to grants@prosightful.org. Please do not send it through social media or website forms. Questions? Call (402) 987-8653.
Download the Grant Request Form (PDF)Email grants@prosightful.org
Session Fees
Self-pay rates per session. Rates vary based on the clinician’s training and experience. A sliding scale is available based on need.
Individual
$150–$200
55 minutes
Kids & Teens
$120–$180
55 minutes
Ages 10 and up
Couples
$160–$210
60 minutes
Family
$180–$225
80 minutes
Sex Therapy
$250
60 minutes
Self-pay only. Nebraska telehealth only.
Sliding scale: We offer reduced fees based on need and family situation, and we never turn anyone away for financial reasons alone. Ask your therapist about options. Payment is due at the start of each session.
Corporate Wellness & Training
Workshops and group consultation for organizations.
Training or group consultation
$250
per hour
Preparation and research
$200
per hour
Reduced rates are available for additional hours and custom packages. The client covers transportation, lodging and related costs. Contact us for a quote.
Why Many Clients Choose Self-Pay
Using insurance is always an option. Paying out of pocket can offer more privacy and flexibility.
No required diagnosis
Insurance requires a mental health diagnosis for reimbursement. That diagnosis becomes part of your insurance record and may not fully reflect your situation.
Session length that fits
Insurance often limits sessions to 45 to 55 minutes. Self-pay lets us set a session length that meets your needs.
Flexible scheduling
Insurance can limit how often and how you meet. Self-pay allows flexible scheduling, including secure, HIPAA-compliant video sessions.
Insurance
We are in-network with the following plans and are working to add more.
Not in-network with your plan?
We do not bill out-of-network insurance directly. Instead, we provide monthly superbills (statements) that you can submit to your insurance company for reimbursement. Most plans cover out-of-network mental health services at some level, so we recommend reviewing your out-of-network benefits with both your insurance company and your therapist before your first session.
Payment & Policies
Payment methods
Cancellations
Returned checks
Billing, Payments & Financial Accessibility
At ProSightful Counseling and Consulting, we believe everyone deserves access to quality mental health care. We are committed to transparent billing practices and helping clients understand their financial responsibilities.
Payment Policy
When you begin counseling, applicable copays, co-insurance, deductibles, and non-covered services are due at the start of each session. We ask that you put a credit card on file in our secure electronic vault that will be used for each session, as well as missed appointments and late cancellations.
Fees for Services
Fees vary based on the clinician’s qualifications, experience, and services provided. Additional charges may apply for reports, treatment summaries, extended telephone consultations, and professional consultations requested or authorized by the client. Applicable fees will be communicated in advance whenever possible.
Financial Assistance & Accessibility
We understand that financial concerns can make accessing counseling difficult. If cost is a concern, please contact us to ask about available reduced-fee options or financial assistance. Availability and eligibility may vary.
Good Faith Estimate
Under the federal No Surprises Act, uninsured clients and those choosing not to use insurance have the right to receive a Good Faith Estimate of expected service costs.
If your bill is at least $400 higher than your estimate from a provider or facility, you may be eligible to dispute the bill. Keep a copy of your estimate for your records.
Learn more at www.cms.gov/nosurprises.
Questions?
Contact ProSightful Counseling and Consulting for assistance with billing, insurance, fees, or payment options. We are committed to treating every client with compassion, dignity, and transparency.
Frequently Asked Questions
What Forms of Payment Do You Accept?
Can I Pay for Services Out-Of-Pocket?
What can I expect when working with ProSightful?
How long is each session?
How often will we meet?
How many sessions will I need?
Do you see kids and teens?
Questions about fees or insurance?
We are happy to help you understand your options before you book.
