Let’s Talk About Money:
Fees, Insurance, & Accessibility
We believe that conversations about therapy fees shouldn’t be confusing, shame-filled, or hidden in fine print. At Rebel Heart Therapy, we openly discuss costs because transparency is a key component of building trust. We know that access to mental health care is impacted by systems of oppression—including financial ones—and we’re committed to being as clear and affirming as possible when it comes to what therapy costs here.
As a queer-owned, LGBTQIA+ affirming practice in Portland, Oregon, we strive to provide exceptional care in a manner that’s both values-aligned and financially transparent. Whether you’re using insurance, paying out of pocket, or need help with cost, we’re here to help you navigate your options.
Fee Schedule
For Out-of-Network and Private Pay
Intake Sessions
60-minute Intake appointment to review the Informed Consent and Client History Form, identify goals for therapeutic work, and assess fit for both the client and the clinician.
$340
Individual Sessions
53-minute one-on-one sessions with a clinician to discuss personal feelings, thoughts, and challenges. The aim is to help you gain insight, find solutions, and improve your well-being.
$225
Relational Sessions
53-minute sessions to improve your relationships, whether with a partner, family member, or friend. It focuses on communication, understanding, and building healthier connections.
$275
Group Therapy
90-minute sessions where a small group meets with a clinician to share experiences, learn from each other, and find new ways to cope.
$50
💸 Reduced-fee/Sliding Scale Spots
(Accessibility in Action)
We know that full-fee therapy isn’t accessible for everyone—and we don’t think income should be a barrier to care.
We offer a reduced rate for sessions with our associate-level therapists as part of our commitment to making therapy more financially accessible.
Here’s what that looks like:
Intake session: $150
Individual session: $135
Relational session: $185
These rates reflect a $90 per session discount off our standard fees.
To receive this discount, you’ll need to sign a Private Pay Discount Acknowledgement Form, which confirms that you won’t submit claims to your insurance for these sessions. This isn’t a Rebel Heart rule—it’s an insurance regulation designed to prevent what’s called “double dipping” (getting reimbursed for a session that was already discounted). We’re legally required to follow it.
We understand that insurance and billing language can be confusing. If you have questions, our admin team is happy to walk you through it—no shame, no jargon, just clarity.
Rebel Heart Therapy is in-network with Kaiser Northwest
We will check your benefits to determine if we are in-network with your insurance company and update this list as additions to the in-network list are made.
🤝 Still Have Questions?
We’re happy to help you figure out what’s possible.
Reach out to our admin team through our Contact Form, or get started by filling out our New Client Intake Form. We’ll walk you through the process.