Let’s Talk About Money:

Fees, Insurance, & Accessibility

person entering information from their credit card onto a laptop

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

  • 60-Minute Intake Session

    Private Pay/Out-of-Network Cost: $340
    In-Network: Copay/Co-insurance


    What it is: The intake is your first session at Rebel Heart Therapy, or your first back if you are a returning client.

    What takes place: Review the Informed Consent and Client History Form, identify goals for therapeutic work, and assess fit for both the client and the clinician.

  • 53-minute individual or relational session

    Private Pay/Out-of-Network Cost: $225
    In-Network: Copay/Co-insurance

    What it is: These are the weekly appointments with a clinician.

    What takes place: Help the client(s) explore the surface and deeper experiences that brought them to Rebel Heart Therapy, supporting insight, well-being, and healthier communication and connection.

  • 90-minute Group Therapy

    Private Pay/Out-of-Network Cost: $50
    In-Network: Copay/Co-insurance

    What is it: A small group of people with similar experiences or needs meets with a clinician.

    What takes place: Create a space to share experiences, learn from one another, and develop new ways to cope and grow.

💸 Reduced-fee/Sliding Scale Spots

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 or Relational session: $135

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.