Rates & Insurance

I believe mental health care should be transparent, accessible, and free of surprises, starting with a clear understanding of your investment.

Private Pay Rates

  • Individual Therapy (60 minutes): $100 per session

  • Intake Sessions (60-90 minutes): $150 per session

Payment is due at the time of service unless otherwise arranged. Questions about the difference between regular individual sessions and intake sessions? Click here.

Insurance

I accept insurance through Headway. My profile can be found here. I am in-network or will be in-network with the following providers:

Aetna
Anthem Blue Cross Blue Shield Missouri
Anthem EAP
Ascension (SmartHealth)
Carelon Behavioral Health
Cigna
Horizon Blue Cross and Blue Shield of New Jersey
Humana Medicare Advantage - pending
Oscar (Optum) - pending
Oxford (Optum) - pending
Quest Behavioral Health
United Healthcare (Optum) - pending
United Healthcare Medicare Advantage - pending

Out-of-Network Benefits

If I am not in-network with your insurance, you may still be able to use your benefits through “out-of-network” coverage. Many plans will reimburse a portion of your session fee after you meet your deductible. I can provide a superbill (a detailed receipt) that you can submit to your insurance company for potential reimbursement.

Tip: Call your insurance provider to ask about your out-of-network mental health benefits before scheduling.

Payment Methods

If you are not using your insurance benefits, full payment is expected at the beginning of the session.

A valid up-to-date payment method on file is required for services, both private pay and through insurance, and failure to pay on accounts may lead to future cancellations until the balance is paid in full.

The following forms of payment are accepted:

  • Debit & Credit Cards

  • HSA/FSA Cards

  • Secure Online Payments through my client portal

    It is always my priority to reduce financial barriers to therapy. If there are any financial concerns, please bring them to me directly and we can discuss options.

Cancellation Policy

Your appointment time is reserved just for you. Cancellations with less than 24 hours’ notice will be charged the full session fee ($100 for a regular session, $150 for an intake). No exceptions.

Sliding Scale & Reduced Rates

I know therapy is an investment, and cost can sometimes be a barrier to getting support. To help make care more accessible, I reserve a limited number of reduced-fee spots for clients who are not using insurance or who identify as part of underserved communities, including BIPOC and LGBTQIA+.

Sliding scale intakes range from $120-$100, and ongoing 60-minute sessions range from $70–$85. Because these spots are limited, we’ll check in every 90 days to see if adjustments are needed. If you think a reduced fee may be right for you, let’s talk about it during your consultation.

Good Faith Estimate

Under the No Surprises Act, you have the right to receive a “Good Faith Estimate” explaining the expected cost of your mental health care.

  • You will receive a written estimate before your first appointment if you are not using insurance or are paying out-of-pocket.

  • This estimate will include the cost per session, the number of sessions we expect, and your total estimated cost.

  • If you receive a bill that is at least $400 more than your estimate, you can dispute the charge.

For more information, visit www.cms.gov/nosurprises.

Ready to take the next step?

Schedule a Consultation to see if we’re a good fit. I’m happy to answer questions about rates, insurance, and payment options so you can feel confident moving forward.

Logo of Catalyst Counseling & Mental Health featuring a purple triangle with radiating lines and the slogan "Care without judgment. Change without limits."

Providing online therapy for adults across Missouri.

Stevie Fichtenmayer

Contact

Mailing address:

Catalyst Counseling and Mental Health
231 S Bemiston Ave Ste 850 # 915539
Saint Louis MO 63105

P: 636-206-6315

E: stevie@catalystcounselingmo.org