Rates & Insurance


Your first appointment will be for a Comprehensive Clinical Assessment  with one of our clinicians. The goal of the first session is to get an idea of who you are and how we can best help you. It is also the beginning of putting together the course of your treatment. The fee for this first appointment is $200.

On-going Therapy And Fee Information:

After the Comprehensive Clinical Assessment, individual therapy sessions typically last 60 minutes for a fee of $175.00. (Couple’s and family therapy sessions are also typically 60 minutes and cost $175.00). Skills class sessions are 90 minutes long and for a fee of $60.00. However, if you are getting comprehensive DBT or RO DBT through our practice, there is a reduced rate of $40.00 for skills class.  Agreements about payment amount and method are discussed prior to our first session and then discussed more fully during intake, so please contact us if you have a need.

Payment Information:

We operate on a “fee-for-service” model, meaning clients will be asked to pay at the beginning of each session. An invoice will then be provided for your records.



We are a provider for Blue Cross/Blue Shield, which means that we will bill them directly for payment.  We are in network with most BCBS plans. (However, we are not considered in network with BCBS Blue Local. Please call if you have questions!).  Please be aware of what your deductible and co-pay are for your individual plan.

We have some clinicians who are in network providers for United Healthcare, Oxford, Oscar, Aetna, and Cigna.

We do not participate on any other managed care insurance panels. However, with a few exceptions, we can provide you with a superbill to file health insurances as an “out-of-network provider.” Since payment is due at the time of service, we will request payment, provide you with a superbill, with which you will request reimbursement directly from your insurance provider. In North Carolina, insurance companies are required to reimburse you within a set number of days. Please check with your insurance company prior to scheduling. Ask your insurance company about their “out-of-network coverage,” yearly deductible, percentage they will reimburse, and whether a prior authorization is needed.

We also have a limited number of scholarship spots for folks who are eligible for Medicaid, Medicare, or who are uninsured or underinsured.



In order to both organize our practice and guarantee clients regular times, we schedule a single weekly (or biweekly) time slot for a client. Missed sessions are not billable to insurance and will be billed directly to the client if the proper cancellation procedures are not followed. A charge of the full session is applied when appointments are missed or cancelled with less than 24 hours notice.  Missed session or late cancellation fees can be waived for emergencies only.  If a client is 15 minutes or more late for an appointment, this is considered a late cancel/no show appointment, as this impacts the therapeutic work.

Good Faith Estimate Notice

If you do not have health insurance or will not be using your health insurance, you are legally entitled to an estimate for the total expected cost of services you will receive at Guilford Counseling.  The No Surprises Act gives you the right to receive a “Good Faith Estimate” before you schedule any new or recurring services.  You will receive this estimate as a part of your intake paperwork prior to being scheduled for your first appointment with Guilford Counseling.  Because of this, it is an estimate and may be modified as you get into the work with your clinician.  For questions, more information about your rights or instructions, visit www.cms.gov/nosurprises


Get in touch with us to see if we’re a good fit.

336-337-5469 |