Fees, Sliding Scale, & Scheduling
Therapy at Little River Psychological Services is structured around the time, care, and clinical focus each client needs. Session length and fees vary depending on the type of service provided and clinical complexity.
We recognize that access to care looks different for each person. For that reason, we offer multiple pathways for payment, including insurance, sliding-scale options, and self-pay.
Insurance & Benefits
Many clients choose to use insurance to help offset the cost of therapy. Coverage varies by plan and by provider.
At this time, services offered through Little River Psychological Services are in-network with Blue Cross Blue Shield of North Carolina (BCBSNC) and Aetna through participating clinicians.
We recommend asking your insurance company:
Does my plan include outpatient mental health benefits?
Do I have a deductible, and has it been met?
Is there a limit to the number of sessions per year?
Is a referral or prior authorization required?
If navigating insurance feels confusing or overwhelming, you’re welcome to name that when reaching out.
Sliding-Scale Availability
A limited number of sliding-scale appointments are available for clients experiencing financial hardship. Sliding-scale consideration is intended for individuals whose income, employment status, or financial obligations make standard self-pay rates difficult to sustain.
Sliding-scale eligibility may include, but is not limited to:
Limited or fixed income
Unemployment or underemployment
Students or trainees
Significant medical, caregiving, or family financial responsibilities
Lack of insurance or high out-of-pocket costs
Because sliding-scale appointments are limited, eligibility requires brief verification. This may include documentation such as recent pay stubs, proof of income, benefit statements, or other relevant financial information. Documentation is reviewed only to confirm eligibility and is handled with discretion and care.
Sliding-scale arrangements are discussed collaboratively and revisited periodically to ensure sustainability for both client and practice.
Self-Pay Fees
For clients who choose to self-pay, standard rates are based on session length and service type:
30-minute therapy sessions: $80
45-minute therapy sessions: $115
60-minute therapy sessions: $165
90-minute clinical intake appointments: $220
Self-pay options may be used alongside insurance when preferred or when coverage is limited.
Payment
Payment is due at the time of service. We accept cash, HSA, Zelle, and all major credit cards.
We approach conversations about fees and access with transparency, respect, and flexibility whenever possible.
Cancellations & Rescheduling
If you need to cancel or reschedule, please provide at least 24 hours’ notice so the appointment can be offered to another client.
Late cancellations or missed appointments may be charged at the full session rate.
Questions or Next Steps
If you have questions about scheduling, fees, sliding-scale availability, or whether Little River Psychological Services is a good fit, you’re encouraged to reach out.
Access to care matters. So does sustainability. We aim to hold both with integrity.