Session Fees & Insurance Information
What you need to know before getting started
I know that starting therapy—especially when you're planning to invest both your time and money—comes with a lot of practical questions. Below are answers to some of the most common things people ask me about fees, insurance, and session logistics.
If you have a question that isn’t answered here, feel free to reach out: torie@toriewikselltherapy.com
What is the fee for therapy sessions?
Individual online therapy sessions (45 minutes): $250
Sessions are held virtually and offered to clients located in California, Oregon, and Washington.
Do you take insurance?
I am not in-network with any insurance companies.
However, if you have a PPO health plan with out-of-network benefits, you may be eligible for partial reimbursement. I recommend contacting your insurance provider directly to find out what your plan covers. I am unable to assist with insurance reimbursement and cannot guarantee reimbursement by your plan.
How do I use my out-of-network benefits?
If your insurance plan includes out-of-network coverage, I’m happy to provide you with a monthly superbill (an itemized receipt for therapy services). You can submit this document to your insurance company to request reimbursement.
Please note that reimbursement is not guaranteed and depends entirely on your individual plan.
Why aren’t you in-network with insurance companies?
In short, it comes down to quality of care and protecting your privacy.
Insurance companies require therapists to prove that treatment is “medically necessary,” which means I have to justify why you are “sick enough” to require therapy (ugh- such a horrible way to look at mental health and not the way I view it at all).
Insurance companies require I share personal details about your mental health that I believe should stay between us. They can also deny care, limit the number of sessions, or even demand repayment of previously covered services (a process called a clawback).
Additionally, working with insurance adds significant administrative burden, and companies seriously underpay therapists making it necessary to see more clients than ethically reasonable. Staying out-of-network allows me to focus fully on providing high-quality, specialized care without compromising your confidentiality or continuity of treatment.
Do you offer reduced fees?
At this time, I’m no longer able to offer sliding scale or reduced-fee appointments.
If you are looking for low-cost therapy options, I recommend checking out Open Path Collective, a nonprofit directory of therapists offering affordable rates.
How often will we meet?
I strongly recommend weekly sessions, especially during the first several months of therapy. This consistency gives us the time and momentum needed to build trust, explore patterns, and make meaningful progress.
If weekly sessions aren’t feasible due to finances or scheduling, I’m open to discussing biweekly appointments after we’ve had an initial conversation about what would be most helpful for your goals.
For clients engaging in Exposure and Response Prevention (ERP) therapy for OCD, weekly sessions (or sometimes twice-weekly) are considered the gold standard. ERP typically requires 17–36 sessions delivered on a consistent schedule for best results although, I often work with clients with OCD for much longer as ERP is simply one aspect of our work together.
What forms of payment do you accept?
You are required to have a credit card on file that will be run the day of our scheduled session. I have a 24-hour cancellation policy and the full session fee is charged for no-shows or cancellations with less than 24-hour notice.
What if I have more questions?
I'm happy to help. If you have additional questions about fees, insurance, or anything else related to getting started, please don’t hesitate to email me at torie@toriewikselltherapy.com.