50 minute appointment: $160

60-90 minute Relationship appointment: $200

90 minute Group Therapy appointment: $50

(Your individual therapist may offer another fee structure than the one listed above.

You should talk with your individual therapist to confirm the cost of your session)

*Tandem Columbus provides reduced fee services to 20-30% of our clients on a weekly basis. Reduced fee services are generally reserved for those without insurance; those with Medicaid coverage; or, those who do not have access to mental health benefits. There are times when reduced fee services may be negotiated with clients experiencing financial hardship.  We strongly encourage clients who feel more comfortable requesting reduced fee services to challenge themselves by allowing someone else that opportunity, and for those who sometimes struggle to ask for a reduced fee to challenge themselves by speaking up.




To align our billing procedures with out organizational values, we have chosen not to participate with insurance panels and are unable to bill most insurance groups on your behalf.  Every therapist at Tandem Columbus will be considered an "out-of-network" provider.​ If you would like to use your insurance to help offset the cost for these services, you will need to have "out-of-network" insurance benefits. It is important to know that most insurance groups require a diagnosis to reimburse for counseling services. If you plan to use your out-of-network benefits to help offset the cost of these appointments, you and your provider will need to discuss the documentation of an appropriate diagnosis to support your insurance claim.

There are many reasons we have chosen not to panel with insurance groups:

  • We believe everyone should have access to counseling. Unfortunately, most people do not have access to adequate mental health benefits despite paying high insurance costs.  To ensure equitable access to our services, we have decided to charge a flat rate to avoid privileging those who can afford more comprehensive insurance plans over others.

  • We believe in financial transparency. In-network coverage does not ensure a lower cost for services.  Many individuals and families have high deductible plans that require them to pay out-of-pocket for these services whether they have "in-network" coverage, or not.  Some individuals/families spend the year working towards paying off a deductible and never experience the benefits of "in-network" coverage. We have also found that some insurance groups reimburse the member (you) for out-of-network services more than they would reimburse the provider directly, putting more money back in your pocket.

  • We believe mental health care should be affordable. Insurance groups save themselves money by charging you a copay/deductible and lowering the reimbursement rate for providers--often by 30-50%. By charging our full-fee for these services and avoiding insurance losses, we are able to provide sliding scale fee services to 20-30% of our caseload on a weekly basis for folks experiencing financial hardship; folks without insurance; and, folks who cannot afford counseling costs out-of-pocket. When contracting with insurance groups, we are restricted from negotiating lower/variable fees based on a member's financial hardship.

  • We believe in destigmatizing mental health care. Insurance groups require therapists to diagnose their client with a mental health disorder to reimburse for counseling services.  While we believe diagnosis can benefit those who are experiencing a mental health disorder by ensuring resources and access to care, we also believe counseling can benefit those who do not meet the requirements of a mental health diagnosis.  By providing counseling to folks who are not experiencing mental illness, we can reduce the possibility of experiencing mental illness over the life course. We believe everyone should have access to counseling, whether they are in a crisis; managing a long-term mental health condition; seeking to strengthen their relationships; or are otherwise feeling well and simply looking for feedback, perspective, and insight to support new goals.

  • We believe your highly personal information should remain private. Insurance companies have access to all of your medical records, including diagnoses, medical notes, and personal history. When contracting with insurance companies, we cannot guarantee the confidentiality of your protected health information.

  • We believe you should be in control of your mental health care. Insurance companies control the number, length and frequency of therapy sessions.  We firmly believe you and your provider are best suited to make those decisions. Additionally, we are able to provide more flexibility in regards to scheduling, rescheduling, and cancellations by remaining "out-of-network".

  • We believe you deserve the best quality care. Contracting with insurance companies costs us lots of time, money, and frustration--sometimes without any benefit to you. We would rather spend our time giving you an excellent counseling experience.

The choice is yours to involve your insurance company in your mental health care, or not. We do not believe in obligating someone to use their insurance (as we are contracted to do) when they may otherwise have reason to keep their mental health care personal. The fact that we do not bill insurance directly does not mean you are lacking coverage. If your insurance company will reimburse for out-of-network services and you would like to use this option, we can easily provide you a detailed billing statement for submission. We will accept HSA/FSA cards for payment, and will work to utilize any employee benefits you have accessible to you as you choose.


Payment in-full is due at the time of your counseling appointment. Your credit/debit/HSA/FSA card on file will be charged unless you notify your therapist of another form of payment.

We will work with you to try and ensure employee benefits, or other insurance benefits can be utilized.