Insurance & Fees

We are in the process of paneling with several major insurance companies. If you don't see your plan reflected yet, please check back in the coming weeks for updates. At this time, both Liz and Maria can accept Blue Cross Blue Shield, Straight Medicaid, and Medicare plans. Liz is also able to accept Optum and United Healthcare.

We also offer private pay therapy services, and are happy to provide a Superbill which you can submit to your insurance company for potential reimbursement. If you do not see your insurance reflected yet, but would like to get started with therapy sooner rather than later, reach out to us today to talk about your options. It is sometimes an option to begin paying privately for therapy and then transition to billing insurance once we are in network with your provider. Please see our  FAQ page for more detailed information on Superbills and paying for therapy with an HSA card.

Private Pay

Private pay means that you pay for your therapy sessions directly, without involving insurance companies. This payment method provides you with several advantages:

Confidentiality and Privacy: Private pay ensures that your therapy records remain entirely confidential. Your personal information and the details of your therapy sessions are not shared with insurance companies unless you choose to do so.

Choice and Flexibility: You have the freedom to choose your therapist based on your preferences and needs, rather than being limited to providers within your insurance network. This allows for a more personalized and tailored therapeutic experience.

No Annual Session Limits: Many insurance plans limit the number of sessions that you are covered to receive in a year. When you pay privately for therapy, no such limits apply. It is up to you and your therapist to decide the length of your treatment and how many sessions you need to help you reach your goals.

No Diagnosis Required: When using private pay, you are not required to have a mental health diagnosis to receive therapy services. This can alleviate concerns about potential stigmatization associated with having a diagnostic label.

Streamlined Process: Private pay simplifies the billing process. You pay the therapist directly for each session, eliminating the need to navigate insurance paperwork or wait for claims to be processed. This also reduces the risk of incurring an unexpected balance on your account due to your insurance company deciding to deny a claim.

Private Pay Rates

The following tables detail each therapist's private-pay rates:


Liz Mitchell, LMSW
Clinical Director, Psychotherapist
Telehealth Rate In-Office Rate
Intake (60-90 minutes): $175 Intake (60-90 minutes): $200
55-minute session: $130 55-minute session: $150
Couples/Family session: $130 Couples/Family session: $150

Maria Lingg, LLMSW Psychotherapist
Telehealth Rate In-Office Rate
Intake (60-90 minutes): $150 Intake (60-90 minutes): $170
55-minute session: $110 55-minute session: $130
Couples/Family session: $110 Couples/Family session: $130

Sliding Scale Fee Structure

At Affirming Pathways, we are dedicated to providing accessible mental health services. To ensure affordability and inclusivity, we offer a limited number of openings for clients using our sliding scale fee structure, which allows people to pay fees based on their income and financial circumstances. Please  reach out to us if you’d like to apply for our sliding scale fee.

GFE Notice

You have the right to receive a “Good Faith Estimate” explaining how much your medical and mental health care will cost.

Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the expected charges for medical services, including psychotherapy services. You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency healthcare services, including psychotherapy services. You can ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule a service.

If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. Make sure to save a copy or picture of your Good Faith Estimate.

For questions or more information about your right to a Good Faith Estimate, visit  cms.gov/nosurprises.