Couples Therapy Cost, Individual Therapy Rates & Financing
Understanding the financial side of therapy helps you make grounded decisions – especially if you’ve been searching for how much couples therapy costs or trying to get a sense of the typical couples therapy cost in San Diego. Below is a clear outline of my rates for couples therapy, intensive work, relationship assessments, and individual sessions.
Please note: there is no difference in cost between in-person and online/video sessions.
Payment is due at the time of service.
Monthly Superbills, invoices, and statements are available for clients seeking out-of-network reimbursement or using HSA/FSA benefits. Payment methods include credit, debit, HSA, and FSA.
Couples Therapy Cost
For many couples exploring how much couples therapy costs or comparing fees in the San Diego area, the most important factor isn’t the number – it’s the structure and approach. Effective relationship work requires time, precision, and a pace that allows both partners to settle into the process. This is why I schedule 90-minute sessions using the Gottman Method to create the structure and space needed for meaningful progress.
Relationship Counseling
90-minute couples therapy session – $420
Ninety minutes gives us the room to work intentionally: slow things down, understand the dynamic between you, and make progress that isn’t possible when sessions are compressed.
If you’d like to learn more about how I structure the work, visit my Gottman Method Couples Therapy page.
Marathon Counseling for Relationships
For couples who want focused, concentrated work – or who feel like things are reaching a breaking point – marathon sessions offer the chance to make significant progress in a shorter window.
12 hours (2 days) — $4,360
18 hours (3 days) — $6,040
Late cancellations (within 48 hours) are billed at the full fee for the next 24 hours.
Learn More About Marathon Weekend Therapy here
Relationship Assessment ONLY
A comprehensive relationship assessment that includes interviews, structured questionnaires, results, and feedback – $1,500
Individual Counseling
In addition to relationship work, I offer individual therapy for clients wanting support with anxiety, boundaries, emotional clarity, or personal growth.
45-minute session – $210
90-minute session – $420
Learn More About my Approach to Individual Therapy here
Rates Increase Structure
Rates are set annually and increase each January 1 by $10 per 45 minutes.
Advance communication is sent at the beginning of November each year.
Example:
2024 base rate — $190/45 min
2025 base rate — $200/45 min
Financing Options for Therapy
For clients who prefer to spread out the cost of therapy or plan for intensive work, CareCredit is available as an optional financing resource. Some clients use it simply for convenience or organization. Financing is handled directly through CareCredit.
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Cancellations made within 48 hours of the session start time result in the full session fee being charged.
If I cancel within 48 hours, your next session fee is reduced by $50.
To cancel, please contact:
Phone number: 619-292-8433Email address: info@graysonwallen.com
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Therapy is an investment in your emotional health and closest relationships. Many of us carry $1,000 phones (myself included); yet tending to your internal world brings far more long-term impact. My work is designed to help you gain clarity, create change, and build healthier patterns without staying in therapy longer than necessary.
I am here to help you in the shortest amount of time to help you meet your goals and resolve your problem(s) because I believe you don’t need to be in therapy longer than necessary.
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Sliding-scale appointments are occasionally available based on my schedule.
As of November 1, 2025, all sliding-scale slots are full. This section will be updated as availability changes. -
Short answer: No, I do not accept insurance.
If you see my name listed through your insurance provider, it is through Rula Mental Health, where I hold a small number of insurance-based clients. As of September 1, 2024, that list is full. If you need to use insurance for counseling, I recommend beginning with Rula.com.
Some insurance plans treat me as an Out-of-Network Provider. If so, reimbursement depends on your plan. I can provide Superbills monthly through your Client Portal.
Because most insurance companies do not reimburse for relationship issues or general personal growth, couples seeking reimbursement are typically required to have a mental health diagnosis on file. I do not assign diagnoses when they are not clinically present.
For clients not using insurance, you can review my posted Good Faith Estimate.
Insurance Details & Service Codes
Credentials
Licensed Professional Clinical Counselor (#12135), CaliforniaLicensed Professional Counselor (#23790), Arizona
NPI: 19-62007369Service Codes:
Individual Counseling, 45 minutes — 90834
Couples/Relationship Counseling, 90 minutes — 90847 + 99355
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If you plan to pursue reimbursement, consider asking:
Does my plan cover counseling from an out-of-network mental health provider?
Who qualifies as an out-of-network provider?
Does my plan reimburse for sessions with a Califorina Licensed Professional Clinical Counselor (#12135) or Arizona Licensed Professional Counselor (#23790)?
What is my out-of-network deductible?
What is reimbursed per session after the deductible is met?
How many counseling sessions are covered each year?
How do I submit Superbills or receipts?
What is the claim timeline for reimbursement?
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Fees for communication outside of sessions (phone calls, texts, emails, report writing, or legal consultations) are billed at the same rate as appointments.
Administrative messages that take under 5 minutes are free; any additional time is billed pro-rata.To avoid unnecessary costs, clinical updates are best handled in session. Scheduling or administrative needs can be handled by phone or email.