What Couples Therapy Costs in Las Vegas (and Whether Insurance Covers It)

At Healing Steps Family Therapy in Las Vegas, couples sessions are $200 for 60 minutes and $250 for 90 minutes, billed per session. Starting January 1, 2027, couples therapy is private pay (cash pay) only and is not billed to insurance. Superbills are provided automatically; reimbursement isn’t guaranteed. I’m Stephen M. Stepanovich, MS, LMFT. In Nevada I see couples in person at 3175 E Warm Springs Rd, Suite 111, Las Vegas, NV 89120, and by telehealth. In California, sessions are by telehealth only. The first call is free.

What couples therapy costs at Healing Steps

Here are the published couples rates, as they appear on the contact page and in the Couples Private-Pay Financial Agreement:

  • Standard couples session (60 minutes): $200
  • Extended couples session (90 minutes): $250

The couples fee is for the session, not for each partner.

Whether we book 60 or 90 minutes depends on the severity of the case. For intense cycles, 90 minutes is suggested.

Payment is due in full at the time of each session. I accept credit and debit cards and HSA/FSA cards. HSA/FSA eligibility is between you and your plan administrator. A card on file is required, and both partners are jointly responsible for couples session fees, regardless of which partner’s card is on file or who scheduled.

If you want to talk through cost and fit before you book, the first call is free. You can call, text, or email from the contact page. Coming as a couple? You’re welcome to call or email together. You don’t need to have it all figured out first.

Starting January 1, 2027, couples therapy is private pay

The full policy is in our Couples Therapy Private-Pay Financial Agreement (Rev. 10/2026). The agreement is “Effective for all couples sessions on or after January 1, 2027.”

In the agreement’s words: “Starting January 1, 2027, couples therapy at Healing Steps Family Therapy, LLC is private pay (cash pay) only. We do not bill any insurance plan for couples sessions, even if one or both partners have insurance that we accept for individual therapy.”

The reason is straightforward, and it is the same one in that agreement. Insurance generally pays only for treatment of a diagnosed mental health condition in one identified patient. Couples therapy focuses on the relationship itself, so it often doesn’t fit that model, and billing it to insurance usually means placing a diagnosis in one partner’s health record. Private pay lets us focus on your relationship, keeps your couples work out of insurance records, and avoids insurance limits on session length or number.

If you already started couples therapy here before January 1, 2027 and have been using insurance, the agreement gives you a 90-day grace period: those sessions continue to be billed to insurance through March 31, 2027, and private-pay rates apply starting April 1, 2027. New couples clients starting on or after January 1, 2027 are private pay from their first session.

Superbills

Because couples sessions are private pay, I do not submit claims to insurance for them. Superbills are provided automatically for every couples session, so you don’t need to request them. In the agreement’s words, a superbill is “a detailed receipt you can submit to your insurance plan yourself for possible out-of-network reimbursement. Reimbursement isn’t guaranteed and depends on your plan.”

Insurance for individual therapy

Insurance is still an option for individual therapy. I accept CIGNA, United Health, AETNA, Anthem Blue Cross Blue Shield, and Carelon for individual sessions. Individual self-pay sessions are $150 an hour. If you use insurance for individual work, please check your benefits with your plan before scheduling; you are responsible for copays, coinsurance, deductibles, and anything your plan doesn’t cover.

Having one of those plans does not mean a couples session will be billed to insurance. Starting January 1, 2027, it will not be.

A Good Faith Estimate

Because you are paying privately, you will receive a written Good Faith Estimate of expected charges for your couples therapy when you schedule, or any time you ask. That wording is from the private-pay agreement. The full notice and form are here:

Under the No Surprises Act, if you don’t have insurance, or you’re not using it — including all couples clients starting January 1, 2027 — you have the right to this estimate. To request one, call or text (702) 743-4497 or email stephen@healingvegas.com.

Cancellations and missed sessions

Please give at least 24 hours’ notice to cancel or reschedule. These fees are from the Couples Private-Pay Financial Agreement and the Informed Consent for Therapy (both Rev. 10/2026):

  • Late cancellation (less than 24 hours’ notice): $100
  • No-show, 60-minute session: $105 ($100 no-show fee + $5 card processing fee)
  • No-show, 90-minute session: $200

The standard no-show fee includes a $5 card processing fee. Arriving 15+ minutes late may mean rescheduling and a late-cancel fee. If we can make up the session within the same week, there’s no fee. Two missed or late-cancelled sessions in a row may result in losing your regular appointment time.

A local couples therapist compared with an online platform

People often ask whether they should use an online platform like BetterHelp, or see a local couples therapist in Las Vegas. Both can be valid. They are not the same service.

With me, you know who you’re meeting: a licensed marriage and family therapist whose main work is couples therapy, with published 60- and 90-minute fees. In Nevada we can meet in person at my Las Vegas office or by video. In California we meet by telehealth only. You can call or email together and get a real person at the other end.

An online platform is usually a subscription matching service. You are paired with an available therapist through the app, often for individual therapy, and you meet by video, phone, or chat. On November 12, 2026, BetterHelp’s own pricing page described a general therapy subscription as typically $70 to $100 per week, billed weekly or every four weeks, including one live session plus messaging. That figure is BetterHelp’s published range for a general subscription. It may not be a couples-specific rate, and I have not listed prices for other platforms.

If you want a local specialist for the two of you, with clear session fees and an in-the-room option in Las Vegas, you can call me. If you want a lower-cost online subscription, a platform may fit better. The useful question is which of those you actually want, not which one sounds more responsible.

LMFT versus psychologist for couples, and what that means for cost

I am a licensed marriage and family therapist (LMFT), not a psychologist. My license is built around relational and family-systems work. Couples therapy is my main focus. I use Emotionally Focused Therapy, and I’m in the advanced training and supervision process to become a certified EFT couples therapist (EFCT). I’m not certified yet.

A psychologist (PhD or PsyD) has doctoral training and may be the better fit when formal psychological testing or a complex individual diagnosis is the main need. Some psychologists also specialize in couples. Many do not. The letters after someone’s name tell you about their training. They don’t automatically tell you how they work with a couple in the room.

I won’t try to quote other local psychologists’ fees here; they vary, and I can only stand behind my own published rates: $200 for 60 minutes and $250 for 90 minutes, per session. The better question is fit: do you want someone whose daily work is the relationship between you, at a clear local rate, or do you need doctoral-level testing and individual diagnosis first? Cheaper is not automatically better, and neither is a longer degree.

If private pay isn’t a fit

The private-pay agreement puts it this way: if private pay isn’t workable for you, please talk with me. Options may include fewer or longer sessions, individual therapy billed to insurance when clinically appropriate, or referrals to in-network couples therapists.

How to get started

The first call is free. We can talk about cost, the private-pay policy, and whether it feels like a fit. Both partners are welcome on that call. You don’t need to have it all figured out first.

  • Call or text: (702) 743-4497
  • Email: stephen@healingvegas.com
  • Office: 3175 E Warm Springs Rd, Suite 111, Las Vegas, NV 89120
  • Nevada: in person or telehealth. California: telehealth only.

Please don’t include private health details in texts or emails. We can talk about those in session.

When you’re ready to book, start on the contact page. If you want a picture of what the first session is like, and how I work with couples, that’s on the couples therapy page. The private-pay agreement, Good Faith Estimate, and other intake forms are on the forms page.

Short FAQ

How much does couples therapy cost in Las Vegas?

At Healing Steps Family Therapy in Las Vegas, couples sessions are $200 for 60 minutes and $250 for 90 minutes, billed per session rather than per person. Whether we book 60 or 90 minutes depends on the severity of the case; for intense cycles, 90 minutes is suggested. Starting January 1, 2027, couples therapy is private pay (cash pay) only and is not billed to insurance. Superbills are provided automatically for every couples session so you can submit them to your plan yourself; reimbursement isn’t guaranteed. I accept HSA and FSA cards. The first call to talk through cost and fit is free.

Does insurance cover couples therapy in Nevada?

At Healing Steps Family Therapy, starting January 1, 2027, couples therapy is private pay only. I do not bill any insurance plan for couples sessions, even if one or both partners have a plan I accept for individual therapy. Insurance generally pays only for treatment of a diagnosed mental health condition in one identified patient, and couples therapy focuses on the relationship itself. New couples clients starting on or after January 1, 2027 are private pay from their first session. Couples who began care here before that date and have been using insurance have a 90-day grace period, with insurance billing through March 31, 2027 and private-pay rates starting April 1, 2027. You will receive a superbill for each couples session to submit to your plan yourself; reimbursement isn’t guaranteed.

Will Cigna, Aetna, United, or Anthem pay for marriage counseling?

I do not bill CIGNA, United Health, AETNA, Anthem Blue Cross Blue Shield, or Carelon for couples sessions starting January 1, 2027. Those plans are accepted for individual therapy. For couples work, you pay the published session rate, and I provide a superbill automatically so you can submit it to your plan yourself for possible out-of-network reimbursement. Reimbursement isn’t guaranteed and depends on your plan. The surest way to know what your plan will do with a superbill is to call the number on your card. You’re also welcome to use the free first call to walk through the policy.

Do you accept HSA or FSA cards?

Yes. Healing Steps Family Therapy accepts credit and debit cards and HSA/FSA cards. Payment is due in full at the time of each session. HSA/FSA eligibility is between you and your plan administrator.