Sessions

Individual sessions are 55 minutes. Most clients meet weekly to begin, with frequency adjusted over time based on goals and progress. Some structured treatments, such as Cognitive Processing Therapy, follow a defined course of sessions discussed at the outset.

Fees

15-minute consultation — Free

First session — $180

Regular sessions — $160

Additional services such as document production, consultation, and case management are billed in 15-minute increments at $160 per hour.

Fertility & assisted reproduction evaluations

All prices include written report.

Donor evaluation — $320

Intended parent / recipient evaluation — $320

Gestational carrier evaluation — $750

These are estimates. Specific costs will be discussed in an initial free consultation. Each situation is unique and not all situations fit into standardized pricing.

Insurance accepted

Big Mountain Mental Health is in network with the following insurers:

Aetna Blue Cross Blue Shield CHIP/Healthy Montana Kids

Coverage details vary by plan, and not all plans cover all services. It’s a good idea to confirm your specific mental health benefits with your insurer before your first appointment. Big Mountain Mental Health is unable to make assurances about what insurance will and will not cover.

Cash pay

A reduced cash-pay rate is available for clients who need it.

Billing

Insurance claims are submitted directly on your behalf, and you are responsible for any copay, coinsurance, or deductible amounts your plan requires. You are responsible for any known costs (i.e. full session fees for cash clients, copays for insurance clients) at the time of service.

Good Faith Estimate

Under the federal No Surprises Act, clients who are not using insurance have the right to receive a Good Faith Estimate of expected costs for services. An estimate is provided before treatment begins and is available at any time on request.

Payment Policies

Payment is due at the time of service. Accepted forms of payment are cash, check, Venmo, and credit card.

For clients using insurance, the practice bills the insurer directly at the contracted rate. Clients are responsible for any amount the plan does not cover, and Big Mountain Mental Health makes no assurances about insurance benefits. Just because Big Mountain Mental Health is in-network for your insurer does not necessarily mean that they will pay for services. Clients are encouraged to contact their insurer before beginning treatment to understand their mental health benefits and avoid nasty surprises.

For full practice policies see the Policies page.

Questions about cost or coverage?

Ask them on a free 15-minute call.

See available times