Fees and Insurance
A Note on Fees
I’m transparent about fees because clarity matters—and because this work is a commitment on both sides.
My practice is private pay by design. That choice supports depth-oriented, nervous system–informed work and allows us to work intentionally, without rushing, reducing complexity, or shaping care around insurance requirements.
This model reflects how burnout actually operates in high-functioning people: as a capacity issue shaped by sustained demand, not a problem solved through brief, symptom-focused interventions. Fees reflect the specialization, structure, and level of focus this work requires.
This practice may not be a fit if you are seeking:
– Low-cost or insurance-based therapy
– Open-ended weekly sessions as a default
– Skills-only or symptom-focused treatment
– Crisis or stabilization care
Individual Work — Investment
Individual work is offered in several formats. Not every format is appropriate for every person, and availability is intentionally limited to preserve depth, integration, and sustainability.
Ongoing Sessions (Limited Availability)
- 60-minute session: $225
Ongoing weekly or biweekly sessions are offered when sustained clinical support is appropriate, or as follow-up to extended or intensive work. Weekly therapy is not the default structure of this practice and is available on a limited basis. I work with a small number of ongoing clients to maintain focus, capacity, and quality of care.
Extended Sessions
- 90 minutes: $375.00
- 2 hours: $450.00
- 3 hours: $675.00
- 4 hours: $900.00
Extended sessions allow for focused, uninterrupted work without the start-and-stop rhythm of traditional weekly therapy. These sessions are often used to work beneath recurring patterns, consolidate insight, or support momentum that benefits from continuity.
Most clients use extended sessions bi-weekly or monthly—not weekly—so the work has time to integrate at the nervous system level.
Multi-Day Intensives
- One-day intensive: Starting at $1,800.00 USD
- Two-day intensive: Starting at $3,400.00 USD
- Three-day intensive: Starting at $5,100.00 USD
Multi-day intensives are designed for individuals who benefit from immersion, momentum, and sustained nervous system engagement—particularly when patterns have been shaped by long-standing responsibility or chronic stress.
All intensives include:
- Up to 90 minutes preparatory session
- Structured intensive days (no more than 4 clinical hours per day)
- A 90-minute integration session
- Workbook materials
Important to Note:
*Details are discussed once fit has been established.
*Intensive work is offered selectively.
Coaching vs. Therapy (Important Clarification)
All individual work offered through this practice is clinical in nature and provided under licensure.
While sessions may feel practical, directive, or insight-oriented at times, this work is therapy—not coaching—and is delivered within clearly defined clinical and ethical boundaries.
Insurance
I am an out-of-network provider and do not accept insurance.
If you choose to use out-of-network (OON) benefits, insurance companies require that a mental health diagnosis be assigned in order to submit a superbill.
Please note:
- Some diagnoses are not covered by certain plans
- Some plans exclude telehealth services
- If you do not have a qualifying diagnosis, reimbursement may be denied
- Reimbursement is determined by your insurance plan—not by my practice
Any diagnosis used for insurance purposes should be understood as a technical requirement, not a complete or defining explanation of your experience. It also becomes part of your permanent medical record.
I’m happy to provide a superbill upon request so you can pursue reimbursement directly with your insurance provider. Reimbursement, if available, is not guaranteed.
Clients are encouraged to contact their insurance provider directly to inquire about out-of-network mental health benefits.
Why I Don’t Work With Insurance
I’ve chosen a private-pay model because it allows the work to be shaped by what’s actually happening—rather than by diagnostic thresholds, rigid timelines, or coverage constraints.
Working outside of insurance means:
- No requirement to reduce complex patterns to billable symptoms
- No pressure to justify care through diagnoses alone
- No imposed limits on depth, pacing, or structure
Instead, the work can focus on nervous system capacity, integration, and sustainability.
I work directly for my clients—not insurance companies.
Licensure & Location
Clinical services are provided by Erica Cuni, LMFT, licensed in:
- North Carolina
- Connecticut
Sessions may be conducted virtually or in person, in accordance with state licensure regulations and ethical guidelines.
Location Note
Sessions are provided while clients are physically located in North Carolina (in person or virtual) or Connecticut (virtual only) at the time of service.
Some clients choose to travel to North Carolina specifically for this work. I’m unable to travel out of state or provide clinical services to clients while they’re located outside of NC and CT.
Payment & Administrative Policies
- Payment is due at the time of service
- Accepted payment methods: HSA, Amex, Visa, MasterCard, Discover
- Cancellation and rescheduling policies are provided prior to the start of work
- Full administrative policies are reviewed before services begin to ensure clarity and alignment
How to Proceed
Reviewing fees is one part of determining fit. The next step is assessing whether this approach—and the level of depth it involves—are appropriate for your needs and context.
Clinical services are offered selectively and within clearly defined parameters.