My fee is $270.00 per session and sessions are 50 minutes long. I charge the same rate for an initial consultation. In some instances I can do a sliding fee scale down to 240. My ability to offer a sliding fee scale depends on how many patients I currently have who I am seeing on a sliding fee scale. Additionally, I have associates that I work with who offer sliding scale fees of $180-220.  I require 48 hours notice for cancellations and so, it is important to remember that I do have to bill for sessions that are canceled without at least 48 hours notice regardless for the reason for the cancellation. This is standard in our field. People can pay by check, credit or cash at the time of the session. I prefer that you write a check out before our session which allows for a few extra minutes of time for us.