Local pricing for 7 counselor services in West Roxbury, MA.
West Roxbury, MA Range
$50 – $375
Licensed counselors (LPC, LMHC, LPCC) are master's-level mental health clinicians who deliver individual, couples, family, group, and substance-abuse counseling. Their fee range — typically $100–$225 per session in 2026 — sits between bachelor's-level coaches and doctoral psychologists, comparable to LCSWs and LMFTs. As of 2024 they bill Medicare directly (a major coverage expansion), and they are widely covered by commercial insurance under behavioral health benefits. Specialty certifications (EMDR, CBT-I, Certified Clinical Trauma Professional, addiction counseling) command a $25–$75 premium per session. Group counseling formats and community mental health centers offer the most affordable access ($30–$80/session sliding scale, $15–$35 in-network copay). Cash-pay rates run 1.5–2x in-network rates in metros where in-network availability is thin. Dollar prices are adjusted for MA cost of living (+25% vs. national average); percentage-based fees (commissions, rates, contingency) are largely federal/national and shown unadjusted.
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7 services covered. Prices vary by provider — ranges shown.
| Service | Range | Unit |
|---|---|---|
Individual Counseling Session (50 min) Most LPCs/LMHCs charge $125–$200 for a 50-min session Source: Therathink 2026 LPC reimbursement data + Thervo therapy cost guide 2026 + GoodTherapy fee survey | $125 – $280/sessionInsurance | per 45–50 min session |
Couples Counseling Session (60–75 min) Gottman-certified or EFT-certified counselors at the upper end ($200–$300) Source: Thervo couples therapy cost 2026 + Grow Therapy 2026 + LMHC private practice data | $165 – $375/session | per 60–75 min session |
Family Counseling Session (60–90 min) Often billed under a child or adolescent's diagnosis (CPT 90847) Source: APA 2025 fee schedule + LPC private practice rate data | $165 – $345/sessionInsurance | per 60–90 min session |
Substance Abuse Counseling Session LCDC/CADC-credentialed counselors typically $90–$160 Source: ASAM 2025 + SAMHSA addiction treatment cost data + LPC addiction practice rates | $115 – $250/sessionInsurance | per 50–60 min session |
Grief & Bereavement Counseling Priced like individual counseling — no formal grief specialty premium Source: NHPCO bereavement program data + APA grief fee schedule + community mental health center rates | $125 – $280/sessionInsurance | per 50–60 min session |
Group Counseling Session (60–90 min) Process groups, CBT-based groups, DBT skills groups: $40–$80 per session Source: APA 2025 group therapy fee data + community mental health center surveys | $50 – $115/sessionInsurance | per group session (6–10 participants) |
Career Counseling Session Career counselors with NCC + career credential typically $125–$225 Source: NCDA 2025 career counselor fee survey + private practice rate data | $125 – $315/session | per 50–60 min session |
Dollar prices adjusted for West Roxbury, MA cost of living. Percentage-based fees (commissions, rates, contingency) are not adjusted. Actual costs vary by provider — get multiple quotes for accurate pricing.
Counseling Services in West Roxbury, MA cover 7 distinct services. $50 – $375. Per-service pricing breakdown is in the table below.
Insurance vs. cash-pay (cash-pay typically 1.5–2x in-network rate); Specialty certification (EMDR, addiction, trauma) adds 15–30% premium; Geographic location (NYC/SF/Boston 30–50% above national; rural 15–25% below); Format (individual vs. couples/family vs. group); Session length (45 vs. 60 vs. 90 minutes); Sliding-scale, EAP, and community mental health center availability.
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