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    Fees & Insurance

    Counseling Fees & Insurance Information in Sioux Falls

    At The Becoming Agency, we are committed to providing accessible, high-quality counseling services in Sioux Falls and across South Dakota. Below you’ll find information about session rates, insurance coverage, and reduced-fee options.

    Insurance-Based Sessions

    For clients using in-network insurance:

    • Intake Session (60 min)$250
    • Regular Session (50–60 min)$230

    • Your out-of-pocket cost depends on your specific insurance plan.

    • Copays, deductibles, and coinsurance vary by policy.

    • We recommend verifying your mental health benefits directly with your insurance provider.

    Self-Pay (Private Pay)

    For clients choosing not to use insurance:

    • Intake Session (60 min)$175
    • Regular Session (50–60 min)$150

    • Greater privacy (no insurance reporting)

    • Flexible treatment structure

    • No diagnostic requirement for reimbursement

    • Payment is due at time of service.

    In-Network Insurance Plans

    Licensed Counselors

    • • Aetna
    • • Assurant Health (Self-Funded)
    • • Avera Health Plans
    • • CHAMPVA HAC
    • • Cigna
    • • Freedom Life Insurance Company
    • • Live Well EAP
    • • Lyra
    • • Managed Care Systems
    • • Sanford Health Plan
    • • Sanford Health Plans (Repriced Claims)
    • • South Dakota Medicaid
    • • TLC Advantage
    • • TRICARE West Region
    • • UnitedHealthcare
    • • United Medical Resources (UMR)

    Out-of-Network / Limited Participation:

    • • Ace Medicare Supplement
    • • Freedom Health
    • • HealthPartners of Minnesota
    • • SD Medicare Part B
    • • The Benefit Group
    • • United Health Care (some plans)

    Insurance participation may vary by clinician. Please confirm coverage during scheduling.

    Pre-Licensed Clinicians

    Pre-licensed counselors provide counseling services under the supervision of fully licensed clinicians. They may offer more scheduling flexibility while maintaining high-quality clinical standards.

    • • Wellmark Blue Cross Blue Shield of South Dakota
    • • HealthPartners
    • • Sanford Health
    • • Avera Health Plans
    • • Aetna
    • • Cigna
    • • UnitedHealthcare

    Coverage may vary by provider and plan.

    Sliding Fee Options

    We understand that cost can be a barrier to receiving care. Sliding scale fees may be available based on income, financial hardship, and availability.

    If cost is a concern, please inquire about sliding scale eligibility during intake. You may also visit our Free Clinic page for additional options.

    Learn about our Free Clinic →

    Important Billing Information

    • Payment is collected at time of service.
    • We accept major credit cards and HSA/FSA cards.
    • Missed appointment and late cancellation policies apply (24-hour notice required).
    • If you are unsure about insurance benefits, our team can assist you in understanding your options.
    Common Questions

    Insurance & Payment FAQs

    READY TO BEGIN?

    If you are ready to schedule counseling in Sioux Falls or through Telehealth, contact our team today.

    Request Appointment