Go beyond traditional counseling.
Fees & Insurance
““Nothing in life is as expensive as illness—and stupidity.”
- Sigmund Freud
2026 Fees:
Individual Psychotherapy: $250 per session
Couples Therapy: $275 per session
Psychoanalysis: $150 per session
Many clients receive a 50-80% reimbursement using their out-of-network benefits.
An Investment
Psychotherapy is a meaningful investment financially, emotionally, and personally. It is also a space where that investment often becomes part of the work itself.
People often have understandable questions about the cost of therapy. These questions are not just practical—they are also psychological. In psychotherapy, the “investment” is not only financial. It also involves time, attention, honesty, and a willingness to engage with parts of yourself that may be difficult to face. As Freud noted, “Time and money are the most important conditions of treatment.” The fee is not simply a payment for time. It reflects an investment in self-understanding, emotional freedom, and the capacity to live more fully.
At the same time, many people come to realize that avoiding this kind of work has its own cost: repeating patterns, strained relationships, or a persistent sense of being stuck. Therapy is not a quick fix. It is an investment in understanding yourself more deeply, expanding your emotional life, and creating the possibility for more freedom in how you live and relate to others.
The structure of therapy—showing up consistently, making space for it in your life, and committing resources to it—is part of what makes the work possible.
Insurance & Out-of-Network Benefits
Dr. Koch, Psy.D. is currently in-network with Aetna, CareFirst Blue Cross Blue Shield, and Sentara. However, he is transitioning away from participation in most health insurance networks and is increasingly operating as an out-of-network provider.
While Dr. Koch, Psy.D. is not in-network with all insurance panels, many clients receive partial reimbursement through out-of-network benefits. If your plan includes these benefits, you may be reimbursed for a portion of each session after meeting your deductible.
Dr. Koch partners with Thrizer to make this process simpler. If you choose, they can:
Check your benefits in real time
Submit claims on your behalf
Help you receive reimbursement directly
This allows many clients to access care while reducing administrative burden.
You can check your out-of-network benefits instantly here:
What are the potential benefits?
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Reduced anxiety, depression, and emotional distress
Greater emotional stability and resilience
Increased ability to manage stress and life transitions
Improved self-esteem and self-confidence
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Increased awareness of thoughts, feelings, and behavioral patterns
Understanding recurring difficulties in relationships, work, or daily life
Recognition of unconscious conflicts and motivations
A deeper sense of personal meaning and identity
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Improved communication and interpersonal effectiveness
Greater capacity for intimacy, trust, and emotional connection
Recognition and modification of unhealthy relational patterns
Enhanced ability to establish and maintain healthy boundaries
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Greater flexibility in responding to life's challenges
Reduced reliance on defensive or self-defeating patterns
Increased capacity to make choices aligned with one's values and goals
A stronger sense of agency and personal responsibility
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Enhanced creativity and self-expression
Greater authenticity and self-acceptance
Increased capacity to experience pleasure, satisfaction, and purpose
A richer and more meaningful engagement with life
Ready to get started?
Click this link for a free, confidential consultation.