I saw my T for 9 years and paid out-of-pocket for back-to-back sessions each week and about year 7 or 8 she upped her fees something like $5 an hour simply explaining that her overhead prices had gone up, cost of living, etc. I wasn't bothered as I was paying a lot anyway, what's another $10 a week? It actually made it an even amount that I liked better than the old amount.