I used insurance until I burned through my allotted 30 visits per year. His fee is $90 for insurance patients, and I paid a $30 co-pay. Now that my insurance has run out, he charges $60 per session and I pay out of pocket - although he did say that we could "work something out" if I couldn't do $60. $60 is a stretch for me, but I want to pay him what he deserves, so I find a way to do it.