My T keeps me at the same rate as when I first started with him. He has raised his rates once since then, but it's just the new clients who get the new rate. Older clients get the rate they started at. Since my T doesn't do longterm therapy (greater than 3 years), it is fairly quickly that most of his caseload is at the new rate. He charges a different and higher rate for coaching, and I do pay him this, but always the original rate for therapy. My daughter has been seeing her T for over a year and a half and still pays at the same rate. I hope T can keep me at my original rate because I pay 100% out of pocket and it is very pricey.