Clients can choose cash pay or insurance options. For cash pay, each fifty-minute telehealth session costs $50, payable via PayPal or our Payment page. For insurance, each fifty-minute session costs your copay when using Aetna and Cigna insurances. Outcome Counseling will also accept Anthem Blue Cross Blue Shield, Kaiser Permanente, and UnitedHealth Group insurances beginning December 1, 2024.