Lanae Ayers, M.A., LMHC, EFT Coach

Psychotherapy and Counseling in Tacoma, WA

Fee and Payment Policies



  • Regence
  • Kaiser
  • Tri-Care
  • First Choice

 Please call my billing office Prestige Medical Billing @ 360-805-0323. They will be happy to do the leg work needed to determine your coverage for therapy, in or out of network.

Fee Scale

I utilize a sliding scale fee structure for my cash rate clients, based on combined household income.  Payment is due at the end of each session. I accept personal checks, exact cash, debit and credit cards.

PLEASE NOTE most insurance companies do not cover couples counseling. Please check with your provider.My fee for non-covered couples counseling is $140- per 55 minutes.


Gross Annual Income
$39.000 and under

$100,000 and above
Session Fee (55 min.)


Time spent outside of 55 minute sessions on phone consults or paperwork/ reports IE GAL , attorneys, courtroom appearances other professionals re: client’s case will be paid in advance at $150- per 55 min This includes any travel time for home visits or court appearances.