Fees & Insurance


$150 per 50-minute individual session
$300 per 90-minute couples therapy session (generally suggested every other week)


Please go to the “Forms” link on the home page to read and download the documents you will need to fill out and bring to your first appointment.


Paul Ruffer is an “in networker provider” for Blue Cross/Blue Shield, Magellan, Aetna, Medicare, United Health Care, and United Behavioral Health. He is also an out-of-network provider for Cigna and Multiplan.

Please contact your provider to find out the amount of your co-pay and get answers to the questions listed below.

  • Do I have mental health insurance benefits?
  • What is my deductible and has it been met?
  • How many sessions per year does my health insurance cover?
  • What is the coverage amount per therapy session?
  • Do I need pre-authorization?
  • Can I be reimbursed for services from an out- of- network provider?

Reduced Fee

Reduced fee services are available on a limited and as needed basis.


Cash and checks are accepted for payment.

Cancellation Policy

If you do not show up for your scheduled therapy appointment and you have not notified me at least 48 hours in advance, you will be required to pay the full cost of the session unless I can fill your appointment slot with another client. Insurance clients who cancel or miss their appointment will be charged $80 for a 50-minute individual session and $160 for a 90-minute couples session. Insurance carriers refuse to reimburse for missed or cancelled appointments, entitling me to bill my full fee for services (see rates above) which I have adjusted for my insurance clients. Also see the Informed Consent Form for more information.

Scheduling An Appointment

Please request a therapy appointment by either calling me at (202) 641-3981 or emailing me at paul.ruffer@gmail.com. Please specify days and times that are preferable for you.

Contact Me

Questions? Please call me at (202) 641-3981 for further information.