The full session rate for psychotherapy is $100.00. Standard payment is made in cash and is due at the time services are rendered. In accordance with standard practice in psychoanalysis, cash payments afford the greatest level of confidentiality of psychotherapy. For patients who demonstrate financial hardship, arrangements may be made for reduced fee therapy. This can be discussed during the initial appointment. Mark believes that the best way to set the fee for therapy is to contract directly with the patient rather than the insurance company.

Contractual psychoanalysis necessitates that the patient pay for psychotherapy out-of-pocket. There are several reasons for this. First, since in contractual psychotherapy the therapist is an agent for the patient, the patient must be the party responsible for remuneration. As the old saying goes, he who pays the piper calls the tune. Secondly, insurance companies typically require that the patient be diagnosed with a mental disorder in order to pay for therapy. Since in contractual psychoanalysis the goal is not to diagnose the patient but rather to understand him or her, this poses a problem in the analytic situation. Thirdly, psychotherapy requires confidentiality, and patient confidentiality is not upheld if a third party payer is involved.

Although Mark is not an in-network provider for any insurance company, patients remain free to file their own insurance claims. As a Licensed Clinical Social Worker and a member of the Academy of Certified Social Workers, Mark's services have been reimbursed by insurance companies in the past.