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We take many insurance plans- if you don't see yours on here, reach out to us. Rachel Werth can take Cigna, Aetna, and Premera Blue Cross in Washington. We offer a sliding scale for private pay, and we can provide a superbill to submit to your insurance for out-of-network reimbursement. In addition to our regular sliding scale fee for those paying out of pocket, we also offer a significantly reduced sliding scale fee through Open Path Psychotherapy Collective for those who are uninsured or underinsured and are unable to pay the full fee or the regular sliding scale rate. Barbara has no current Open Path openings as of November 2026. However, associate clinical social worker Rachel Werth is taking new Washington clients through Open Path. Please reach out to Rachel to inquire:
https://openpathcollective.org/clinicians/rachel-werth
Email: rwerth@blacksheepcounseling.info
Washington
Washington
Aetna
Optum/United HealthCare
Premera Blue Cross
Regence Blue Shield
Carelon
Cigna
Regence BCBS of Oregon
Providence Health Plan
Horizon BCBS of New Jersey
Independence BC Pennsylvania
Oscar
Massachusetts
Massachusetts
Optum/United HealthCare
Cigna
Aetna
BCBS of Massachusetts
Oxford
Point32 Health Plan
Providence Health Plan
Independence BC Pennsylvania
Carelon
Horizon BCBS of New Jersey
Anthem EAP
Oregon
Oregon
Aetna
Optum/United HealthCare
Carelon
Cigna
Regence BCBS of Oregon
Providence Health Plan
Horizon BCBS of New Jersey
Independence BC Pennsylvania
Anthem EAP
Oscar
Individual Therapy Session: $180.00
Clinical Supervision: inquire with Barbara at bwoodworth@blacksheepcounseling.info
Training/Consulting: rates vary depending on needs
Sliding Scale Guidelines
Sliding Scale Guidelines
Choosing a therapist is a significant investment in your well-being, and we believe financial barriers shouldn't stand in the way of mental health support. To foster economic justice and accessibility, we use a sliding scale fee structure based on the "Green Bottle" model shown here. This framework acknowledges that our financial lived experiences are different; it asks you to look at your access to resources, debt, and expendable income to determine which "tier" best reflects your current reality.
How to use this scale:
Tier 3 (Full Bottle): If you are comfortably able to meet all your basic needs and have expendable income, please pay the top end of the scale.
Tier 2 (Half-Full Bottle): If you meet your basic needs but have some debt or less flexibility with savings, the middle of the scale is for you.
Tier 1 (Mostly Empty Bottle): If you struggle to meet basic needs or have very limited expendable income, please select the lower end of the scale.
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