Cost / Virginia
How much does a psychiatrist cost in Virginia without insurance?
shrinkMD publishes its self-pay prices, and they are the same across Virginia. Here is the number, and what it buys.
Medically reviewed by Shariq Refai, MD, MBA, FAPA, board certified psychiatrist · Last reviewed July 2, 2026 · Editorial policy
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The number
What a psychiatrist costs in Virginia
If you are paying out of pocket, the first question is usually the one nobody answers plainly: what does a psychiatrist actually cost in Virginia? Here is shrinkMD's published price, with the local context around it.
There are only three numbers to know: $295 for the initial evaluation, $110 to $215 per follow-up visit, and an optional $49 per month membership with a free first month. Prices shown are shrinkMD's published self-pay rates as of July 2, 2026, and are the same in every state where we practice.
What it costs
shrinkMD self-pay prices for Virginia
| Service | Self-pay price | What's included |
|---|---|---|
| Initial evaluation | From $295 | A full 50 to 60 minute evaluation, diagnosis, and written plan with a psychiatrist or psychiatric nurse practitioner. |
| Follow-up visits | $110 to $215 | Per visit, depending on length and complexity. Member rates are lower. |
| Membership (optional) | $49 per month | Priority scheduling, member visit rates, and the Unstuck and QuitScrolling apps. First month free, cancel anytime. |
Access in Virginia
Why cash pay makes sense in Virginia
Virginia is a state that spans dense Washington DC suburbs in the north, coastal Navy communities around Hampton Roads, and rural mountain counties to the west. With about 8.8 million people, access runs uneven. With one of the nation's largest military and veteran populations and a sharp urban-rural divide, Virginia faces persistent provider shortages across its rural communities, where most residents live in designated mental health professional shortage areas. That is exactly the gap clear pricing and telepsychiatry are meant to close.
With cash pay there is no prior authorization, no network to fight, and no bill that lands weeks later. In Virginia, the price you see is simply the price you pay.
National data show that waits for a new outpatient psychiatric appointment often run beyond four weeks, and longer in rural areas, per AnxietyResearch. Cash-pay telepsychiatry is often quicker to reach because it does not depend on a plan's in-network panel.
Insurance
What about insurance?
shrinkMD is cash pay in Virginia and everywhere else. We do not bill or participate with commercial insurance, Medicare, Medicaid, or other government plans. On request we can provide a superbill you may submit for possible out-of-network reimbursement, though reimbursement is determined solely by your plan and is not guaranteed.
For the reasoning behind the model, see why we do not accept insurance. For care itself, see our anxiety and depression pages for Virginia.
Care in Virginia is priced the same as everywhere we practice, and it is built to be reachable. Join the waitlist and we will reach out the day intake opens for Virginia.
“My visits are always very transparent with Dr. Refai. He is receptive to what my needs are and helps me understand my own mental health and how it works.”
Individual experiences. Outcomes vary. Care is personalized to each patient.
Frequently asked questions
Good questions, clear answers
How much does a psychiatrist cost in Virginia without insurance?
In Virginia, expect $295 for the initial evaluation, $110 to $215 per follow-up, and, if you want it, a $49 per month membership with the first month free. Prices are published and the same in every state where we practice.
Do you take insurance in Virginia?
shrinkMD does not participate with insurance in Virginia. A superbill is available on request so you can seek possible out-of-network reimbursement, though that is up to your plan.
Is online psychiatry cheaper than in-person in Virginia?
It depends on your coverage. Cash pay in Virginia gives you a predictable price and a longer visit; strong in-network benefits could still make an insurance practice cheaper out of pocket.
How much does an online psychiatrist cost without insurance?
shrinkMD's self-pay prices are initial evaluations from $295, follow-ups $110 to $215, and an optional $49 per month membership. The prices are the same in every state where we practice.
Start care in Virginia
Physician led, cash pay online psychiatry for adults in Virginia, with published prices, no controlled substances, and the same clinician over time. Join the waitlist for Virginia.
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