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Most Registered Clinical Counsellors (RCCs) in BC charge between $140 and $175 for a 50-minute session. If you have extended health benefits through work, your plan likely covers part or all of it.
What does counselling cost in BC?
The BC Association of Clinical Counsellors (BCACC) publishes a fee guide every year. For 2026, it recommends $140 to $175 for a 50-minute individual session, and up to $225 for specialized services.
At Iroko Health Counselling, the first session is 80 minutes and costs $230. That gives us time to understand what's going on before we decide how to work on it. Ongoing sessions are 50 minutes and cost $170. The price is the same in person in downtown Vancouver or online anywhere in BC.
What is a Registered Clinical Counsellor?
An RCC is a counsellor with a master's degree who is registered with the BCACC. It's the designation most BC insurance plans cover.
BC plans to bring counselling under a provincial regulator, expected around 2027. The title may change when that happens. The training and standards behind it stay the same.
Does my insurance cover counselling?
Most extended health plans in BC cover counselling with an RCC, up to a yearly amount. Your benefits booklet or your insurer's app will show your amount under "Registered Clinical Counsellor" or "clinical counsellor".
Can you bill my insurance directly?
Yes, for Pacific Blue Cross and Sun Life. Your insurer pays its share to me and you only pay the difference, if there is one. For other insurers, you get a receipt after each session to submit in their app.
What if my plan only covers a few sessions?
A few sessions can still go a long way when the work is focused on one pattern, like going quiet for days after an argument or snapping at home after a hard week. We plan around the sessions you have. Once things start to move, some people space sessions out, which makes their coverage last longer.
Not sure where to start?
Book a free 20-minute virtual intro call. You can ask about cost and coverage, and we'll see whether working together makes sense. Book your free intro call.