Services and Fees

Individual Teletherapy

Cassandra offers individual therapy to residents of New York State by secure telehealth platform or in-person at our office in Buffalo.

Each session with Cassandra is 50-55 minutes long and costs $200, which is due at time of service.

Relationship Teletherapy

Cassandra also offers relationship therapy to residents of NY. Relationship therapy can includes couples therapy, therapy for polycules, or therapy for friends who want to improve communication or deepen their bond.

Sessions are the same length and cost as individual sessions: 50-55 minutes at $200/session.

In-Person Therapy

Queer City Therapy offers in-person sessions with Cassandra at our office suite located at 257 Lafayette Ave, Buffalo, NY 14213. We share a waiting room with our partner practice, Whole Stories Therapy.


Our office is located on the ground floor with ramp access directly from the parking lot. There is limited parking space in the lot and usually plenty of on-street parking in the neighborhood. It is a roughly 3-10 minute walk to the office from nearby bus stops.

There is a gender neutral and accessible single occupancy bathroom available off of our kitchen space, which is shared with the small architect firm in the building.

If you have any concerns about accessibility, please do not hesitate to reach out. Telehealth is also always an option if coming into the office feels inconvenient or uncomfortable.

COVID-19 Policy

Anyone interested in in-person therapy must be fully vaccinated against COVID-19.

Please do not attend your session in person if you are feeling unwell or have a suspected exposure. We can have our session by telehealth or phone, or we can reschedule.

Please also let us know if you prefer that we wear masks during session. Masks and COVID tests are always available in the office.

Complimentary Consultations

We offer 15 minute consultation calls by phone or by video call at no cost. This is an opportunity for us to learn more about one another and assess if we might be a good fit for therapy. Please email to schedule a consultation.


Queer City Therapy accepts all major credit cards. Your card information is saved securely into our electronic health system and billed automatically at time of service.

Queer City Therapy does not accept insurance. Cassandra offers superbills that you can submit with your insurance for potential out-of-network reimbursement. Out-of-network reimbursement varies widely from insurance to insurance, and we encourage you to speak to your insurance company about their policies and timelines before committing to sessions. You are responsible for the full fee regardless of reimbursement.

Sessions with Dylan are not eligible for superbills.

Good Faith Estimate

You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost.

Under the No Surprises Act, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.

  •  You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes  related costs like medical tests, prescription drugs, equipment, and hospital fees.
  •  Make sure your health care provider gives you a Good Faith Estimate in writing at least one business day before your medical service or item. You can also ask your health care provider, and any other provider you choose or a Good Faith Estimate before you schedule an item or service.
  •  If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
  •  Make sure to save a copy or picture of your Good Faith Estimate.

For questions or more information about your right to a Good Faith Estimate, visit