Pricing, Payment, and Insurance


Lactation Fee Schedule

Standard rate: Usual, customary, and reasonable insurance rate determined based on complexity of care
Discounted rate: Discounted rate when paid at time of booking; itemized superbill provided for client insurance claim submission  

Comprehensive Lactation Consultation:

  • Standard: ~$350-700
  • Discounted: $275

Follow-Up Lactation Consultations:

  • Standard: ~$325-550
  • Discounted: $225

Twin Comprehensive Lactation Consultation:

  • Standard: ~$375-850
  • Discounted: $325

Twin Follow-up Lactation Consultation:

  • Standard: ~$325-700
  • Discounted: $275
Other Lactation Services

Pre-Baby Lactation Consultation: $175
Infant/Child Feeding Education: $175
Return to Work Consultation: $175
Return to Work Phone/Video Consultation: $125
Phone or Online Clinical Consultation: $125/hour, half hour minimum (prorated for longer time if desired)
Medical-Grade Pump or Neonatal Scale Rental: $30 per week or $100 per month

Family Consults Fee Schedule

Babywearing Consultation Stand-Alone: $95
Babywearing Consultation Add-On: $75
One Hour Family Consultation (options include Holistic Parenting, Cloth Diapering, Elimination Communication, Potty Training, Starting Solids): $100 ($75 as an add-on)
Extended Family Consultation (1.5 hours): $150
Phone or Online Family Coaching: $80/hour, $45/half hour, $25/15-minute check-in

Travel Fee: In-home consultations are available for a travel fee of $50 within approximately 30 minutes of Shoreline, Washington. Extended travel may be available on a case by case basis including travel North to Bellingham, Whatcom and Skagit counties; East to Bellevue, Redmond, Snohomish, Snoqualmie; and South including West Seattle, and South of I-90 to Tacoma. An additional travel fee is typically calculated at $30 per estimated half hour of round-trip travel, with no additional per mile fee. Please contact us about specific locations and availability.

Holiday fee: Additional $50 for consultations on federal holidays and associated weekends.

Rates subject to change. Current as of 1/1/2019.


  • Sound Beginnings is in-network with Aetna insurance and we will submit claims directly on your behalf.
  • For out-of-network clients, payment is due at the time of booking.
  • Sound Beginnings accepts payment by all major credit cards. Many of our clients pay for consultations with a Health Saving Account (HSA) or Flexible Spending Account (FSA) credit card. If you have a HSA/FSA, lactation consultations should be considered a qualified medical expense. Other family consultations may be eligible depending on your program’s limitations.
  • If you need to make other payment arrangements—including payment by cash or check—please connect with us to discuss options.

Sound Beginnings believes that every family should have access to lactation support regardless of their financial situation. Please inquire about payment plans, sliding scale, or scholarship options. We are also happy to provide a list of free and low-cost community resources.

Gift certificates are
available for all of our services.

Get in touch with us for details!

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As of January 1, 2014, and the implementation of the Patient Protection and Affordable Care Act, most insurance policies are required to cover certain preventive health services and screenings without subscriber cost-sharing. These include breastfeeding support and supplies. (Exceptions to this include being on a “grandfathered in plan” or Medicare/DSHS plans.)

As of February 2015, Sound Beginnings has IBCLCs who are “in-network” with Aetna. This means that if your Aetna health insurance plan covers lactation consultant services, you are likely entitled to at least six (6) consultations. These are often at no cost to you (exceptions may occur in the event of a plan that has a deductible/co-insurance/co-pay).

For all other insurance plans, Sound Beginnings IBCLCs are considered an “out-of-network” lactation consultant. “Out-of-network” providers are not typically fully covered by your health plan and you are often responsible for greater cost-sharing or even the entire cost of the visit. You can contact your insurance company to verify your benefit coverage and cost-sharing for an out-of-network lactation consultant. If your insurance company and policy are required to follow the ACA guidelines and they don’t have any lactation consultants in-network, they generally must cover services from an out-of-network provider without cost-sharing. This is sometimes referred to as “gap coverage.” Some insurance policies require a licensed provider, such as an RN-IBCLC. If that is the case, please let us know and we can direct you to schedule with an appropriate team member.

Sound Beginnings provides all out-of-network clients with a “superbill” or detailed receipt which you may submit to your insurance for possible reimbursement depending on your policy. This will be sent to you within one week of your consultation.

For more information, the National Women’s Law Center has a very helpful toolkit and a Sample Letter for Lactation Consultant Coverage that can be downloaded and used to support your efforts for coverage.

Cancellation Policy

When you book a consultation, the lactation consultant blocks off time in her schedule in order to be available to you during that window of time, which means she cannot book another client consultation at that time. Appointments are in high demand, and your early cancellation will give another person the possibility to have access to timely care.

If you need to reschedule or cancel your appointment, you must give a minimum of 24 hours advance notice, via email ( or phone (206-973-0337), or the full cost of the consultation will be forfeited.

If you cancel less than 24 hours before an appointment for reasons beyond your control (sudden illness, family emergencies, etc.), Sound Beginnings will determine on a case-by-case basis whether to reschedule at no cost or offer a full or partial refund, at Sound Beginnings’ sole discretion. If a cancellation is due to circumstances beyond anyone’s control, such as massive power outage or severe weather that requires you or us to have to cancel or be closed during regular business hours, Sound Beginnings will reschedule your existing appointment at no charge.

Please let us know if you have any questions about pricing, payment, insurance, or anything else.

We will do our best to answer them and support you through the process of receiving care.


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