Pricing, Payment, and Insurance

Due to COVID-19 Sound Beginnings has moved consultations to virtual care. If at any point during a virtual consultation it is determined that more support is necessary - including scale rental, in-person evaluation, or referrals - we will create a care plan that takes into account a risk/benefit analysis of all available options. Virtual telehealth consultations are held via a secure platform.


Lactation Fee Schedule

Mini / Triage Consult: $45
15-20 minutes of virtual time together for triage to determine next steps, or short education and support on a specific topic such as concerns about infant feeding, milk production, bottle-feeding, safe infant formula preparation, and more.

Virtual Lactation Consultation: $250

  • 1 to 1.5 hours of live, virtual support;
  • review of health history and discussion of your goals;
  • visual assessment and observation of a feeding;
  • guidance and education about infant cues, positioning, latch, etc.;
  • demonstration of techniques for improved feeding;
  • exploration of challenges and solutions;
  • individualized care plan created with and for you;
  • reports to health care providers so they know what you’re working on.

Urgent consults may be available for an additional $50
Exclusive follow-up lactation consultation options and packages are available to established clients

Infant Scale Options:

  • Established clients receive complementary use of a basic baby scale for in-home weight checks
  • Upgrade to a rental of a high accuracy “transfer weight” scale is available for $5 per day, $30 per week, $100 per month
    (No contact pick-up arrangements will be made. Please note that due to higher demand, availability and rental terms may be limited.)
Family Consults Fee Schedule

Virtual Family Consultations: $125

Topics covered can include:

  • Babywearing
  • Mindful/Holistic Parenting
  • Cloth Diapering
  • Elimination Communication
  • Gentle Potty Training
  • Starting Solids
  • Building Community

Follow-up Virtual Family Consults: $75

A Month of Family Support Package:
Initial family consultation + three weekly half-hour follow-up consultations for one month of support: $300

For more information about Gentle Sleep Consulting, please visit this page.


  • 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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