I saw two different therapists and got quotes from two more. Keep in mind that you absolutely can see someone that doesn't work in your state of residence. As long as they have credentials and are licensed in the state they practice, they are able to make referrals for surgery, HRT, etc.
- Online chatroom sessions with a therapist in NC - $45
- Online chatroom sessions with a therapist in the UK - $50
- In-person sessions at local clinic, covered by insurance after copay - $40
- Skype sessions with a therapist in IN - $130
I ended up doing online sessions with the first two (I fired the first one, and will be going back to the second one shortly for bottom surgery referrals). For me, time was a scarcer resource than money. I liked online sessions because I could do them from anywhere with wifi, or on my phone if I had to. I didn't have to drive anywhere or really stop what I was going. I know some people have driven for hours to get to a good therapist. I'd say that is something you should also be considering when you're comparing costs (time + potential expenses incurred to travel).