Gender-Affirming Voice Therapy for Transgender & Nonbinary Clients
Blue Ridge Speech and Voice is currently the only private practice in North Carolina that specializes in gender-affirming voice (also known as "transgender voice modification") and is in-network with most major insurances. We have been working with transgender voice training since 2011, and it remains our passion! Our team has experience working with clients across the gender spectrum and can help you shift your voice accordingly. If you'd like to redesign your voice, get in touch for a free consultation! We provide services via Telehealth anywhere in North Carolina, Virginia, Tennessee, New York, Florida, Colorado, California, Oregon, New Hampshire, or Georgia. Check out our list of in-network insurances below.
Audio samples
Here are some audio samples from clients who gave their consent to share their own voice recordings from before and after/during treatment
Insurance
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Blue Ridge Speech and Voice is an in-network provider with Medicare, BCBS, Aetna, CIGNA, United, Oscar, Amerihealth Caritas, and Friday Health Plans. To have your services billed directly to insurance, just check if you have met your deductible, have a copay, and how many sessions your policy covers each year. We bill them directly, so you don't have to deal with it!
How to get started
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Get in touch (click the link, call, text, or email) to schedule a phone consultation and/or an evaluation. We recommend choosing a consultation if you have questions to ask before deciding if you'd like to choose us as your therapist. If you already know you'd like to work with us, you can request to schedule an evaluation instead, and we can get straight to work!
FAQ
How long does gender-affirming voice therapy take?
Everyone’s journey is different. Some people reach their goals in as few as 4 or 5 sessions, while others do best with a longer, gradual process. Most clients meet their goals in about 3 months. Many clients begin with weekly sessions and taper to biweekly or monthly check-ins as they gain independence.
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How long is each session?
Sessions are typically about 45 minutes, giving enough time for guided practice, feedback, and discussion without causing vocal fatigue.
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Will my insurance pay for gender-affirming voice therapy?
Many insurance plans do cover voice therapy, including gender-affirming care, but coverage varies by plan and state. We can provide a courtesy benefits check, and we always recommend that you confirm directly with your insurance provider for final details about coverage and any required referrals. And remember, having speech therapy benefits does not guarantee payment. Sometimes insurance companies deny claims even when they say that a member is covered. If your insurance denies claims, you can always switch over to private pay to continue services.
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How much is your sliding scale rate, if my insurance doesn't cover my therapy?
(updated Sept. 2025) Our evaluation rate is $90 (1st appointment), and treatment sessions are $70. This is usually charged to a card on file the evening after your session. HSA cards can be used.
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Do I need to practice between sessions?
Yes. Consistent home practice is key for lasting change. Your therapist will provide personalized exercises to help you build healthy habits.
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Is Telehealth as Effective as In-Person Therapy?
Yes. Research shows that speech-language pathology services delivered through secure video platforms are just as effective as traditional in-clinic sessions for voice therapy. Telehealth also offers added benefits—flexible scheduling, a comfortable home environment, and the ability for your clinician to meet your cat/dog. Show us the baby.
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Do I need a referral?
A referral isn’t usually required, but some insurance plans may ask for one. We’ll guide you through any paperwork if needed.
Helpful Resources for Gender-Affirming Voice
These links lead to trusted organizations and tools for people seeking gender-affirming voice care. They are provided for educational purposes and are not a substitute for individualized medical advice.
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World Professional Association for Transgender Health (WPATH) – International standards of care and professional resources supporting gender-affirming healthcare.
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National Center for Transgender Equality – Guides on rights, healthcare access, and practical resources for transgender and nonbinary people.
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Charlotte Trans Health Initiative – Local network connecting transgender and gender-diverse individuals in the Charlotte area to affirming healthcare providers and community support.
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Campaign for Southern Equality – Resources and advocacy for LGBTQ+ individuals across the South, including healthcare access and legal support.
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