We did speech for my son for a year , she came to our house , $80 for half an hr. son had zero improvement. Now we have started again, it's $120 for half an hour . I just don't see how it works really when a child doesn't comprehend language, with a mechanical problem like a stutter or lisp I guess I understand that , my son has autism and I feel like its such a lot of money for a half hour that goes so fast. They are very skilled and educated , they do deserve to be paid well but it adds up as its not a one of service .