Last updated: March 2026
How Much Does Couples Therapy Cost?
Cost Breakdown by Type
| Type / Procedure | Without Insurance | With Insurance |
|---|---|---|
| Couples Therapy Session (50 min) | $100 – $250 | $30 – $75 |
| Intensive Couples Retreat (weekend) | $2,000 – $5,000 | $2,000 – $5,000 |
| Online Couples Therapy Session | $80 – $200 | $25 – $75 |
CPT/ADA Code: 90847
What Affects the Cost
- Provider credentials and experience
- In-person vs. telehealth sessions
- Session length (30, 45, or 60 minutes)
- In-network vs. out-of-network
- Geographic location (major cities cost more)
- Type of therapy or treatment approach
Insurance Coverage
Typical coverage: Couples therapy has limited insurance coverage. It may be covered if one partner has a mental health diagnosis. Many couples pay out of pocket.
Under the ACA and Mental Health Parity Act, insurance must cover mental health treatment at the same level as physical health. In-network copays are $20-$75 per session. Out-of-network providers may be reimbursed at 50-70%. Many plans now cover telehealth therapy at $0 copay.
How to Save Money
- Online therapy platforms (BetterHelp, Talkspace) cost $60-$100/session
- Open Path Collective: $30-$80/session ($65 lifetime membership)
- Sliding-scale therapists adjust fees based on income
- University training clinics offer $10-$30/session
- Community mental health centers provide low-cost services
- Ask about out-of-network reimbursement from your insurance
Related Procedures & Costs
Frequently Asked Questions
Insurance coverage for couples therapy is limited. It may be covered if one partner is the identified patient with a diagnosis like depression or anxiety. Many couples pay out of pocket.
Most couples attend 12 to 20 sessions over 3 to 6 months. The Gottman Method typically recommends at least 12 sessions.
Research shows couples therapy is effective for about 70% of couples, particularly methods like Emotionally Focused Therapy (EFT) and the Gottman Method.