Last updated: March 2026
How Much Does DBT (Dialectical Behavior Therapy) Cost?
Cost Breakdown by Type
| Type / Procedure | Without Insurance | With Insurance |
|---|---|---|
| Individual DBT Session (60 min) | $150 – $300 | $30 – $70 |
| DBT Skills Group (2 hours/week) | $50 – $150 | $15 – $50 |
| Comprehensive DBT Program (weekly, 6 months) | $10,000 – $25,000 | $3,000 – $8,000 |
CPT/ADA Code: 90834, 90837, 90853
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: DBT is covered by many health insurance plans, particularly for borderline personality disorder and self-harm behaviors. Group skills training may have separate coverage.
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
DBT was developed from CBT but adds emphasis on acceptance, mindfulness, emotional regulation, and distress tolerance. It was originally designed for borderline personality disorder.
A standard DBT program lasts 6 to 12 months and includes weekly individual therapy, weekly group skills training, and phone coaching as needed.
Many insurance plans cover individual DBT sessions. Group skills training may have different coverage. Prior authorization is often required for comprehensive programs.