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How Much Does Addiction Counseling Cost in {state}?

The average cost of addiction counseling in South Dakota is $154 per session. With insurance, you can expect to pay around $29 per session — saving 81%.

Per Session

$154

With Insurance

$29

Total (20 Sessions)

$3,080

National Average

$175

Sliding Scale Available — South Dakota

Sliding scale not available — Sliding scale therapy options are more limited in South Dakota. Consider online therapy platforms or community mental health centers for more affordable options.

Cost by City

City Per Session With Insurance
Sioux Falls $159 $29
Rapid City $149 $29

Nearby States

Affordable Online Therapy Alternatives

If addiction counseling costs in South Dakota are outside your budget, online therapy platforms offer more affordable options starting at $60-$90 per week with licensed therapists.

BetterHelp

Starting at $65/week for unlimited messaging and weekly live sessions

Learn More →

Talkspace

Starting at $69/week with insurance accepted from many major providers

Learn More →

How to Save

  • 1. Ask for the cash/self-pay price — often 40-60% less than the billed price.
  • 2. Compare prices between hospitals and freestanding centers.
  • 3. Check if your insurance covers the procedure and what your copay will be.
  • 4. Ask about payment plans or financial assistance programs.
  • 5. Consider nearby states — prices can vary significantly across state lines.

Disclaimer: This is informational only, not medical advice. The cost data presented is based on averages and your actual costs may vary. Always consult with a licensed healthcare professional for personalized guidance.

Data sourced from SimplePractice & CMS Medicare Fee Schedule 2025. Last updated: 2026-03-01. This information is for educational purposes only and does not constitute medical advice.