How Much Does Couples Therapy Cost?
Couples therapy (also known as marriage counseling) helps partners improve communication, resolve conflicts, and strengthen their relationship. Sessions are typically 60-90 minutes with both partners present and a licensed marriage and family therapist.
Per Session
$200
Insurance Copay
$40
Avg Sessions Needed
16
National Average
$3,200
Cost by State
| State | Per Session | With Insurance | Sliding Scale Available |
|---|---|---|---|
| Mississippi | $150 | $30 | Sliding scale pricing available |
| Arkansas | $155 | $30 | Sliding scale pricing available |
| Oklahoma | $155 | $30 | Sliding scale pricing available |
| West Virginia | $160 | $30 | Sliding scale pricing available |
| Alabama | $165 | $35 | Sliding scale pricing available |
| Louisiana | $165 | $35 | Sliding scale pricing available |
| Iowa | $170 | $35 | Sliding scale pricing available |
| Kansas | $170 | $35 | Sliding scale pricing available |
| Kentucky | $170 | $35 | Sliding scale pricing available |
| New Mexico | $170 | $35 | Sliding scale pricing available |
| South Carolina | $170 | $35 | Sliding scale pricing available |
| South Dakota | $170 | $35 | Sliding scale not available |
| Idaho | $175 | $35 | Sliding scale pricing available |
| Missouri | $175 | $35 | Sliding scale pricing available |
| Nebraska | $175 | $35 | Sliding scale pricing available |
| North Dakota | $175 | $35 | Sliding scale not available |
| Tennessee | $175 | $35 | Sliding scale pricing available |
| Indiana | $180 | $35 | Sliding scale pricing available |
| Ohio | $180 | $35 | Sliding scale pricing available |
| Utah | $180 | $35 | Sliding scale pricing available |
| Wyoming | $180 | $35 | Sliding scale not available |
| Georgia | $185 | $35 | Sliding scale pricing available |
| Michigan | $185 | $35 | Sliding scale pricing available |
| Montana | $185 | $35 | Sliding scale pricing available |
| North Carolina | $185 | $35 | Sliding scale pricing available |
| Arizona | $190 | $40 | Sliding scale pricing available |
| Texas | $190 | $40 | Sliding scale pricing available |
| Wisconsin | $190 | $40 | Sliding scale pricing available |
| Florida | $205 | $40 | Sliding scale pricing available |
| Maine | $205 | $40 | Sliding scale pricing available |
| Delaware | $210 | $40 | Sliding scale pricing available |
| Minnesota | $210 | $40 | Sliding scale pricing available |
| Nevada | $210 | $40 | Sliding scale pricing available |
| Pennsylvania | $210 | $40 | Sliding scale pricing available |
| Vermont | $210 | $40 | Sliding scale pricing available |
| Colorado | $215 | $45 | Sliding scale pricing available |
| Virginia | $215 | $45 | Sliding scale pricing available |
| Illinois | $220 | $45 | Sliding scale pricing available |
| New Hampshire | $220 | $45 | Sliding scale pricing available |
| Oregon | $220 | $45 | Sliding scale pricing available |
| Rhode Island | $225 | $45 | Sliding scale pricing available |
| Maryland | $230 | $45 | Sliding scale pricing available |
| Washington | $230 | $45 | Sliding scale pricing available |
| New Jersey | $245 | $50 | Sliding scale pricing available |
| Alaska | $250 | $50 | Sliding scale pricing available |
| Hawaii | $255 | $50 | Sliding scale pricing available |
| Connecticut | $260 | $50 | Sliding scale pricing available |
| Massachusetts | $265 | $55 | Sliding scale pricing available |
| California | $270 | $55 | Sliding scale pricing available |
| New York | $280 | $55 | Sliding scale pricing available |
Frequently Asked Questions
How much does couples therapy cost without insurance?
The average cost of couples therapy without insurance in the United States is $200. Costs vary significantly by state.
Does insurance cover couples therapy?
Most health insurance plans cover couples therapy when medically necessary. With insurance, the average out-of-pocket cost is $40.
Sliding Scale Available
A sliding scale fee means the therapist adjusts their rate based on your income and ability to pay. Many therapists offer sliding scale fees ranging from $50 to $150 per session.
How many sessions of couples therapy will I need?
The average course of couples therapy requires approximately 16 sessions. The actual number varies based on your specific needs.
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.