How Much Does Dialectical Behavior Therapy (DBT) Cost?
Dialectical Behavior Therapy (DBT) is a cognitive-behavioral treatment that combines individual therapy with skills training groups. It focuses on mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness, and is especially effective for borderline personality disorder.
Per Session
$185
Insurance Copay
$30
Avg Sessions Needed
24
National Average
$4,440
Cost by State
| State | Per Session | With Insurance | Sliding Scale Available |
|---|---|---|---|
| Mississippi | $130 | $26 | Sliding scale pricing available |
| Arkansas | $135 | $27 | Sliding scale pricing available |
| Oklahoma | $139 | $27 | Sliding scale pricing available |
| Alabama | $144 | $27 | Sliding scale pricing available |
| Louisiana | $144 | $27 | Sliding scale pricing available |
| West Virginia | $148 | $28 | Sliding scale pricing available |
| Missouri | $152 | $28 | Sliding scale pricing available |
| South Carolina | $154 | $28 | Sliding scale pricing available |
| Tennessee | $155 | $28 | Sliding scale pricing available |
| Kansas | $157 | $28 | Sliding scale pricing available |
| Kentucky | $157 | $28 | Sliding scale pricing available |
| Iowa | $159 | $28 | Sliding scale pricing available |
| Georgia | $163 | $29 | Sliding scale pricing available |
| Nebraska | $163 | $29 | Sliding scale pricing available |
| New Mexico | $163 | $29 | Sliding scale pricing available |
| South Dakota | $163 | $29 | Sliding scale not available |
| Indiana | $167 | $29 | Sliding scale pricing available |
| Ohio | $167 | $29 | Sliding scale pricing available |
| Utah | $167 | $29 | Sliding scale pricing available |
| Idaho | $170 | $29 | Sliding scale pricing available |
| North Carolina | $170 | $29 | Sliding scale pricing available |
| Arizona | $176 | $29 | Sliding scale pricing available |
| Texas | $176 | $29 | Sliding scale pricing available |
| Wyoming | $176 | $29 | Sliding scale not available |
| Montana | $178 | $30 | Sliding scale pricing available |
| Michigan | $181 | $30 | Sliding scale pricing available |
| North Dakota | $181 | $30 | Sliding scale not available |
| Wisconsin | $181 | $30 | Sliding scale pricing available |
| Virginia | $185 | $30 | Sliding scale pricing available |
| Florida | $189 | $30 | Sliding scale pricing available |
| Nevada | $189 | $30 | Sliding scale pricing available |
| Colorado | $194 | $31 | Sliding scale pricing available |
| Pennsylvania | $194 | $31 | Sliding scale pricing available |
| Minnesota | $196 | $31 | Sliding scale pricing available |
| Illinois | $198 | $31 | Sliding scale pricing available |
| Delaware | $200 | $31 | Sliding scale pricing available |
| Maine | $204 | $31 | Sliding scale pricing available |
| Oregon | $204 | $31 | Sliding scale pricing available |
| Vermont | $207 | $31 | Sliding scale pricing available |
| Maryland | $213 | $32 | Sliding scale pricing available |
| Rhode Island | $213 | $32 | Sliding scale pricing available |
| Washington | $213 | $32 | Sliding scale pricing available |
| New Hampshire | $218 | $32 | Sliding scale pricing available |
| New Jersey | $231 | $33 | Sliding scale pricing available |
| Connecticut | $241 | $34 | Sliding scale pricing available |
| California | $250 | $34 | Sliding scale pricing available |
| Massachusetts | $255 | $35 | Sliding scale pricing available |
| Alaska | $259 | $35 | Sliding scale pricing available |
| New York | $259 | $35 | Sliding scale pricing available |
| Hawaii | $268 | $35 | Sliding scale pricing available |
Frequently Asked Questions
How much does dialectical behavior therapy (dbt) cost without insurance?
The average cost of dialectical behavior therapy (dbt) without insurance in the United States is $185. Costs vary significantly by state.
Does insurance cover dialectical behavior therapy (dbt)?
Most health insurance plans cover dialectical behavior therapy (dbt) when medically necessary. With insurance, the average out-of-pocket cost is $30.
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 dialectical behavior therapy (dbt) will I need?
The average course of dialectical behavior therapy (dbt) requires approximately 24 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.