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How much does online therapy cost per month?

PerplexitypricingCollected Jul 7, 2026, 13:36 UTC

Verbatim response from Perplexity

Online therapy typically costs $140–$400 per month for subscription-based platforms, though prices vary significantly depending on whether you use insurance, choose a per-session model, or pay privately.

Key cost breakdowns by model:

Model TypeMonthly Cost (No Insurance)Notes
Subscription Plans$140–$400/monthWeekly fees of $70–$100 (BetterHelp, Talkspace) billed monthly; includes messaging, video, and tools [1][2][5].
Per-Session (Private Pay)$260–$600/monthBased on 4 sessions/month at $65–$150 per session (traditional therapists) or $170–$195 (Octave private pay) [1][2][6].
With Insurance$0–$100/monthCopays often range from $0–$25 per session; Octave averages $28/session with insurance [1][2][4][6].
Low-Cost/Sliding Scale$160–$280/monthPrograms like Open Path offer sessions at $40–$70, reducing monthly costs for 4 sessions [9].

Specific platform examples:

  • BetterHelp: Billed every 4 weeks at $280–$400/month (subscription) [5].
  • Talkspace: Starts at $144–$276/month depending on the plan (messaging only vs. video + workshops) [6].
  • Doctor On Demand: $0–$134 per session depending on insurance; potentially $0 if fully covered [4].
  • Octave: Private pay is $170–$195 per session, but $28 per session with insurance [1][6].

If you do not have insurance, subscription platforms like BetterHelp or Talkspace are generally more affordable than paying for 4 individual sessions with a private therapist, which can cost $520–$1,400/month [1][5]. However, if you have insurance, per-session models via platforms like Octave or Doctor On Demand can reduce your cost to under $100/month or even $0 [1][4].

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