How Much is Couples Therapy?
Are you thinking about couples therapy? That’s a big step, and I’m so glad you’re here. Whether you’re looking to reconnect, improve communication, work through infidelity or intimacy issues, or work through a tough time, therapy can be an incredible tool for strengthening your relationship.
But there’s one question that often comes up before couples even schedule their first session:
How much does couples counseling cost?
It’s a fair question! Therapy is an investment, not just financially but emotionally, too. You want to know what you’re signing up for and, most importantly, if it’s worth it.
So, let’s break it down together. I’ll walk you through what therapy typically costs, why prices vary, and how to find options that fit your budget.
How Much Does Couples Counseling Cost?
There’s no one-size-fits-all price, but here’s a general idea:
Most couples therapy sessions cost between $100 and $300 per session.
Many therapists offer 90-minute sessions for couples, typically ranging from $150 to $350+ per session.
Since real change takes time, most couples commit to weekly therapy for at least three months—which adds up to 12 sessions.
That means the total investment for three months of therapy could be anywhere from $2,400 to $4,800.
I know—that number can feel a little overwhelming. But before you rule it out, let’s talk about why therapy costs what it does and, more importantly, how to make it work for your budget.
Why Do Therapy Prices Vary?
The cost of couples therapy can be very different depending on a few key factors:
1. Where You Live
Therapy in big cities like New York, Los Angeles, or San Francisco will cost more—sometimes $250+ per session.
Smaller cities and towns tend to have lower rates, often in the $100 to $200 range.
2. Your Therapist’s Experience
Therapists with advanced degrees, years of specialized training, and experience working with couples tend to charge higher rates.
That said, newer therapists (or those working under supervision) often offer more affordable couples counseling rates while still providing high-quality care.
3. Session Length & Frequency
Standard sessions are 50-60 minutes.
Some therapists offer longer 75-90-minute sessions, which naturally cost more.
You might start with weekly, biweekly, or monthly sessions as things improve.
It’s all about finding the right balance for your relationship and budget.
Will My Insurance Cover Couples Counseling?
Most of the time, no.
Health insurance typically doesn’t cover couples therapy because it’s not considered a "medical necessity."
However, there are exceptions:
If one partner has a diagnosed mental health condition (like anxiety or depression), insurance may cover therapy if it’s framed as treatment for that condition.
Some Employee Assistance Programs (EAPs) offer a few free therapy sessions.
You might be able to use those funds with a Health Savings Account (HSA) or Flexible Spending Account (FSA).
Your best bet? Call your insurance provider and ask. Every plan is different, and it’s worth checking what’s covered before assuming you have to pay out of pocket.
How to Make Couples Therapy More Affordable
If the cost of therapy feels intimidating, don’t worry—there are ways to make it work.
1. Sliding Scale Rates
Many therapists adjust their rates based on income or financial need. If cost is a concern, ask about sliding scale fees.
2. Online Therapy
Virtual couples therapy is often more affordable than in-person sessions. Plus, it can be more convenient—no travel time, no babysitter needed, just a therapist support from wherever you are. In states like Texas, you have to be physically located at the time of your session.
3. Therapy with a Supervised Intern
Therapists in training often offer lower-cost sessions while working under the guidance of a licensed therapist.
4. Community Clinics & Nonprofits
Some organizations offer low-cost or even free couples therapy through community health programs. It’s worth checking to see if there are options near you.
5. Payment Plans
Some therapists allow installment payments, so you don’t have to pay the full amount upfront. It never hurts to ask!
Is Couples Therapy Worth It?
I hear this question all the time.
The short answer? Yes.
Couples counseling has a success rate of about 80% when both partners are engaged. But beyond the numbers, therapy is about more than just saving a relationship—it’s about improving it.
A great couples therapist can help you:
• Communicate better—so you hear each other.
• Break out of frustrating cycles—so you stop having the same fight repeatedly.
• Strengthen emotional and physical intimacy—so you feel connected again.
• Navigate life —like becoming parents, career shifts, or moving.
• Build a stronger foundation for the future—so you don’t just survive together, you thrive together.
What’s the Cost of NOT Going to Therapy?
Let’s flip the question for a second.
What happens if you don’t go to therapy?
If your relationship feels stuck in the same unhealthy patterns, those issues don’t just disappear.
Little annoyances can turn into deep resentments.
Lack of communication can lead to emotional distance.
Unresolved problems can create more stress and frustration over time.
And if things don’t improve, there’s the financial cost of a potential divorce—which can be $16,000+ on average (not including the emotional toll, splitting assets, moving costs, and legal fees).
So yes, therapy is an investment—but one that could save your relationship or at least help you find clarity about what’s next.
What’s Your Relationship Worth to You?
A healthy, happy relationship isn’t just about avoiding problems. It’s about growing together, learning, and feeling supported and understood.
If you’re struggling in your relationship, therapy can help you move forward—whether that means fixing what’s broken, overcoming an affair, or figuring out a new way forward together.
So, is couples therapy worth it? That’s up to you. But if you’re asking the question, it might be time to try it.
Ready to Invest in Your Relationship?
If you and your partner are ready to explore couples counseling, now is the time to take the next step.
Find a therapist who fits your budget, schedule, and needs. Reach out, ask about their pricing, and see if they offer a free consultation.
Your relationship is worth it. And you both don’t have to figure it all out alone.
