What is the copay for therapy?

Asked by: Emmie Schmitt  |  Last update: November 24, 2025
Score: 5/5 (65 votes)

A copay is the set fee you pay at every medical session, including therapy. When you see a therapist who is in-network with your insurance plan, you pay them a copay at each therapy session. Then, your therapist sends a claim to the insurance company to receive the remainder of the fee they're owed.

How much is a copay for therapy?

How Much Does Therapy Cost If You Use Insurance? If you have insurance with mental health coverage, the cost of a therapy session with an in-network therapist is usually the same as your co-pay to see a medical specialist. On average, specialist co-pays are about $30 to $50 per session.

Why is my therapy copay so high?

The high cost of therapy can result from using an out-of-network provider, not having adequate insurance, or your therapist's overhead costs increasing session prices. Fortunately, if traditional therapy is too expensive and you're looking for creative, effective ways to reduce that price tag, you have several options.

Do you pay before or after therapy?

Patients usually pay for therapy sessions at the time of each session, either before or after the session takes place. The specific payment arrangement may vary depending on the therapist and their practice. Some therapists may require payment upfront, while others may allow patients to pay after the session.

Can I pay out of pocket for therapy?

The average cost of a therapy session without insurance ranges from $100 to over $200. The amount you pay depends on several factors, including the type of treatment and where you receive therapy. If you don't have insurance, you can still get free or low-cost mental health therapy.

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Is therapy every 2 weeks enough?

Some people might see their therapist every two weeks depending on their therapeutic needs. This can also be beneficial if you are paying out of pocket, or just need a check-in every couple of weeks. You'll get similar benefits to weekly sessions, but with a little more time in-between to process.

Do copays count towards deductible?

No. Copays and coinsurance don't count toward your deductible. Only the amount you pay for health care services (like the medical bill you receive) count toward your plan's deductible.

How much does Blue Cross Blue Shield cover for therapy?

If you choose a therapist who is in-network with Blue Cross Blue Shield, your therapy sessions likely cost between $15 - $50 per session, after you meet your deductible. The $15 - $50 amount is your copay, or the fixed amount that you owe at each therapy visit.

How do therapists get paid by insurance?

In simple words, a covered patient comes to see you for therapy services: you provide care services, prepare a bill, and submit an insurance claim for therapists to their health insurer, and the insurer reimburses you.

What is a copay in therapy?

Mental Health Insurance: Co-Payment

Usually, most patients will be charged a flat-rate per session called a co-payment. Normally these will range from $10 to $30 USD per session. To find out how to find a new patient's copayment, you need to call the insurance company to find it.

What is too much to tell a therapist?

Sometimes, unpacking so much personal information may make you feel that you've overshared with your therapist. Fortunately, it isn't possible to reveal too much. In fact, any insights that you divulge may help your therapist treat you more effectively.

How many people pay out of pocket for therapy?

Over 60% of participants, including those with insurance, report that they pay out-of-pocket therapy costs, with a total average of $178 each month.

How to know how much therapy will cost with insurance?

Know your policy

Under your EOB, the cost of mental health services should be listed, including therapy, under “allowed amount.” If your therapist's fee is $125, for example, and your copay is $50, you would pay $50 for each session. Insurance would pay the remaining $75.

Why is therapy not covered by insurance?

Provider Restrictions: Often, insurance plans will only cover therapy if you see a provider who accepts insurance that is "in-network," which limits your options and may not include your preferred therapist.

How many physical therapy sessions does Blue Cross Blue Shield cover?

Note: Benefits are limited to 75 visits per person, per calendar year for physical, occupational, or speech therapy, or a combination of all three. Note: Visits that you pay for while meeting your calendar year deductible count toward the limit cited above.

What insurance has the best mental health coverage?

UnitedHealthcare takes our spot for the best overall mental health coverage primarily because of its comprehensive approach. With UnitedHealthcare, you have access to 24/7 treatment and support through a wide range of online, virtual and mobile tools.

Why is my copay so high?

In general, plans that charge lower monthly premiums have higher co-payments and higher deductibles. Plans that charge higher monthly premiums have lower co-payments and lower deductibles. When choosing a plan, consider whether you expect to have a lot of medical bills.

Can you pay a copay later?

Provider Policy: The healthcare provider's policy may vary. They may allow you to receive the necessary medical treatment or prescription medication, even if you can't pay the copayment immediately. In such cases, they might bill you later for the copayment amount.

What is the maximum out-of-pocket?

The most you have to pay for covered services in a plan year. After you spend this amount on. deductibles. The amount you pay for covered health care services before your insurance plan starts to pay.

How long is the average person in therapy for?

The length of therapy is quite variable, and the final decision regarding the length of therapy rests jointly with the patient and therapist. Some patients stay for as short a time as two or three sessions, while others are in therapy for two or three years or more as they continue to pursue goals and practice skills.

How many therapy sessions does insurance cover?

In the US, it depends on your insurance plan. Usually, they will cover weekly sessions for as long as you need them, but it must be considered medically necessary. Unless you are covered by Medicaid and you are seeing a Medicaid provider they will not be free.

Is therapy once a month ok?

Finally, therapy once a month may be sufficient for some people. This allows you to review progress from the previous sessions and gain perspective on how far you've come since starting therapy.

What if I can't afford therapy?

Ask about a sliding scale payment option if you can't afford therapy. Many therapists offer a sliding scale payment fee structure for clients. This means that your fee for a therapy session is based on your income. Therapists may state that they offer a sliding scale on their public profiles or websites.