How much does acceptance and commitment therapy (ACT) cost?

The cost varies based on factors such as the therapist’s location, experience, session length, and whether you use insurance or self-pay.

  1. Average cost of ACT therapy
    • In-person therapy:
      • $100–$250 per session (standard rate in the U.S.).
      • Therapists in large cities, such as New York or Los Angeles, may charge $200+ per session.
      • Sliding-scale fees may be available for lower-income clients.
    • Online ACT therapy:
      • $60–$150 per session (sometimes lower than in-person therapy).
      • Subscription-based platforms (like BetterHelp, Talkspace) charge $240–$400 per month for unlimited messaging and weekly video sessions.
    • Group ACT therapy:
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      • $30–$75 per session (often more affordable than individual therapy).
      • Offered through community centers, hospitals, or online support groups.
    • ACT-based self-help options (more affordable):
      • ACT Books: The Happiness Trap by Russ Harris ($15–$25).
      • ACT Apps: ACT Companion, Unwinding Anxiety ($5–$20/month).
      • Free online ACT worksheets and exercises: Available through mental health websites or at the end of this article!
  1. Does insurance cover ACT therapy?
    The sentence "health insurance" was made with Scrabble blocks on a table with pills around it.
    • Yes, if the therapist is in-network with your insurance provider.
    • Many insurance plans cover ACT as part of general mental health treatment.
    • Check with your insurance provider:
      • Ask if they cover “mental health counseling” or “psychotherapy.”
      • Confirm the copay (usually $20–$50 per session) or deductible (some require you to pay out of pocket up to a certain amount).
        • Medicaid/Medicare: Coverage varies by state, but some programs include ACT under behavioral therapy.
      • If the therapist is out-of-network:
        • You may need to pay upfront and get reimbursement later (if your insurance offers out-of-network benefits).
  1. How to reduce the cost of ACT therapy
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    • Look for sliding-scale fees: Several therapists adjust pricing based on income.
    • Find low-cost community clinics: Some offer therapy for $30–$60 per session.
    • Check for university counseling centers: Many provide ACT therapy at reduced rates (or free) by supervised graduate students.
    • Try online therapy platforms: More affordable than traditional therapy.
    • Use self-help ACT resources: Books, apps, and worksheets can supplement therapy or be used alone.

ACT therapy can cost anywhere from $60–$250 per session, depending on whether it’s in-person, online, or covered by insurance.

Consider sliding-scale therapists, group therapy, or self-help options if affordability is a concern.

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