How Much Does Couples Therapy Cost in Los Angeles, CA?

Couples therapy costs in Los Angeles can vary widely depending on location, therapist experience, and session length. Here’s a quick overview of the therapy cost:

Factor	Impact on Couples Therapy Cost in Lon Angeles
Average cost per session	$125–$250 (U.S. national average)
Average cost in Los Angeles	$200–$350 per session
Session length	50 minutes standard; longer sessions cost more
Insurance coverage	Often not covered unless billed under individual therapy
Session frequency	Weekly or biweekly recommended
Sliding scale	Available with some therapists

Not all therapists accept insurance, and even fewer offer direct coverage for couples therapy. 

If you’re searching for answers around how much couples counseling costs, you’re not alone. It’s a deeply personal and financial decision for many couples. Between managing relationship stress and budget concerns, making the right choice can feel overwhelming.

This guide draws on pricing data from over 25 therapists in Los Angeles and across the U.S. It also includes insights from local practitioners like Dr. Harel Papikian, to give you a realistic look at what to expect. Whether you’re wondering about couples therapy prices, how much is couples therapy without insurance, or the cost of online counseling, we’ve got you covered.

You’ll also get clarity on what influences rates, how many sessions you may need, and ways to make therapy more affordable. Let’s break it all down, so you can move forward with confidence.

How Much Does Couples Therapy Cost on Average in Los Angeles?

On average, couples therapy in the U.S. costs between $125 and $250 per 50-minute session. Rates can be higher in major cities. Initial sessions or intake appointments may cost slightly more, as they involve assessment and goal setting.

Average Price for Couples Counseling Sessions in California

City	Typical Price Range
Los Angeles	$200–$350
San Francisco	$225–$375
San Diego	$180–$300
Sacramento	$150–$250
Fresno	$120–$200

Couples Counseling Price in Los Angeles

In Los Angeles, most couples therapists charge between $200 and $350 per session. First-time consultations may be at the higher end of this range. Some high-demand therapists or those offering trauma-informed, emotionally focused, or specialty approaches may charge above $350. Ongoing sessions typically remain consistent unless session length changes.

Additional Costs Beyond Marriage Counselling Session Fees

In addition to per-session costs, couples might also incur these costs:

• Assessment or Intake Fees: A one-time fee (often $50–$100) for the initial evaluation.
  
• Transportation & Parking: If seeing an in-person therapist in a busy city, parking or transit costs can add up.
  
• Childcare: Parents may need to arrange babysitting during session times.
  
• Books or Exercises: Therapists may recommend reading materials or structured homework, which may require additional purchases.

What Factors Influence the Cost of Marriage Counseling?

There are majorly 6 factors that affects the cost of the marriage counseling in Los Angeles. Let’s discuss each of the factor in detail.

Therapist’s Credentials and Years of Experience

In Los Angeles, licensed psychologists and therapists with over a decade of experience typically charge more, often $250 to $350 per session, due to their expertise. Newer therapists or associates under supervision may charge less. I’d recommend you to balance qualifications with your comfort and therapy goals when choosing.

Length of Each Counseling Session

The standard couples counseling sessions are 50 minutes. But some therapists offer 75 or 90-minute sessions, which can increase the cost. In L.A., longer sessions are often recommended for couples doing deeper work, such as conflict resolution or rebuilding trust. Be sure to ask if the session length matches your needs.

Location of the Therapist’s Office

Therapists in places like West Hollywood or Beverly Hills often charge higher fees. That’s because rent and demand are high. The cost is relatively cheaper in areas like North Hollywood or Koreatown. But make sure to consider good therapist and not just pick the one that is near your house.

In-Person Counseling vs. Online Format

Online therapy usually costs less than in-person sessions in Los Angeles. Many therapists offer virtual sessions at a lower rate. Online therapy also saves time and travel. It’s a good option if your schedule is tight or if you prefer the comfort of home.

Type of Marriage Counseling Method Used

Some therapists use advanced approaches like the Gottman Method or EFT. These methods often lead to deeper results but may cost more. Therapists trained in these approaches bring extra expertise to your sessions. Ask what method your therapist uses and how it fits your goals.

Availability of Sliding Scale Payment Options

Many therapists in L.A. offer sliding scale fees. They adjust the price based on your income. Some couples pay as little as $100 per session. This makes therapy more affordable and accessible. Just ask your therapist if they offer this, it’s a common and welcomed question.

How Many Sessions Do Couples Typically Need?

Most couples benefit from 10 to 20 sessions, depending on the complexity of the issues and how regularly they attend. Weekly sessions are standard at the beginning, with some shifting to biweekly as progress stabilizes.

For example, in Los Angeles, a couple attending 12 weekly sessions at an average of $250 per session may spend approximately $3,000 in total. This estimate can vary based on session frequency, duration, and therapist rates.

Is Couples Therapy Covered by Insurance?

Often, couples therapy is not covered by insurance, as it may not be deemed “medically necessary.” Insurance typically covers mental health services tied to a diagnosis, and couples work doesn’t always meet that requirement.

However, if one partner has a diagnosable condition (e.g., anxiety  therapy or depression), sessions may be covered under individual therapy codes.

Tip: Ask your provider whether CPT code 90847 (family psychotherapy with patient present) is covered by your plan.

4 Tips to Make Couples Therapy More Affordable

1. Look for Sliding Scale Therapists

Some therapists adjust fees based on income. Search therapy directories with filters for sliding scale availability.

2. Use HSA/FSA Funds

If you have a Health Savings Account or Flexible Spending Account, you can often use those pre-tax funds to pay for therapy.

3. Consider Online or Group Options

Online platforms may offer lower rates, and some therapists—like Dr. Harel Papikian—offer flexible formats that may better suit your budget and schedule.

4. Ask About Package Deals

Some therapists provide discounts for prepaid packages (e.g., 6 or 10 sessions), which can reduce the per-session cost.

Is Couples Therapy Worth the Investment?

Yes—when both partners are committed, therapy can help improve communication, rebuild trust, and deepen emotional connection. It can also help couples make thoughtful decisions about their future.

That said, couples in severe conflict who aren’t willing to do the work may not benefit as much. In such cases, individual therapy or other interventions may be more effective.

Conclusion

Couples therapy typically ranges from $125 to $350 per session, with higher costs in urban areas like Los Angeles. While it can be a significant investment, it often leads to lasting improvements in relationship satisfaction, emotional well-being, and long-term clarity.

If you’re considering therapy, Dr. Harel Papikian offers structured support tailored to couples dealing with practical relationship challenges. It’s worth exploring whether his approach aligns with what you’re looking for.While it can be a significant investment, it often leads to lasting improvements in relationship satisfaction, emotional well-being, and long-term clarity.

Understanding your options—from pricing to insurance and therapist style—can help you make informed, confident choices.

Frequently Asked Questions (FAQ)

1. How long is each therapy session?

Most therapy sessions are 50 minutes long. Some therapists offer longer sessions of 75 or 90 minutes for deeper work, usually at a higher cost. Always check with your therapist about session length and how time is structured.

2. Do all therapists charge the same rate?

No. Therapy rates vary based on a therapist’s credentials, location, and years of experience. Therapists in larger cities like Los Angeles often charge more than those in smaller towns. Rates also differ depending on whether sessions are individual or for couples.

3. Can I claim couples therapy on taxes?

Couples therapy is not generally tax-deductible unless you pay through a Health Savings Account (HSA) or Flexible Spending Account (FSA). These accounts allow you to use pre-tax dollars for qualified medical expenses, which may include therapy.

4. What is the CPT code for couples therapy?

The CPT code most often used for couples or family therapy is 90847. This refers to family psychotherapy with the patient present. If you’re planning to use insurance, ask your provider or therapist about this code.

5. Can therapy be done every two weeks?

Yes, many therapists offer biweekly sessions. While weekly therapy is common at the start, biweekly sessions are often appropriate once progress is made. This helps maintain momentum while balancing scheduling and cost.

6. Is online therapy less effective?

Research shows that online therapy can be just as effective as in-person therapy for many people. It’s especially helpful for those with busy schedules, mobility issues, or limited access to local therapists. What matters most is consistency and comfort.

7. Are therapy costs the same in all states?

No. Costs differ significantly by region. Therapists in cities like Los Angeles or New York typically charge higher fees than those in rural areas. Online platforms may offer more standardized pricing regardless of where you live.

8. Can one partner attend therapy alone?

Yes. One partner can attend therapy alone to explore personal concerns, relationship issues, or emotional patterns. In many cases, individual therapy can complement or prepare for couples therapy, especially when one partner isn’t ready.

9. Do therapists offer free consultations?

Some therapists offer free 15–30 minute consultations to help you decide if they’re a good fit. These calls are usually informal and give you a chance to ask questions before committing to a full session.

10. Is there a minimum number of sessions?

There is no minimum. The number of sessions you attend depends entirely on your goals, needs, and progress. Some clients benefit from just a few sessions, while others continue therapy for several months or longer., with higher costs in urban areas like Los Angeles. While it can be a significant investment, it often leads to lasting improvements in relationship satisfaction, emotional well-being, and long-term clarity.