Need immediate support? Text HOME to 741741 (Crisis Text Line) • Available 24/7
Affordability Guide

Sliding Scale & Low-Cost Online Therapy

Therapy shouldn't be out of reach because of cost. Here are the most affordable online therapy options, from sliding scale fees to free resources, for those without insurance or on tight budgets.

Updated December 2025 9 min read
Affiliate Disclosure: We may earn a commission when you sign up through our links at no extra cost to you. Learn more

Key Takeaways

The average therapy session costs $100-$200 out of pocket—a price that puts consistent mental health care out of reach for many Americans. But there are legitimate ways to access quality therapy at a fraction of that cost, whether through affordable online platforms, nonprofit resources, or community programs.

Most Affordable Online Therapy Platforms

These platforms offer the lowest regular prices for online therapy with licensed professionals:

Online-Therapy.com

Most Affordable

CBT-focused platform with the lowest weekly rates in the industry.

  • Price: $40-$88/week depending on plan
  • Includes: 1 weekly live session + worksheets, journal, messaging
  • Financial aid: Discount codes frequently available
  • Best for: Budget-conscious users who want structured CBT
Read full review →

Calmerry

Budget-Friendly

Flexible messaging-based therapy with affordable video options.

  • Price: $50-$90/week depending on plan
  • Includes: Unlimited messaging, video sessions vary by plan
  • Financial aid: Offers financial assistance for qualifying users
  • Best for: Those who prefer text-based therapy
Read full review →

BetterHelp

Financial Aid Available

Largest platform with need-based financial assistance.

  • Price: $65-$100/week (standard)
  • Financial aid: Discounts of 10-50% based on financial need
  • Includes: Unlimited messaging + weekly live sessions
  • Note: Apply for aid during signup questionnaire
Read full review →

Low-Cost Therapy Directories

These organizations connect you with therapists who have agreed to offer reduced rates:

Open Path Collective

Nonprofit network of therapists offering significantly reduced rates.

  • Cost: $30-$80 per session (vs. $150+ typical)
  • One-time fee: $65 lifetime membership
  • Includes: In-person and telehealth options
  • Qualification: Household income under specific thresholds

Website: openpathcollective.org

Inclusive Therapists

Directory focusing on BIPOC, LGBTQ+, and marginalized communities with sliding scale filters.

  • Cost: Varies by therapist (many offer sliding scale)
  • Filter: Search specifically for sliding scale providers
  • Focus: Culturally responsive care

Website: inclusivetherapists.com

Psychology Today Directory

Large therapist directory with sliding scale filter option.

  • How: Use "Sliding Scale" filter when searching
  • Cost: Negotiated directly with each therapist
  • Tip: Contact multiple therapists and ask about reduced rates

Website: psychologytoday.com

Free & Very Low-Cost Options

These resources provide free or extremely low-cost mental health support:

Community Mental Health Centers

Federally-funded centers that offer services on a sliding scale based on income. Many offer telehealth.

Find yours: findtreatment.samhsa.gov

University Training Clinics

Graduate psychology students provide therapy under supervision. Typically $10-30/session.

Search: "[your city] psychology training clinic"

Federally Qualified Health Centers (FQHCs)

Community health centers that provide behavioral health services on sliding fee scales. Cannot deny service due to inability to pay.

Find yours: findahealthcenter.hrsa.gov

Employee Assistance Programs (EAP)

If employed, you may have 3-8 free therapy sessions through your employer's EAP. Ask HR.

Cost: Free (employer-paid benefit)

7 Cups

Free emotional support from trained volunteer listeners. Not therapy, but helpful for processing feelings.

Website: 7cups.com (free, 24/7)

How Sliding Scale Fees Work

Sliding scale means the therapist adjusts their fee based on your ability to pay. Here's what to expect:

Typical Sliding Scale Structure

Annual Income Typical Session Rate
Under $25,000 $30-$60
$25,000-$50,000 $60-$100
$50,000-$75,000 $100-$140
Over $75,000 Full rate ($150-$200+)

Note: Rates vary significantly by therapist, location, and practice type. These are general ranges.

How to Ask for Sliding Scale

Many people feel awkward asking about reduced rates. Here's a simple script:

"I'm interested in working with you, but I'm on a tight budget. Do you offer sliding scale fees or reduced rates for clients with financial constraints? I'd be able to commit to [X amount] per session."

Most therapists appreciate directness about finances and would rather work with you at a reduced rate than not at all.

Special Population Resources

Some organizations offer free or reduced-cost therapy for specific groups:

Veterans

VA mental health services (free for enrolled veterans)

va.gov/health-care/health-needs-conditions/mental-health/

LGBTQ+ Youth

Trevor Project offers free crisis support and counseling

thetrevorproject.org

College Students

Most colleges offer free counseling through student health

Check your school's counseling center

Crime Victims

State victim compensation programs often cover therapy costs

ovc.ojp.gov/help-for-victims

Tips for Maximizing Affordability

  1. 1

    Check for EAP first

    Even part-time employees sometimes have EAP benefits. Ask HR.

  2. 2

    Use HSA/FSA if available

    Tax-free dollars effectively reduce therapy costs by 20-30%.

  3. 3

    Consider every-other-week sessions

    Many people maintain progress with biweekly sessions at half the cost.

  4. 4

    Try group therapy

    Group sessions typically cost 50-75% less than individual therapy.

  5. 5

    Look for platform discounts

    Many platforms offer first-month discounts or partner discount codes.

The Bottom Line

Cost shouldn't be a barrier to mental health care. Between affordable online platforms ($40-65/week), nonprofit directories like Open Path ($30-80/session), community mental health centers (sliding scale), and free resources, there are legitimate pathways to therapy at almost any budget.

Start by checking for EAP benefits and exploring the lowest-cost online options. If those don't fit your budget, look into Open Path Collective or your local community mental health center. The investment in your mental health is worth finding a way to afford.

Related Guides