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How Much Does Couples Therapy Cost in Washington?

Couples therapy costs in Washington vary by therapist, session length, training, location, and therapy format. At Erin D Therapy, current listed rates include a free 20-minute consultation, individual sessions at $195 for 50 minutes, couples intake sessions at $235 for 60 minutes or $325 for 90 minutes, and ongoing couples sessions at $285 for 90 minutes. Always check the Rates and Insurance page for the most current information.

Current Erin D Therapy Rates

Current public rates are:

  • Phone consultation: free, 20 minutes
  • Individual therapy session: $195, 50 minutes
  • Couples intake session: $235 for 60 minutes or $325 for 90 minutes
  • Ongoing couples therapy session: $285, 90 minutes

Rates can change, so the Rates and Insurance page is the best source of truth before booking.

What Affects Total Cost

The total cost of couples therapy depends on more than the session fee. It can be affected by:

  • How often you meet.
  • Whether sessions are 50, 60, or 90 minutes.
  • Whether you are doing weekly therapy or an intensive format.
  • Whether assessment, individual sessions, or follow-up sessions are part of the plan.
  • Whether you use out-of-network reimbursement, HSA, or FSA funds.

Weekly Therapy vs Intensive Cost

Weekly therapy spreads the cost over time. This can make the rhythm easier to sustain and gives couples time to practice between sessions.

Intensive or marathon therapy reserves a larger block of clinical time. That can mean more cost up front, but it may be useful for couples who need focused time, have limited scheduling flexibility, or want to work through a defined relationship pattern in a shorter window.

If you are deciding between formats, read Marathon Couples Therapy vs Weekly Couples Therapy.

Insurance And Superbills

Erin D Therapy does not bill insurance directly. If your plan includes out-of-network mental health benefits, a superbill may help you request reimbursement from your insurance company.

Before starting therapy, it can help to ask your insurance company:

  • Do I have out-of-network mental health benefits?
  • What percentage is reimbursed?
  • Does telehealth qualify?
  • Do I have a deductible?
  • Are there session limits?
  • What documentation is required?

HSA And FSA Use

Some clients use Health Savings Account or Flexible Spending Account funds for therapy. Plan rules vary, so it is worth confirming with your HSA/FSA administrator before assuming a service is eligible.

Consultation Next Step

If cost is part of your decision, a consultation can help you ask about session length, format, scheduling, and what to expect before committing to ongoing work.

You can also review Is Intensive Marriage Counseling Right for Us? if you are considering a more focused therapy format.

Last updated: May 21, 2026
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