How Much Does Therapy / Counseling Session Cost in Fresno, CA?

Fresno pricing is near the national average. Updated for 2026.

Based on local labor rates, semi-arid climate conditions, and Fresno's agriculture-healthcare-education economy.See our methodology

Low End
$79
Average
$158
High End
$263
per session
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Therapy / Counseling Session Pricing in Fresno, CA

In Fresno, therapy / counseling session costs are 5% above the national average, reflecting the city's agriculture-healthcare-education-driven economy. The balanced labor market means you have decent options when shopping for quotes. Most residents with a population base of 540K find the pricing competitive relative to the local cost of living.

Local climate plays a direct role in therapy / counseling session costs here. Extremely hot summers drive heavy HVAC demand; agricultural dust affects air quality systems; mild winters reduce heating needs.

Market-specific factors matter in Fresno: agricultural economy keeps costs moderate compared to coastal California; growing metro with increasing service demand.

Fresno has moderate permitting requirements. Depending on the scope of your therapy / counseling session project, you may need local permits. A licensed contractor will handle the permitting process as part of the job in most cases.

Fresno vs National Average

Fresno Average
$158
National Average
$150
Difference
+5%
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What Affects Therapy / Counseling Session Cost in Fresno?

Provider

Psychologist: $150-$300. Licensed therapist: $100-$200. Counselor: $75-$150

Online vs In-Person

Online platforms: $60-$100/session. Traditional in-person: $100-$250

Insurance

With insurance: $20-$60 copay. Without insurance: full rate

Fresno Market Conditions

agricultural economy keeps costs moderate compared to coastal California; growing metro with increasing service demand

Local Climate Impact

extremely hot summers drive heavy HVAC demand; agricultural dust affects air quality systems; mild winters reduce heating needs

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Top-Rated Therapy / Counseling Session Pros in Fresno, CA

4 providers

Premier Dental Group

โญ PREMIUM
โ˜…โ˜…โ˜…โ˜…โ˜…4.3(87 reviews)
๐Ÿ“ 575 Washington Ave, Fresno, CA๐Ÿ—๏ธ Since 2017
โœ“ LicensedBBB: A+โšก Usually responds in 4 hours

Serving Fresno and surrounding areas since 2017. Licensed, insured, and committed to quality workmanship at fair prices.

Premier Dental Group

โ˜…โ˜…โ˜…โ˜…โ˜…4.5(149 reviews)
๐Ÿ“ 638 Washington Ave, Fresno, CA๐Ÿ—๏ธ Since 2022
โœ“ Licensedโœ“ InsuredBBB: A

Gentle Care Health Associates

โ˜…โ˜…โ˜…โ˜…โ˜…4.3(28 reviews)
๐Ÿ“ 888 Oak Ave, Fresno, CA๐Ÿ—๏ธ Since 2009
โœ“ Licensedโœ“ InsuredBBB: A+

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Tips to Save on Therapy / Counseling Session in Fresno

  • 1.Use in-network providers for the lowest copays
  • 2.Ask about sliding scale fees based on income
  • 3.Consider online therapy platforms like BetterHelp or Talkspace
  • 4.Check if your employer offers an EAP (Employee Assistance Program) with free sessions
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๐Ÿ“ˆ Therapy / Counseling Session in Fresno Cost Trends (2020โ€“2024)

Prices have increased +17.9% over the last 5 years

$134
2020
$140
2021
$149
2022
$153
2023
$158
2024
YearNational AvgYoY Change
2020$134โ€”
2021$140+4.5%
2022$149+6.4%
2023$153+2.7%
2024$158+3.3%

Based on national averages adjusted for annual inflation. Actual costs vary by location and project scope.

๐Ÿ’ฌ What Did You Pay?

Real costs reported by homeowners for Therapy / Counseling Session in Fresno

$160
Avg Reported
$112
Lowest Reported
$232
Highest Reported

Recent Reports

$124
Dallas, TX ยท Jan 2024
โ˜…โ˜…โ˜…โ˜…โ˜…
$190
Chicago, IL ยท Feb 2024
โ˜…โ˜…โ˜…โ˜…โ˜†
$155
Phoenix, AZ ยท Mar 2024
โ˜…โ˜…โ˜…โ˜†โ˜†
$156
Denver, CO ยท Apr 2024
โ˜…โ˜…โ˜…โ˜†โ˜†
$153
Atlanta, GA ยท May 2024
โ˜…โ˜…โ˜…โ˜†โ˜†
$201
Seattle, WA ยท Jun 2024
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Frequently Asked Questions

How many therapy sessions will I need?

This varies widely. Some issues resolve in 6-12 sessions. Ongoing mental health management may continue for months or years.

Is online therapy as effective as in-person?

Research shows online therapy is comparably effective for many conditions including depression and anxiety.

Why does therapy / counseling session cost different in Fresno than other cities?

Fresno's costs reflect local labor rates driven by the agriculture-healthcare-education economy, semi-arid climate conditions that affect materials and scheduling, and moderate permitting requirements. The balanced labor market also influences competitive pricing.

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