How Much Does Therapy / Counseling Session Cost in Portland, OR?

Portland pricing is 18% above the national average. Updated for 2026.

Based on local labor rates, oceanic climate conditions, and Portland's tech-manufacturing-creative economy.See our methodology

Low End
$89
Average
$177
High End
$295
per session
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Therapy / Counseling Session Pricing in Portland, OR

Portland is a high-cost market where therapy / counseling session runs about 18% above the national average. The city's tech-manufacturing-creative economy supports higher wages, which translates to elevated contractor rates. With a population of 650K, competition among providers exists but demand keeps prices firm.

Local climate plays a direct role in therapy / counseling session costs here. Heavy rainfall means moisture management is critical for roofing, basements, and foundations; mild temperatures reduce extreme HVAC needs.

Market-specific factors matter in Portland: strong environmental regulations affect building materials and methods; competitive green building market; moderate overall pricing.

Portland has strict permitting requirements. Budget an additional 5-15% for permits, inspections, and code compliance when planning your therapy / counseling session project. Licensed contractors familiar with local codes can navigate this process efficiently.

Portland vs National Average

Portland Average
$177
National Average
$150
Difference
+18%
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What Affects Therapy / Counseling Session Cost in Portland?

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

Portland Market Conditions

strong environmental regulations affect building materials and methods; competitive green building market; moderate overall pricing

Local Climate Impact

heavy rainfall means moisture management is critical for roofing, basements, and foundations; mild temperatures reduce extreme HVAC needs

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Top-Rated Therapy / Counseling Session Pros in Portland, OR

5 providers

Lakeside Family Medicine

๐Ÿ† SPONSORED
โ˜…โ˜…โ˜…โ˜…โ˜…3.5(10 reviews)
๐Ÿ“ 135 Business Park Dr, Portland, OR๐Ÿ—๏ธ Since 2012
โœ“ Licensedโœ“ InsuredBBB: A+โšก Usually responds in 2 hours

Serving Portland and surrounding areas since 2012. Licensed, insured, and committed to quality workmanship at fair prices.

Modern Family Medicine

โญ PREMIUM
โ˜…โ˜…โ˜…โ˜…โ˜…4.1(63 reviews)
๐Ÿ“ 471 Pine Rd, Portland, OR๐Ÿ—๏ธ Since 2010
โœ“ Licensedโœ“ InsuredBBB: Aโšก Usually responds in 4 hours

Serving Portland and surrounding areas since 2010. Licensed, insured, and committed to quality workmanship at fair prices.

Gentle Care Family Medicine

โœ… VERIFIED
โ˜…โ˜…โ˜…โ˜…โ˜…4.6(182 reviews)
๐Ÿ“ 1000 Business Park Dr, Portland, OR๐Ÿ—๏ธ Since 2018
โœ“ Licensedโœ“ InsuredBBB: A+โšก Usually responds in 1 hours

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Tips to Save on Therapy / Counseling Session in Portland

  • 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
  • 5.In Portland, verify your contractor handles local permits โ€” the permitting process here is more involved than average and DIY permit applications can cause delays.
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๐Ÿ“ˆ Therapy / Counseling Session in Portland Cost Trends (2020โ€“2024)

Prices have increased +17.2% over the last 5 years

$151
2020
$157
2021
$167
2022
$172
2023
$177
2024
YearNational AvgYoY Change
2020$151โ€”
2021$157+4.0%
2022$167+6.4%
2023$172+3.0%
2024$177+2.9%

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 Portland

$183
Avg Reported
$128
Lowest Reported
$265
Highest Reported

Recent Reports

$144
Dallas, TX ยท Jan 2024
โ˜…โ˜…โ˜…โ˜†โ˜†
$214
Chicago, IL ยท Feb 2024
โ˜…โ˜…โ˜…โ˜…โ˜†
$190
Phoenix, AZ ยท Mar 2024
โ˜…โ˜…โ˜…โ˜…โ˜…
$220
Denver, CO ยท Apr 2024
โ˜…โ˜…โ˜…โ˜…โ˜…
$159
Atlanta, GA ยท May 2024
โ˜…โ˜…โ˜…โ˜…โ˜†
$190
Seattle, WA ยท Jun 2024
โ˜…โ˜…โ˜…โ˜…โ˜†

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 Portland than other cities?

Portland's costs reflect local labor rates driven by the tech-manufacturing-creative economy, oceanic climate conditions that affect materials and scheduling, and strict permitting requirements. The moderate labor market also influences competitive pricing.

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