How Much Does Therapy / Counseling Session Cost in North Carolina?

North Carolina pricing is near the national average. Updated for 2026.

Low End
$68
Average
$135
High End
$225
per session

Therapy / Counseling Session Pricing in North Carolina

In North Carolina, the average cost for therapy / counseling session is $135 per session, which is 10% lower than the national average of $150. Most North Carolina residents pay between $68 and $225.

North Carolina has costs that track closely with the national average, though prices can still vary between urban and rural areas within the state.

Individual therapy or counseling sessions typically last 45-60 minutes with a licensed mental health professional. Costs vary by provider type and location.

North Carolina vs National Average

North Carolina Average
$135
National Average
$150
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What Affects Therapy / Counseling Session Cost in North Carolina?

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

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Top-Rated Therapy / Counseling Session Pros in North Carolina

5 providers

Summit Health Associates

๐Ÿ† SPONSORED
โ˜…โ˜…โ˜…โ˜…โ˜…4.7(159 reviews)
๐Ÿ“ Serving all of NC๐Ÿ—๏ธ Since 2015
โœ“ Licensedโœ“ InsuredBBB: A+โšก Usually responds in 3 hours

Proudly serving NC since 2015. Licensed, insured, and committed to excellence.

Premier Surgical Center

โœ… VERIFIED
โ˜…โ˜…โ˜…โ˜…โ˜…4.8(184 reviews)
๐Ÿ“ Serving all of NC๐Ÿ—๏ธ Since 2022
โœ“ Licensedโœ“ InsuredBBB: A+โšก Usually responds in 3 hours

Metro Wellness Clinic

โœ… VERIFIED
โ˜…โ˜…โ˜…โ˜…โ˜…4.1(207 reviews)
๐Ÿ“ Serving all of NC๐Ÿ—๏ธ Since 2021
โœ“ Licensedโœ“ InsuredBBB: A+โšก Usually responds in 2 hours

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๐Ÿ’ก Tips to Save on Therapy / Counseling Session in North Carolina

  • 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

๐Ÿ“ˆ Therapy / Counseling Session in North Carolina Cost Trends (2022โ€“2026)

Prices have increased +18.4% over the last 5 years

$114
2022
$119
2023
$127
2024
$131
2025
$135
2026
YearNational AvgYoY Change
2022$114โ€”
2023$119+4.4%
2024$127+6.7%
2025$131+3.1%
2026$135+3.1%

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 North Carolina

$136
Avg Reported
$95
Lowest Reported
$197
Highest Reported

Recent Reports

$109
Dallas, TX ยท Jan 2026
โ˜…โ˜…โ˜…โ˜†โ˜†
$153
Chicago, IL ยท Feb 2026
โ˜…โ˜…โ˜…โ˜…โ˜†
$113
Phoenix, AZ ยท Mar 2026
โ˜…โ˜…โ˜…โ˜…โ˜…
$166
Denver, CO ยท Apr 2026
โ˜…โ˜…โ˜…โ˜†โ˜†
$118
Atlanta, GA ยท May 2026
โ˜…โ˜…โ˜…โ˜…โ˜†
$178
Seattle, WA ยท Jun 2026
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.

Therapy / Counseling Session Cost in Other States

Related Cost Guides for North Carolina

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