Cost is usually the first thing people ask me about. It is also the hardest thing to get a straight answer on, because therapists do not all charge the same, sessions are not all the same length, and insurance does not treat couples work the way it treats individual therapy.
So here is the honest version, for my practice and for Minnesota in general.
My rates
I am based in Saint Paul and I see clients virtually all over Minnesota. My rates are:
- Initial session, 90 minutes: $260
- Ongoing sessions, 50 minutes: $185 per session
- Couples intensive, 2 days / 10 hours: $2,500
Those are also on my Investment page. If they ever change, that page is the one to trust, not an old blog post.
Most couples I work with start weekly. A lot of them end up doing around 10 to 12 sessions. Some need less. Some need more. It depends on what you are walking in with, how long you have been stuck in the same pattern, and what you actually do between sessions.
An intensive is a different animal. It is not just a pricier session. It is two full days, back to back, for couples who want to get a lot done fast, or who cannot do weekly sessions because of work, kids, or distance.
Why the price varies so much
A 50 minute session and a 90 minute session are not the same thing. Couples work usually needs more time, especially at the start, because I am not just listening to one person. I am listening to two people and to the pattern between them.
Training matters too. Couples therapy is its own specialty. It is not individual therapy with an extra chair in the room. When you are shopping around, ask what training a therapist actually has in couples work, like Gottman Method or Emotionally Focused Therapy, and whether they have specific training for what you are dealing with. Infidelity, sex and intimacy, and discernment are not all the same work.
Format matters as well. Weekly sessions spread the cost out over time. An intensive looks like a lot up front, but it packs months of weekly work into two days. Group therapy is cheaper again, but it is a different experience entirely.
What about insurance?
This is where people get frustrated, and I get it.
A lot of plans will cover individual therapy for a diagnosed mental health condition. They do not always cover couples therapy, especially if the focus is communication, connection, or your sex life, rather than one person's diagnosis. And even when a plan says it covers couples work, the therapist has to be in network. A lot of specialized couples therapists are not.
I do not take insurance directly. If you have an out of network PPO plan, I can give you a superbill. That is a detailed receipt you send to your insurer to ask for reimbursement. I also work with Reimbursify, which helps with out of network claims.
I cannot promise you will get reimbursed. Before you start with anyone, call the number on the back of your card and ask, in plain language: Do I have out of network mental health benefits? Is couples therapy covered, and when? What is my out of network deductible, and have I met any of it? What percent do you pay back after that? Do I need pre authorization?
Bring those answers to your free consultation and we can talk through what they actually mean for your budget. No jargon, no guessing.
Questions worth asking any therapist, including me
Do not just ask the session fee. Ask how long sessions are. Ask how often they recommend meeting at first. Ask how many sessions couples like you usually need. Ask about the cancellation policy. Mine is 48 hours notice.
Ask if they give superbills. Ask if there is a free consultation so you can check fit before you pay for a full session. Mine is a free 15 minute video call. You get to meet me, ask questions, and decide if we are a good fit. There is no pressure to book after that.
Fit matters more than people think. If you do not feel safe and comfortable with your therapist, you are not going to say the hard stuff. And the hard stuff is the whole point.
Is it worth it?
Only you can answer that, and it is fair to sit with the cost for a bit.
I see couples who have been having the same fight for months, sometimes years. Or who feel more like roommates than partners. Or who are trying to rebuild after an affair. That stuff leaks into everything. Sleep, parenting, work, your health. Therapy is not cheap, but neither is staying stuck.
What I want you to leave each session with is something you can actually use. A clearer sense of your pattern. A different way to handle the next hard conversation. Something to try at home, not just a nice chat and a see you next week.
If you are not getting that from therapy, say so. To me, or to whoever you are working with.
If you want to talk it through
If you are in Minnesota and thinking about couples therapy, book a free 15 minute video consultation. We will talk about what you are hoping for, whether we are a good fit, and what cost and timing would look like for you.
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Rates and policies in this post were current as of October 2026. Please check the Investment page for the most up to date rates. This post is general information about couples therapy costs in Minnesota, not medical advice, and not a guarantee of insurance reimbursement.
