National Directory of  Online Counselors

The Costs of eTherapy
Costs of Online Counseling and Cost Comparisons with Office-based Treatment and Expense
by Judith L. Allen, Ph.D.

Counseling fees vary throughout the country, with the level of education of the therapist, and often by the demand for an individual therapist.  In some area of the country, the economy may not provide enough employment for the residents, and fees may be lower during harder economic times.  Cost comparisons between eTherapy and office-based therapy therefore take into account many variables, and should be read as average fee and expense ranges. 

eTherapy Fees
eTherapy (email exchange)
Chat (using chat software)   
Chat (using Video software) 
Telephone Therapy               

$25--$60 for 30 minutes of time, reading and responding
$30--$75 for 30 minutes of time.  Can include transcripts
$50--$120 for 60 minutes of time.
$60--$150 for 50--60 minutes of time

Consideration of Expenses Incurred in Conducting eTherapy

Website Development:     
Website Hosting Fees:     
Charge Card Fees:           
Charge Back Fees:           
Computer Expense:         
Administration Fees:         
Liability Insurance
Internet Service:               
Cancelled Sessions:         
Internet Marketing:           
License & Assoc Fees      Continuing Education   
Net Fees: (Approximate)

$1000--$10,000 (includes time, technology, and software)
$  250--$3600 Yearly
10% - 25% of Collected Fees
5% - 8% of Fees  - Uncollected or Charged Back Services
$2000--$4000 Yearly Repairs, Equipment, Software
30%  Of Fees Collected for Group Administration
$120-$500 Yearly
$ 360--$2400 Yearly
2% of Fees Collected
$ 200--$1000 Yearly
$600--$1,200 Yearly
$400--$3,000  Yearly
$12 -- $19 Per 30 Minutes Time in Session

Office Therapy Fees
Individual Therapy Average Fees:
Group Therapy Average Fees:     
Telephone Consultation Fees:     
Family Sessions:                           

$50--$120  Per  50 minute Therapy Hour
$30--$  70  Per 90 minute Session
$25 - $  40  Per 15 minutes
$60--$150  Per 50 minute Therapy Hour

Expenses Incurred in Conducting Office-Based Therapy

Office rent:                   
Utilities:                       
Marketing:                   
License/Assoc Fees:   
Liability Insurance:       
Continuing Education: 
Uncollected Accounts: 
Charge Card Fees:       
Insurance Denials:       
Administrative Staff:     
Furniture and Equip:

Net Fees: (Approximate)

$6,000--$36,000 Yearly
$2,400--$  6,000 Yearly
$  500--$12,000  Yearly
$  600--$1,200   Yearly
$  120--$   500   Yearly
$  400--$ 3,000  Yearly
10% of Collected Fees
3% - 7% of Collected Fees
5% - 10% of Fees Billed
$15,000--$40,000 Yearly
$3,000--$8,000 Yearly

$30--$60 per 50 Minutes Time in Session

                               Private Counseling, Education, and Referrals Over the Internet Since 1997