Online Therapy That Insurance Actually Covers
Real therapy with licensed, vetted therapists, over video, at in-network rates: most members pay $28 or less per session. Book through an Octave Care Navigator or search our directory and book yourself. Get a first session in 1 to 3 days, on average, with evening and weekend appointments that fit an actual life.
2,500+
Therapists
In-network
with major carriers
2,500+
Licensed Therapists
$28
Typical Out-Of-Pocket Per Session, In Network
1 to 8
Days To A First Appointment
We Work With Major Carriers
Clients only pay $28 per session, on average. How is this possible? Octave works with you and your insurance provider to secure the best coverage for therapy and make high-quality care accessible.Insurance Coverage
Save time and money
Know the cost of therapy before you start. Discover how much your insurance will cover for therapy with Octave. Simply select your state and insurance provider to see any out-of-pocket costs.

How it works
4 steps to start therapy
Step 01
Answer a few questions
Tell us a little about yourself and what you're looking for. You'll get an idea of your cost (if any) after answering.
Step 02
Find the right therapist
Browse licensed Octave therapists or work 1:1 with our team to find a match for your needs and schedule.
Step 03
Start therapy
Schedule your sessions and build a care plan with your therapist that measures progress.
Step 04
See results
Care is grounded in measurable outcomes, with tailored techniques to support real improvement in anxiety, depression, and other concerns.
Specializations
Care for the things that bring people to therapy.
Our experts can treat a wide variety of issues:
Audience segments
Therapy for the shape your life is in.
Online Therapy
Licensed therapists by video, from wherever you actually are.
Online Individual Therapy
One-on-one sessions focused entirely on what you're working through.
Online Family Therapy
Work through conflict, communication, and old roles as a family.
Online Couples Therapy
Couples therapy and marriage counseling with licensed therapists trained in couples care.
In-Person Therapy
Some work goes deeper in the same room.
Therapy approaches
Therapy for what works for you.
We match you with a therapist whose approach fits the work you want to do.
CBT
Cognitive Behavioral Therapy
Retrain the thoughts and habits that keep anxiety and low mood going.
DBT
Dialectical Behavior Therapy
Develop skills for intense emotions, impulsivity, and relationships.
EFT
Emotion-Focused Therapy
An evidence-based approach for depression, relationship distress, and grief.
Grief Counseling
GRIEF & LOSS SUPPORT
Dedicated space to process a loss with someone who knows the terrain.
Psychodynamic
Insight-Oriented Therapy
Online psychodynamic therapy with licensed therapists. Depth-oriented work on the patterns underneath the symptoms.
Provider credentialing section
Octave client satisfaction scores are 36% higher than industry average.
Every clinician is independently licensed, masters- or doctorate-trained, and reviewed for clinical fit before they see a single client.
2,500+
Therapists in network
Independently licensed across 20+ states
100%
License verified
Active state licensure confirmed quarterly with the issuing board
40+
Languages spoken
Clinicians speak 41 languages
10 yrs
Average experience
Median post-licensure clinical practice in the network
Comparison table
Therapy that fits into your life
It shouldn’t be the other way around, and that’s why we do what others don’t.
First session wait
Within 1-8 days
3-6 weeks
Insurance verified upfront
Yes- before first session
Often after-the-fact
Average out-of-pocket
$25-$60
$120-$250
Evening & weekend availability
Standard
Limited
Re-matching if it’s not a fit
Free, anytime
Start the search over
Care coordination
Dedicated coordinator
Self-managed
Outcomes and clinical evidence
Results that speak for themselves
95%
state that therapy through Octave has been worth the effort
Octave Client survey, 2025 (n=305)
89%
report a strong therapeutic alliance with their provider
Ongoing Octave client provider survey, 2026
76%
clients with clinical depression report significant improvement within 3 months of care
Octave Clinical Outcomes study, 2023 (n=17,000+)
After their first therapist session, 9 in 10 Octave clients say that their therapy experience has been good or better.
After their first therapist session, 9 in 10 Octave clients say that their therapy experience has been good or better.
After their first therapist session, 9 in 10 Octave clients say that their therapy experience has been good or better.
After their first therapist session, 9 in 10 Octave clients say that their therapy experience has been good or better.
After their first therapist session, 9 in 10 Octave clients say that their therapy experience has been good or better.
After their first therapist session, 9 in 10 Octave clients say that their therapy experience has been good or better.
After their first therapist session, 9 in 10 Octave clients say that their therapy experience has been good or better.
After their first therapist session, 9 in 10 Octave clients say that their therapy experience has been good or better.
After their first therapist session, 9 in 10 Octave clients say that their therapy experience has been good or better.
After their first therapist session, 9 in 10 Octave clients say that their therapy experience has been good or better.
Frequently Asked Questions
Therapy works differently when it comes to you. Here's how online sessions hold up, what they cost, and how soon you can be talking to someone.
Yes, for most people and most conditions. Decades of research on video-delivered therapy show outcomes comparable to in-person care for depression, anxiety, PTSD, OCD, insomnia, and more. What predicts results is the quality of the therapist and the consistency of sessions, and online care often makes consistency easier to keep.
Most Octave members pay $28 or less per session using in-network insurance. Before booking anything, run your plan through the cost estimator and see your exact per-session number, so the first session never comes with a question mark.
Most members get a first appointment within 1 to 8 days, with evening and weekend times available. The whole intake happens online; there is no phone tag.
You have the option to book through an Octave Care Navigator or to search our directory and book yourself. In both cases, start by answering a few questions about what you are dealing with, your preferences, and your insurance. Then you can attend your first appointment in 1 to 8 days. If the fit is not right after you meet, you can re-match anytime without starting over.
Yes. Sessions happen over a secure, HIPAA-compliant video platform, one-on-one with your licensed therapist, and the same confidentiality rules that govern in-person therapy sessions still apply. What you need on your end is a device and a space where you can speak freely.
Online therapy at Octave covers depression, anxiety, ADHD, bipolar disorder, PTSD, OCD, panic, social anxiety, insomnia, and the everyday weight of stress, relationships, and transitions. It is not the right tool in a crisis or when a higher level of care is needed; if that is where you are, call or text 988, and use the crisis resources on this page for additional care.
Yes, in select cities. Octave has physical offices, and many members mix formats: online for regular weeks, in person when it matters to be in the room. Your therapist and care stay the same either way where offices are available.

More On Online Therapy
What Online Therapy At Octave Looks Like
Online therapy is real therapy, with licensed clinicians, evidence-based methods, and weekly sessions, delivered over secure video instead of across an office. At Octave that all comes with the two things the traditional route makes hardest: getting a fast, guided match with the right therapist, and seeing your per-session cost before you start.
Costs you can see before you start
A common question around starting therapy is the unknown cost. Octave removes the unknown. Check your coverage with the cost estimator before booking to see your per-session cost. Most members pay $28 or less per session with insurance.
Matching made easy
Therapy works when the fit is right, and finding the fit is often a challenge with the traditional route: calling practices, waiting weeks, and starting over after a bad first try. With Octave you can book through a Care Navigator, who matches you to a therapist, or you can search our directory and book yourself. Either way, you can get a first appointment in 1 to 8 days. If the first fit is not right, re-match easily, without any awkwardness.
Care that continues in person
Online is where most members start, but it does not have to be where care ends: Octave has offices in select cities, and the state and city pages list what is available near you. You get the same therapist standards and the same insurance coverage, whether you're in-person or online.
Starting this week
Answer a few questions and meet with a therapist online or in-person within 1 to 3 days, on average. The hardest part of therapy is getting started, and with Octave, the start has been engineered down to one sitting.
Therapists By State
Search For an Online Therapist in Your State
If you need help right now
Crisis resources.
988 Suicide & Crisis Lifeline
24/7, free, confidential — call or text
Crisis Text Line
Text HOME — 24/7 trained counselors
National DV Hotline
24/7 confidential support
Veterans Crisis Line
Press 1 after dialing 988
SAMHSA National Helpline
Treatment referral & info, 24/7
Trevor Project
LGBTQ+ youth crisis support
Therapy that fits your life, and your insurance.
Meet a licensed therapist in 1 to 3 days, on average, with most members paying $28 or less per session.
Find Your Best Therapist