States with the highest out-of-pocket therapy costs

The average out-of-pocket cost for 60 minutes of psychotherapy was $174 in 2021, according to an analysis from Milliman. 

The report, commissioned by mental health nonprofit Inseparable, compared the out-of-pocket costs for psychotherapy for self-pay, commercially insured and Medicare patients. 

Nationally, psychiatrists are less likely to accept insurance coverage of all types than other providers, Milliman noted in the report. 

Here are the 10 states with the highest average out-of-pocket costs for psychotherapy for which data was available: 

1. Louisiana
   Average out-of-pocket cost for 60-minute psychotherapy visit: $287 

2. North Dakota
   Average cost: $240 

3. California:
   Average cost: $235 

4. New York
   Average cost: $218 

5. Nevada
   Average cost: $214 

6. Alaska
   Average cost: $209 

7. Minnesota
   Average cost: $207 
   
   
8. Hawaii
   Average cost: $205 
   
   
9. Arkansas
   Average cost: $201 
   
   
10. Mississippi
    Average cost: $201