TeleRanked

Run a telehealth clinic? Claim your profile on TeleRanked.

Mental Health & Therapy

The Best Online Therapy That Takes Insurance

We ranked the best online therapy services that bill insurance, on how easily you match with an in-network therapist, copay clarity, and therapist quality.

The TeleRanked Editors·Reviewed by our clinical advisory team·Updated July 24, 2026·9 min read

Quick answer

Grow Therapy (4.3/5) is our top-rated mental health provider, best overall, starting at Insurance copay (often under $40). Headway (4.1/5) is our Best for In-Network Matching pick.

Editorially independent: Our rankings and ratings are decided by our editors and are never for sale. Clinics can claim and manage their profile, but cannot pay to change their position or score. See our methodology.

Most subscription therapy apps are cash-pay, but a different set of services is built specifically to bill your insurance, matching you with an in-network licensed therapist so you pay only a copay. These networks can make therapy dramatically cheaper than a flat weekly subscription, if you know which ones to use and how to check coverage.

We evaluated each service on how easily it matches you with an in-network therapist, how clearly it shows your expected copay, therapist quality, and scheduling speed. None of the rankings below are paid placements.

Pick by what matters to you

The right choice depends on your priority. Here is the standout for each.

At a glance

#ServiceBest forRatingFromLink
1Grow TherapyBest Overall★★★★★4.3Insurance copay (often under $40)Visit
2HeadwayBest for In-Network Matching★★★★★4.1Insurance copayVisit
3AlmaBest for Therapist Quality★★★★★4.0Insurance copayVisit
4RulaBest for Fast Scheduling★★★★★4.1Insurance copay (self-pay from $150/session)Visit
5TalkiatryBest for Psychiatry and Medication★★★★★4.2Insurance copayVisit
6Brightside HealthBest for Depression and Anxiety★★★★★4.1Insurance copay, or $95/mo psychiatryVisit
1
Best Overall

Grow Therapy

Affordable in-network therapy and psychiatry

★★★★★4.3Avg ~$21/session with insurance

Pros

  • Large network of roughly 23,000 providers
  • In-network with plans covering 180M-plus Americans
  • Low average copays and pay-after-visit model

Cons

  • Self-pay options vary widely by provider
  • Newer company still scaling quality controls
  • Not all providers are in-network

Our verdict: Strongest pick for finding low-cost, insurance-covered care fast.

Visit Grow Therapy
2
Best for In-Network Matching

Headway

In-network therapy and psychiatry nationwide

★★★★★4.1Copay ~$20 to $60/session

Pros

  • Insurance-first model lowers out-of-pocket cost
  • Shows estimated cost before booking
  • Large nationwide network across all 50 states

Cons

  • Requires an accepted in-network insurance plan
  • Marketplace model means quality varies by provider
  • Limited recourse for self-pay patients

Our verdict: Strong pick if you want affordable in-network therapy or psychiatry.

Visit Headway
3
Best for Therapist Quality

Alma

Find in-network therapists, simplified

★★★★★4.0Avg ~$20/session with insurance

Pros

  • Available in all 50 states with 8,000-plus therapists
  • Supports both insurance and self-pay clients
  • Filter by specialty and identity

Cons

  • Care quality varies across independent providers
  • Insurance acceptance depends on the therapist
  • Less centralized oversight than a single practice

Our verdict: Good directory for matching with an in-network independent therapist.

Visit Alma
4
Best for Fast Scheduling

Rula

Insurance-covered therapy and psychiatry nationwide

★★★★★4.1~$15 copay/session

Pros

  • Covered therapy in all 50 states plus D.C.
  • Large network of 10,000-plus providers
  • Accepts most major insurers

Cons

  • Psychiatry available in fewer states than therapy
  • Formerly Path, brand still establishing recognition
  • Self-pay rates higher than insurance copays

Our verdict: A solid insurance-first network with deep provider choice and family options.

Visit Rula
5
Best for Psychiatry and Medication

Talkiatry

In-network online psychiatry

★★★★★4.2~$30/visit with insurance

Pros

  • In-network with major insurers
  • Board-certified psychiatrists
  • Real medication management

Cons

  • Insurance required for best price
  • Not for one-off visits

Our verdict: Best in-network online psychiatry and ADHD care.

Visit Talkiatry
6
Best for Depression and Anxiety

Brightside Health

Depression and anxiety care, all 50 states

★★★★★4.1Copay ~$15 to $30, or $95/mo self-pay

Pros

  • In-network with major insurers and some Medicare/Medicaid
  • Available in all 50 states plus D.C.
  • Measurement-based care with crisis-risk monitoring

Cons

  • Cannot prescribe controlled substances such as ADHD stimulants
  • Self-pay therapy is costly versus peers
  • Narrower focus on depression and anxiety

Our verdict: Strong, clinically focused choice for medication-led depression and anxiety care.

Visit Brightside Health

How we ranked insurance-based therapy services

We favored services that accept a broad range of plans, verify your benefits up front, and show your likely copay before you book, then match you quickly with a well-vetted, licensed therapist. Narrow plan acceptance or hidden fees counted against a service.

Therapy networks vs subscription apps

Insurance networks like Grow Therapy, Headway, and Alma help independent therapists bill your plan, so you pay a copay rather than a flat subscription. Subscription apps can be simpler but are usually cash-pay and cost more over time. If you have mental-health coverage, a network is almost always the cheaper route.

What to look for

  • Confirmation that the service accepts your specific plan
  • An up-front estimate of your copay before the first session
  • A large enough therapist network to match your needs
  • Psychiatry and medication management if you need prescriptions
  • Clear policy on cost if a therapist turns out to be out of network

The bottom line

Grow Therapy is the most complete insurance-based option and our overall pick, with Headway close behind for in-network matching and Alma strong on therapist quality. If you also need medication, Talkiatry is the best insurance-first psychiatry option, and Brightside is the standout for structured depression and anxiety care.

Frequently asked questions

Does online therapy take insurance?+

Some services do. Networks like Grow Therapy, Headway, and Alma are built to bill insurance so you pay a copay, while many subscription apps are cash-pay. Always verify that the service accepts your specific plan before booking.

How much is online therapy with insurance?+

With in-network coverage, a session typically costs a copay of $0 to $50, though your exact copay depends on your plan and some Headway or psychiatry visits can run higher. That compares with roughly $65 to $100 a week for a cash-pay subscription. Confirm your benefits before the first session.

What if my therapist is out of network?+

You may pay the full session rate or a higher share of the cost. Good services check your benefits and match you with in-network therapists up front, and some can provide a superbill you submit for partial out-of-network reimbursement.