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Therapy platform · With licensed clinicians

Octave

Insurance-based talk therapy for individuals, couples and families by video in 22 states, or in person in a few cities.

Available with limits.

22 states (AZ, CA, CO, CT, FL, GA, IL, MD, MA, MN, NJ, NY, NC, OH, OR, PA, SC, TN, TX, VA, WA, WI); in-person only in select cities. No Medicare or Medicaid.

Checked 2026-10-27 · findoctave.com, findoctave.com, choosingtherapy.com

You match with a licensed Octave therapist and meet weekly by video, or in person in cities such as Los Angeles, San Francisco, New York and Philadelphia. Most clients use in-network commercial insurance (Octave says about $28 a session on average); self-pay is about $170 to $275 a session. It does not take Medicare or Medicaid.

  • From Copay with insurance (average about $28/session per Octave); $170–$275/session self-pay
  • Insurance accepted
  • Web
  • Privacy C

Reviewed by HeyPsych Board · 2026-10-27

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Is it right for you?

Both sides, from our review. Tap what describes you.

A good fit if

Look elsewhere if

Tap anything that describes you.

What it's for

  • Individual talk therapy by video
  • Couples and family therapy
  • In-person therapy in select cities
  • Therapy billed to commercial insurance

What it costs

Covered by insurance

From Copay with insurance (average about $28/session per Octave); $170–$275/session self-pay

Insurance may cover it

Over a year

$28 a session

Weekly sessions would come to about $1,456 a year

Worked out from the listed price. Check the vendor for today’s price.

How you start: Check your insurance is accepted, then book

Commercial insurance only; no Medicare or Medicaid. California self-pay: $205 per 45-minute individual session, $250 per 55-minute couples/family session. Some HSA/FSA cards accepted. Benefits checked before your first session; a cost estimator is on its site.

Privacy, evidence & safety

Privacy

C

Our privacy grade, from the facts below

Sells data or shares it for ads
Yes
You can have your data deleted
Policy doesn't say
Health data protected by HIPAA
Not stated
Data stays on your device
No
Account needed
Yes
Regulatory action (last 5 years)
None found

Research

Early research

How we rate research

Trade-offs

  • No mobile app available

What we couldn't verify

  • HIPAA compliance status is unverified
  • Clinical evidence is limited or still emerging

Its California privacy notice says third-party advertising and analytics cookies on its website count as a 'sale' under California law; you can opt out, and Global Privacy Control is honored.

Privacy policy read 2026-10-27 · How we grade privacy

Octave is not for a crisis. If you are thinking about suicide or in danger, call or text 988 any time.

Alternatives & comparisons

The full guide

Everything we know about Octave, chapter by chapter.

3 chapters · about 3 min to read it all. Open any one.

About it

Questions

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