Affordable therapy at -80 per session for uninsured and underinsured clients
Open Path is the best option for uninsured or underinsured clients who want real therapy at accessible prices. Therapists set their own sliding scale rates. One-time membership fee.
We've tested 34+ platforms. This review reflects hands-on experience, not marketing copy.
Open Path at a Glance
Open Path
Affordable therapy at -80 per session for uninsured and underinsured clients
Open Path is a therapist collective built specifically to address the affordability gap in mental health care. Therapists on the platform agree to offer sliding scale rates of -80 per session — significantly below their standard rates — in exchange for access to clients who couldn't otherwise afford care. A one-time membership fee of gives clients lifetime access to the network. Insurance is not accepted, which is actually the point: Open Path exists for the population that doesn't have insurance or whose insurance doesn't cover mental health effectively. The therapist network is real licensed clinicians, not coaches or counselors — you get the same quality as a traditional therapy practice at a fraction of the cost.
Pricing & Plans
Open Path requires a one-time membership fee that grants lifetime access to the network. After joining, sessions are booked at -80 each, set by individual therapists at their sliding scale rate. There are no monthly subscription costs — you pay per session. For someone attending weekly therapy, the annual cost at /session is roughly ,600 plus the membership.
The membership buys you lifetime access to real licensed therapists at -80 a session. For people who've been told therapy is something they can't afford, that changes the math.
Who Open Path Is Best For
Who Should Look Elsewhere
Session Formats
Session formats depend on the individual therapist. Most offer video, and some offer in-person sessions depending on location. Booking and payment are managed through the Open Path platform, but sessions may be conducted through the therapist's own video system or Open Path's integrated tool.
Compare Your Options
Not sure if Open Path is the right fit? These reviews cover related platforms and conditions worth reading alongside this one.
Our Verdict
Open Path is the best option for uninsured or underinsured clients who want real therapy at accessible prices. Therapists set their own sliding scale rates. One-time membership fee.
Coming Soon — Check BackAbout Our Editorial Process
DTS Research Team Editorial
Anxiety Disorders · CBT · Trauma-Informed Care
Every recommendation on this page was independently researched, cross-referenced against current clinical literature, and verified for accuracy by the DTS editorial team. Platforms are re-evaluated monthly.
We're not therapists — we're researchers who spent hundreds of hours comparing these platforms so you don't have to. Some links on this page are affiliate links, meaning we may earn a commission if you sign up. This never influences which platforms we recommend or how honestly we report their limitations.
Pricing reflects our most recent research as of March 2026 and may vary by location. Confirm directly with Open Path before signing up.