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An honest comparison of online speech therapy services for children: published pricing, insurance and coverage, side by side.
Side-by-side pricing and features
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| Provider | Session Price | Getting Started | Waitlist | Insurance | States |
|---|---|---|---|---|---|
ArticulinkOur Pick | $65 - $150 | Free consultation, $99 full evaluation | No waitlist | HSA/FSA accepted, superbills provided | Utah, Idaho, and Wyoming |
Expressable | $88 private-pay rate ($176 standard rate) | $175 evaluation (private-pay rate) | Not published | In-network with many insurers, including Medicaid and Medicare | All 50 states |
Better Speech | $79.95/week (one session a week, billed every 4 weeks) | Not published | No waitlist (per company) | Medicare Advantage in-network; superbills for other plans; HSA/FSA | All 50 states |
Great Speech | Not published (private pay available) | Not published | Not published | In-network with major insurers, including Humana, UHC, BCBS, and Tricare | 37 to 45 states (per company pages) |
Connected Speech Pathology | $75 (30 min) to $150 (60 min) | Free phone consultation, $175 evaluation | Not published | Private pay; superbills for out-of-network claims | Multiple states (per company) |
TeleSesh | $60 to $65 per 30-min session (monthly plans) | Not published | Not published | Documentation provided for reimbursement; coverage varies by plan | Not published |
Competitor details come from each company's own website, checked October 2026 (sources are listed on each card below). Prices change, so confirm with providers directly.
Among the online providers above, published prices for a session run from about $60 to $176. Private-pay in-person therapy often costs about $100 to $250 per session. The best choice depends on your budget, insurance situation, and child's specific needs.
Sources: Expressable terms, Connected Speech Pathology rates, TeleSesh pricing, Constant Therapy
In-depth look at each provider
$65 - $150
Getting started: Free consultation, $99 full evaluation
HSA/FSA accepted, superbills provided
Sessions: 20 or 50 minutes, Flexible, evenings & weekends
Utah, Idaho, and Wyoming
Ages: 2-18 years
$88 private-pay rate ($176 standard rate)
Getting started: $175 evaluation (private-pay rate)
In-network with many insurers, including Medicaid and Medicare
All 50 states
Sources: Expressable pricing, Expressable terms, Expressable insurance, Expressable states
From the company's website, checked October 2026.
$79.95/week (one session a week, billed every 4 weeks)
Getting started: Not published
Medicare Advantage in-network; superbills for other plans; HSA/FSA
All 50 states
Sources: Better Speech pricing, Better Speech FAQ, Better Speech
From the company's website, checked October 2026.
Not published (private pay available)
Getting started: Not published
In-network with major insurers, including Humana, UHC, BCBS, and Tricare
37 to 45 states (per company pages)
Sources: Great Speech insurance, Great Speech schools
From the company's website, checked October 2026.
$75 (30 min) to $150 (60 min)
Getting started: Free phone consultation, $175 evaluation
Private pay; superbills for out-of-network claims
Multiple states (per company)
Sources: Connected Speech Pathology rates, Connected Speech Pathology FAQ, Connected Speech Pathology
From the company's website, checked October 2026.
$60 to $65 per 30-min session (monthly plans)
Getting started: Not published
Documentation provided for reimbursement; coverage varies by plan
Not published
Sources: TeleSesh pricing, TeleSesh speech services
From the company's website, checked October 2026.
Common questions about choosing a provider
Sources: Expressable terms, Connected Speech Pathology rates, TeleSesh pricing
Sources: Coufal et al., AJSLP (2018), Wales et al., Int J Telerehabil (2017), Roberts & Kaiser, AJSLP (2011)
How we gathered this information
This comparison was compiled using publicly available information from each provider's website, pricing pages, and third-party review sites. Prices and features are current as of March 2024 but may change. We recommend contacting providers directly for the most up-to-date information.
Disclosure: Articulink is included in this comparison as we believe in transparency about how we stack up against alternatives. We've tried to present all providers fairly, including our own pros and cons.
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