Counseling and therapy Google Ads cost per click
Across the US, a typical counseling and therapy campaign on Google Ads pays about $4.20 a click. That ranks 98 of the 146 kinds of business measured here, where the one in the middle pays $5.40.
$4.20
Cost per click, US
1.8 million
Searches a month, US
$5.20 to $18.70
Google's top-of-page bids for the same searches
By service
Clicks for individual therapy cost the most at $4.60, 4.6 times those for psychiatry and testing at $1.00. A campaign that takes every service pays somewhere between, set by which ones people search for most where it runs.
| Service | Cost per click | Searches a month |
|---|---|---|
| Individual therapy | $4.60 | 1.1 million |
| Couples and family counseling | $4.50 | 580,000 |
| Psychiatry and testing | $1.00 | 180,000 |
By state
A click costs the most in Colorado at $6.00, 2.5 times one in Iowa at $2.40. The same searches cost more where more businesses bid on them and each customer is worth more.
Where people search most
| State | Cost per click | Searches a month |
|---|---|---|
| California | $5.20 | 190,000 |
| Texas | $4.70 | 170,000 |
| New York | $4.00 | 110,000 |
| Florida | $5.50 | 110,000 |
| Illinois | $4.00 | 78,000 |
| Pennsylvania | $3.90 | 75,000 |
| Ohio | $3.80 | 69,000 |
| North Carolina | $3.80 | 68,000 |
| Michigan | $3.80 | 62,000 |
| Georgia | $4.50 | 62,000 |
Dearest and cheapest
| State | Cost per click |
|---|---|
| Colorado | $6.00 |
| Florida | $5.50 |
| District of Columbia | $5.30 |
| New Jersey | $5.30 |
| California | $5.20 |
| West Virginia | $2.60 |
| Vermont | $2.60 |
| Louisiana | $2.50 |
| South Dakota | $2.50 |
| Iowa | $2.40 |
Every state with enough searches (51)
| State | Cost per click | Searches a month |
|---|---|---|
| Colorado | $6.00 | 38,000 |
| Florida | $5.50 | 110,000 |
| District of Columbia | $5.30 | 6,900 |
| New Jersey | $5.30 | 53,000 |
| California | $5.20 | 190,000 |
| Massachusetts | $4.70 | 43,000 |
| Texas | $4.70 | 170,000 |
| Arizona | $4.60 | 43,000 |
| Georgia | $4.50 | 62,000 |
| Virginia | $4.50 | 56,000 |
| Maryland | $4.40 | 37,000 |
| Connecticut | $4.30 | 22,000 |
| Indiana | $4.00 | 36,000 |
| Illinois | $4.00 | 78,000 |
| New Hampshire | $4.00 | 8,100 |
| New York | $4.00 | 110,000 |
| Pennsylvania | $3.90 | 75,000 |
| North Carolina | $3.80 | 68,000 |
| Washington | $3.80 | 48,000 |
| Nevada | $3.80 | 16,000 |
| Tennessee | $3.80 | 39,000 |
| Michigan | $3.80 | 62,000 |
| Ohio | $3.80 | 69,000 |
| Delaware | $3.70 | 6,200 |
| Rhode Island | $3.70 | 6,000 |
| Missouri | $3.70 | 33,000 |
| Utah | $3.50 | 24,000 |
| Maine | $3.50 | 7,600 |
| Oregon | $3.40 | 26,000 |
| Kentucky | $3.40 | 22,000 |
| Minnesota | $3.40 | 32,000 |
| Idaho | $3.30 | 10,000 |
| New Mexico | $3.20 | 9,000 |
| South Carolina | $3.20 | 28,000 |
| Kansas | $3.20 | 17,000 |
| Oklahoma | $3.10 | 18,000 |
| Montana | $3.10 | 4,500 |
| Wyoming | $3.00 | 3,000 |
| Wisconsin | $2.90 | 30,000 |
| Alaska | $2.90 | 3,100 |
| Alabama | $2.80 | 25,000 |
| Nebraska | $2.80 | 9,200 |
| Hawaii | $2.70 | 6,100 |
| North Dakota | $2.70 | 3,500 |
| Arkansas | $2.60 | 14,000 |
| Mississippi | $2.60 | 12,000 |
| West Virginia | $2.60 | 7,900 |
| Vermont | $2.60 | 3,700 |
| Louisiana | $2.50 | 20,000 |
| South Dakota | $2.50 | 3,900 |
| Iowa | $2.40 | 16,000 |
Against Google's own bids
Keyword Planner puts the top-of-page bids for these searches at $5.20 to $18.70: what advertisers bid to show above the results. A typical campaign pays less than even the low end, $4.20, because Google charges what it takes to beat the ad below, most ads show under the top on many searches, and the longer searches with fewer bidders cost less. Planning a budget on the top-of-page bid overstates what clicks will cost.
The price level comes from LocaliQ's own median for this business, from what real campaigns paid; Google's prices only set how its services and the states compare.
Priced near counseling and therapy
Just above and below in the ranking
- Towing$4.40
- Auto repair$4.30
- Health and Medicare insurance$4.30
- Courier and delivery$4.00
- Veterinarian$4.00
- Acupuncture$4.00
Others in health and wellness
- Orthodontist$8.80
- Dentist$8.00
- Hearing aids$8.00
- Pediatric dentist$7.20
- Senior care$6.30
- Plastic surgery$5.70
- Doctor's office$5.50
- Weight loss clinic$5.40
Where the figures come from
Google's own search counts and click prices for the year to August 2026 (Keyword Planner, through DataForSEO), scaled to what campaigns paid in LocaliQ's published studies, rounded to ten cents. They are medians: half of campaigns pay more. The full method is on the benchmark page, and the budget calculator runs on the same data for any ZIP code.
Bringing your own cost per click down starts in the account:
Written by Grant Epley. Last reviewed October 11, 2026. Search data to August 2026.