MDLIVE review

MDLIVE is a telehealth service with a clear promise for therapy: your first appointment within a week or less, at a time that fits, including nights, weekends and holidays. You create an account, pick a licensed therapist or board-certified psychiatrist from its network, and you can see the same person every time or switch whenever you like. Talk therapy sessions typically run 45 to 60 minutes. Before insurance, a first therapy visit costs up to $179 and follow-ups $140, while psychiatry costs up to $299 for a first visit and $159 for follow-ups. Copays for participating plans may be as low as $0, and MDLIVE shows prices upfront in your account. It accepts many major insurers, though not every plan covers every service. There is no messaging plan, so all support happens in scheduled sessions. For self-pay users, a weekly MDLIVE session costs more than most subscriptions, so it makes most sense when your plan covers it.

Who it is for

Adults who want to pick a specific therapist and book evening or weekend sessions.

Price

Therapy up to $179 for a first visit and $140 for follow-ups before insurance; copays may be as low as $0.

Pricing is for initial therapy appointment. Follow-up appointments just $140 before insurance.
Quoted from the vendor pricing page on November 8, 2026.

Key features

• Choose your therapist or psychiatrist and keep the same one
• Appointments seven days a week, including evenings, weekends and holidays
• First therapy appointment in a week or less
• Board-certified psychiatrists for medication
• Accepts many major insurance plans

Strengths and weaknesses

• Strength: You always choose your provider
• Strength: Evening and weekend slots
• Strength: Prices shown upfront before booking
• Weakness: Cash price is high at $179 for a first visit
• Weakness: No messaging between sessions
• Weakness: Not all plans cover all services

Key facts

• Therapy cost: $0 to $179 first visit, up to $140 follow-up
• Psychiatry cost: $0 to $299 first visit, up to $159 follow-up
• Wait time: First therapy visit in a week or less
• Hours: Seven days, including evenings
• Provider choice: You choose

Where it ranks

MDLIVE is No. 7 in our Best Online Therapy Services verdict.