Between nothing and about $1,500, depending entirely on how you get it. The spread is enormous because "CBT-I" describes the method, not the delivery, and the delivery is what you actually pay for.
The four routes
| Route | Typical cost | The catch |
|---|---|---|
| Behavioral sleep specialist | $150–250 a session, 6–8 sessions | Only a few hundred certified in the whole country. Waiting lists are long where they exist at all. |
| Prescription digital therapeutic | Varies; insurance sometimes | Needs a physician appointment before you can buy it. |
| Direct-to-consumer app | Free to about $200 | Whether it stops charging when the program ends. |
| Employer or insurer | Free | Only if yours offers it. Several programs are distributed no other way. |
Check the free route first
Before you pay anything: look at your employer's benefits portal, ask your insurer whether they cover a digital sleep program, and if you are a veteran, ask the VA — CBT-I is offered through the VA system.
It costs one email to find out, and it is the cheapest advice on this page.
Where the money actually goes wrong
Not in the headline number. In the renewal.
Read app store reviews of this category and the same complaint recurs: a low introductory price, then a charge people did not expect once the introductory period ended. The program itself is rarely the grievance. The billing is.
So before you buy anything, find the sentence that answers: what happens when the program finishes? If a company has made that hard to locate, that is the answer.
The other four questions worth asking before choosing a program.