Equine-assisted psychotherapy services are becoming an increasingly popular way to improve mental and emotional well-being. These can include equine-assisted therapy or psychotherapy, equine-assisted learning, therapeutic riding, and so on. Unlike traditional talk therapy, equine-assisted therapy allows participants to interact with horses in a structured way, leading to increased self-awareness, emotional regulation, and confidence–but how much does horse therapy cost?
The answer depends on several factors, including the type of session, location, and whether insurance covers any part of it. Whether you’re dealing with anxiety, PTSD, depression, or other challenges, working with horses in a therapeutic setting can be incredibly beneficial. This guide breaks down the costs involved, what affects pricing, and affordable ways to access equine therapy.
Average Cost of Horse Therapy Sessions
While prices vary, here’s a general idea of what you can expect to pay for different types of equine-assisted therapy:
- Equine-Assisted Psychotherapy (EAP): $75 – $200 per session
- Therapeutic Riding Programs: $40 – $100 per lesson
- Hippotherapy (Medical-Based Therapy): $80 – $250 per session
- Groundwork-Based Therapy: $40 – $90 per session
- Group Therapy Sessions: Often 20-40% cheaper than private sessions
Many facilities offer discounts for package deals (e.g., buying a block of sessions at a lower rate) or sliding scale pricing based on financial need.
What Is Equine Therapy?
Equine therapy refers to a range of therapeutic practices that involve interacting with horses under the guidance of a trained professional. It can help with emotional healing, cognitive development, and even physical rehabilitation. There are several types of equine-assisted therapy, and each one varies in price based on the services provided.
Common Types of Equine Therapy
- Equine-Assisted Psychotherapy (EAP) – A licensed mental health professional and an equine specialist guide therapy sessions where clients interact with horses to process emotions and improve communication skills.
- Therapeutic Riding – A structured riding program where individuals with physical or cognitive challenges learn horseback riding skills to build strength and coordination.
- Hippotherapy – A medical approach where physical, occupational, or speech therapists use a horse’s movement to help clients develop motor and sensory skills.
- Groundwork-Based Therapy – A non-riding method where clients engage in grooming, feeding, leading, and other horse-related activities to build confidence and emotional resilience.
Each of these therapy methods has different costs, with equine-assisted psychotherapy (EAP) typically being more expensive than therapeutic riding or groundwork-based programs.
What Factors Affect the Cost of Equine Therapy?
The price of equine-assisted therapy varies widely depending on several key factors:

Location
Therapy rates often depend on where you live. In areas where the cost of living is high, therapy sessions may be more expensive. Rural areas with more available land and horses tend to offer lower-cost services than urban centers.
Type of Therapy
Equine-Assisted Psychotherapy (EAP) is led by a mental health professional and typically costs more than other types of horse therapy because it is a structured mental health treatment. Therapeutic Riding Programs and hippotherapy involve trained instructors or medical therapists, which can also increase pricing. Groundwork-Based Equine Therapy tends to be more affordable since it does not require as much specialized training.
Session Length and Frequency
Most equine therapy sessions last between 45 minutes to an hour and even up to 90 minutes at times for groupd, but some programs offer longer sessions or intensive therapy programs. Attending weekly therapy is more affordable than daily sessions, but costs add up over time.
Therapist Qualifications
A licensed mental health professional trained in equine-assisted psychotherapy (EAP) will charge more than an equine instructor running a general riding program. The expertise of the provider impacts the cost. However, in Eagala Model training there should be a consideration for paying the Mental Health professional, Equine Specialist, and the facility as well.
Additional Fees
Some facilities may charge for extras like initial assessments, equipment fees (helmets, boots, tack), facility or barn fees, and insurance coverage.
Is Equine Therapy Covered by Insurance?
Insurance coverage for equine therapy depends on the type of treatment and the provider:
- Equine-Assisted Psychotherapy (EAP) may be covered if provided by a licensed mental health professional and billed as mental health treatment.
- Hippotherapy has a higher chance of insurance coverage because it is often classified as physical or occupational therapy when prescribed by a doctor.
- Therapeutic riding and groundwork-based programs are generally not covered by insurance but may qualify for financial assistance through nonprofit organizations.
How to Check if Insurance Covers Horse Therapy
- Contact your insurance provider and ask if equine-assisted therapy is covered under mental health benefits.
- Get a referral from a doctor if seeking physical or occupational therapy.
- Check if your program accepts Health Savings Accounts (HSA) or Flexible Spending Accounts (FSA) for payment.
Affordable Ways to Access Equine Therapy
If full-price sessions are out of reach, there are still ways to participate in equine-assisted therapy at a lower cost:
1. Scholarships and Grants
Many riding centers and therapy organizations offer scholarships to individuals who need financial assistance. Some nonprofit groups fund therapy for veterans, children with disabilities, and individuals with PTSD or will apply for grants to offer groups these services.
2. Nonprofits and Community Programs
Certain organizations provide equine-assisted growth and learning at a reduced rate. Look for local community programs that support mental health or therapy services.
3. Sliding Scale Payment Options
Some therapists adjust pricing based on income. If you’re struggling financially, ask about sliding-scale pricing or installment payment plans.
FAQs About How Much Does Equine Therapy Cost
How much does a typical equine therapy session cost?
Costs vary by type of therapy, but sessions generally range from $40 to $300 depending on the service and provider.
Can I get equine therapy for free or at a reduced cost?
Yes! Many programs offer scholarships or sliding-scale pricing opportunities to help make therapy more affordable.
Is equine therapy covered by insurance?
Some equine-assisted psychotherapy (EAP) and hippotherapy sessions may be covered, but therapeutic riding is usually not. Always check with your insurance provider.
How do I find a reputable equine therapy provider?
Look for centers affiliated with professional organizations or visit our programs page for a provider near you. It’s also important to ask whether the provider is certified in an accredited, ground-based model like the Eagala Model. This ensures a consistent standard of ethics, safety, and client-centered care.
How many sessions of equine therapy do I need?
This depends on your personal goals. Some people benefit from weekly sessions, while others see progress with biweekly or monthly therapy. Discuss with your therapist to determine what’s best.
What’s the difference between equine therapy and traditional talk therapy modalities?
Equine therapy is hands-on and involves interactions with horses to help process emotions and develop coping skills. Traditional talk therapy relies on verbal communication and discussion.
Interested in Equine Therapy? Get Started Today!
If you’re thinking about trying equine therapy, now is the time to take the first step. Eagala-certified therapists and equine specialists can be found throughout the world!
For those interested in becoming a provider, Eagala offers professional training in equine-assisted psychotherapy. Learn how to facilitate therapy sessions, work with clients, and help people experience the benefits of equine therapy.
