Geographic reach differs significantly: Geode operates in just six states with physical office locations, while Grow Therapy offers nationwide coverage across all 50 states plus Washington, D.C.
Grow Therapy offers faster access and clearer pricing: Appointments are available in two days or less with an average cost of $21 per session with insurance, whereas Geode requires contacting the office for specific pricing details.
Geode provides advanced treatment options: For treatment-resistant conditions, Geode offers specialized services like TMS and Spravato (intranasal ketamine) that Grow Therapy does not provide.
Provider network size varies considerably: Grow Therapy has 23,000+ providers with 90+ specialties, while Geode's network size isn't publicly listed but includes psychiatrists, nurse practitioners, and therapists working as a coordinated team.
Rula as another option: Rula combines therapy and psychiatry across a large network of 21,000+ providers, accepting most major insurance plans and offering virtual and in-person care with clear upfront costs for many patients.
Choosing a mental health platform for online therapy should be straightforward. But when you're evaluating platforms like Geode and Grow Therapy, the variations in cost, provider availability, and services offered can quickly become confusing, particularly when you're already dealing with the stress of finding care.
Both platforms offer insurance-covered care with virtual and in-person options, but they serve different needs. Geode provides community-based care with advanced treatments in six states, while Grow Therapy offers nationwide access to 23,000+ providers. In this guide, we'll break down their features, costs, and strengths to help you find the right fit in this online therapy comparison.
You could also consider Rula when exploring mental health care options. Rula works with a nationwide network of over 21,000 licensed providers, accepts most major insurance plans, and offers both therapy and psychiatry through virtual and in-person appointments. With insurance, many patients pay around $15 per session.
Geode vs. Grow Therapy: Differences at a glance
Both Geode and Grow Therapy offer accessible mental healthcare with insurance coverage, but they differ significantly in their geographic reach, provider network size, and service delivery models. These distinctions are important if you’re trying to find a therapist who fits your needs. Here is how these online therapy platforms compare across key factors.
Average cost per session with insurance:
Geode: Cost varies by insurance plan, but the platform accepts most commercial insurances and Medicare
Grow Therapy: $21 per session on average with insurance
Self-pay pricing:
Geode: Self-pay rates are available by contacting the office
Grow Therapy: $75 to $200 per session without insurance, with sliding scale options available
Total provider network:
Geode: Provider count is not specifically listed online, but the network employs psychiatrists, nurse practitioners, and therapists
Grow Therapy: 23,000+ providers nationwide
Modes of communication:
Geode: In-person and virtual (online video) sessions are available
Grow Therapy: Virtual and in-person sessions are available, including nights and weekends
Services offered:
Geode: Talk therapy, psychiatry, medication management, psychotherapy, transcranial magnetic stimulation (TMS), and Spravato (intranasal ketamine)
Grow Therapy: Talk therapy, couples counseling, family therapy, and medication support
Insurance acceptance:
Geode: In-network with most commercial insurances and Medicare; doesn't accept Medicaid
Grow Therapy: In-network with 80+ plans, including most major insurances, Medicare, and Medicaid
States covered:
Geode: Six states (Georgia, Illinois, Nebraska, North Carolina, Texas, and Wisconsin)
Grow Therapy: All 50 states plus the Washington, D.C.
Number of specialties offered:
Geode: Specific count is not provided, but treats anxiety, bipolar disorder, depression, ADHD, OCD, mood disorders, disordered eating, and trauma
Grow Therapy: 90+ specialties, including anxiety, depression, ADHD, trauma, PTSD, OCD, eating disorders, and addiction
Inclusivity and patient focus:
Geode: Provides LGBTQIA+ affirming services and offers specialized care designed for children and adolescents
Grow Therapy: Enables clients to search for providers based on specific population focus areas, provides care in 35+ languages (including ASL), and offers sliding scale pricing for those paying out-of-pocket
Virtual-only or virtual + in-person availability:
Geode: Hybrid model with physical locations plus secure video visits
Grow Therapy: Hybrid model offering both virtual and in-person sessions
Geode at a glance
Founded in 2021, Geode is a mental health practice network operating in six states that combines in-person care at community-based locations with virtual visit options. Its team includes psychiatrists, psychiatric nurse practitioners, psychiatric physician assistants, and therapists working together to deliver coordinated care. Services include talk therapy, psychiatry, medication management, and advanced treatments like TMS and Spravato for treatment-resistant conditions.
Geode accepts Medicare and most commercial insurance plans, with same-week appointment availability. Payment plans are available for patients experiencing financial hardship, and all self-pay patients sign an agreement outlining rates for each service. Exact pricing depends on insurance and service type, so the office provides the most accurate estimate at booking.
Grow Therapy at a glance
Grow Therapy is a nationwide telehealth and in-person therapy platform that connects clients with more than 23,000 licensed mental health providers across all 50 states and Washington, D.C. The platform accepts 80+ insurance plans, including most major carriers, Medicare, and Medicaid, with an average session cost of $21 with insurance. Services include talk therapy and medication support, with no subscriptions or surprise fees.
Grow Therapy emphasizes fast access with no waitlists: clients can book online in about 10 minutes and start care in two days or less. The platform offers flexible scheduling including nights and weekends, with both virtual and in-person session options. Clients can switch providers if their first match isn't the right fit. For those paying out-of-pocket, sessions range from $75 to $200, with sliding scale options available.
Rula at a glance
Rula is a mental health platform founded in 2019 that helps people find licensed therapists and psychiatric practitioners covered by their insurance and book appointments online. Rula's nationwide network spans 21,000+ providers across all 50 states and Washington, D.C., offering therapy for ages 5+ and psychiatry for ages 13+.
Patients can choose from individual, couples, family, child, and teen therapy, with sessions held via live video on Zoom. In-person therapy is also available at provider-operated offices. After verifying insurance, patients can browse a curated list of in-network providers, see an estimated out-of-pocket cost before their first appointment, and book a time online. Many patients using insurance pay around $15 per session, and appointments are often available as soon as tomorrow.
The care you need, when you need it
Learn how Rula can support your mental health journey
Clinical outcomes and how they compare
When choosing a mental health platform, clinical outcomes and evidence-based approaches are critical indicators of whether treatment will actually help you make progress. Measurable improvements in symptoms like depression and anxiety demonstrate that a platform's care model is working effectively for real patients.
Geode clinical outcomes
78% of Geode patients demonstrated meaningful progress on PHQ-9 and GAD-7 assessments by their fourth month of care. PHQ-9 and GAD-7 are validated clinical measures that track depression and anxiety symptoms over time.
Grow Therapy clinical outcomes
Grow Therapy measures patient satisfaction through its Net Promoter Score, which stands at 85. The platform also tracks clinical progress, reporting that clients with moderate to severe symptoms experience an average symptom reduction of around 50%, which represents clinically meaningful improvement in therapeutic outcomes.
Rula clinical outcomes
Rula's clinical outcomes exceed national standards by more than 10%, with 93% of patients experiencing symptom improvement following treatment, 94% feeling at ease with their provider, and 98% finding a provider who matches their needs and preferences.
Cost and insurance coverage
Both Geode and Grow Therapy accept insurance as a primary payment method, but they differ in their network breadth and out-of-pocket costs. Understanding the specific insurance plans accepted and typical costs can help you determine which platform offers better coverage for your situation, especially if you're comparing online therapy with insurance options.
Insurance plans accepted
Geode works with most major commercial insurance carriers and participates in Medicare and Medicare Advantage networks. Unlike some platforms, Geode doesn't accept Medicaid coverage. To ensure your plan is accepted, it's best to verify your specific coverage directly with your insurance provider before scheduling an appointment.
Grow Therapy is in-network with 80+ plans including most major carriers like Aetna, Anthem, Blue Cross Blue Shield, Cigna, UnitedHealthcare, Humana Medicare, Oscar, and Oxford. The platform also accepts regional and state-specific plans like Kaiser Permanente, various Medi-Cal plans in California, and state Medicaid plans, plus specialty plans including EAP programs.
Another option to consider is Rula, which is in-network with many major insurance plans, including Aetna, Anthem, Blue Cross Blue Shield, Cigna, Kaiser Permanente, Optum, Oscar, and UnitedHealthcare. Rula also accepts Medicare Advantage, Medicare fee-for-service, and Managed Medicaid coverage for select states and insurers, and it provides a personalized cost estimate prior to your first appointment.
Out-of-pocket costs (with insurance)
Exact copay amounts and out-of-pocket costs with Geode vary by individual insurance plan. Patients are advised to check with their insurance provider or contact the Geode office directly for cost estimates.
Grow Therapy states that the average session cost with insurance is $21 per session, with no subscriptions or additional fees. The platform can show estimated costs with insurance during the provider search process.
HSA/FSA eligibility
Geode accepts health savings account (HSA) and flexible spending account (FSA) cards, along with credit cards and debit cards. Grow Therapy explicitly accepts HSA, FSA, and HRA cards to help cover the cost of care.
Self-pay pricing
Self-pay rates for Geode are not listed publicly, so you'll need to reach out to the office directly to get current pricing information. Payment plans are available if you're facing financial challenges.
For those without insurance, Grow Therapy operates on a pay-per-session basis. Individual sessions typically cost between $75 and $200, with pricing determined by each provider. The platform doesn't charge subscription fees, meaning you're only billed for the appointments you complete.
Mental health services offered
The range of services and treatment approaches a platform offers determines whether you can access the specific type of care you need, from traditional talk therapy to specialized treatments. Both Geode and Grow Therapy provide therapy and medication support, but Geode also offers advanced treatment options for complex or treatment-resistant conditions.
Treatment approaches offered by Geode
Geode's offerings fall into five primary treatment areas, each containing subcategories:
Depression and mood
Behavioral and ADHD
Past trauma
Anxiety and panic
Disordered eating
For treatment-resistant conditions, Geode provides advanced interventions:
Transcranial magnetic stimulation (TMS): A non-invasive treatment option for depression that hasn't responded to other approaches, offered at select locations
Spravato® (esketamine): A prescription nasal spray for treatment-resistant depression, offered at select locations
Medication management and psychiatry services are available through Geode's licensed psychiatrists, psychiatric nurse practitioners, and physician assistants.
Treatment approaches offered by Grow Therapy
Geode organizes its services into five main treatment categories, with specialized care available within each:
Depression and mood disorders
Behavioral concerns and ADHD
Trauma-related conditions
Anxiety and panic disorders
Disordered eating patterns
When standard treatments haven't been effective, Geode offers specialized interventions for treatment-resistant conditions:
Transcranial magnetic stimulation (TMS): A non-invasive approach for depression that hasn't improved with traditional treatments, available at certain locations
Spravato® (esketamine): An intranasal prescription treatment for treatment-resistant depression, available at certain locations
Geode's licensed psychiatrists, psychiatric nurse practitioners, and physician assistants provide medication management and comprehensive psychiatry services.
Treatment approaches offered by Rula
Rula provides scheduled mental health services, including individual therapy, couples therapy, family therapy, and psychiatry for medication management.
With a nationwide network spanning 180+ clinical specialties and modalities, Rula connects patients with providers experienced in treating diverse concerns such as anxiety, ADHD, autism, trauma and PTSD, OCD, and addiction.
Treatment modalities available through Rula include:
EMDR and prolonged exposure therapy
The Gottman Method
Inclusivity and specialized care
Finding a provider who understands your identity, background, and specific needs is essential for building trust and making real progress in therapy. Both platforms emphasize inclusive care, but they differ in how explicitly they communicate their inclusivity commitments and the breadth of specialized expertise available.
Geode inclusivity and specialization overview
Licensure types: Geode employs psychiatrists, psychiatric nurse practitioners, psychiatric physician assistants, and licensed therapists. This mix of provider types allows for comprehensive care that can include therapy, psychiatric evaluation, and medication management all within one coordinated team.
Specializations offered: Core specializations include anxiety, bipolar disorder, depression, ADHD, OCD, mood disorders, disordered eating, and trauma. Child and adolescent psychiatry and therapy are available with providers experienced in working with young people.
Languages available: Language availability is not specified on the Geode website. Patients should contact individual offices to inquire about language options.
Inclusivity factors: Geode maintains an intentional culture of inclusion that affirms diverse sexual orientations, gender identities, races, ethnicities, and faiths. The platform is LGBTQIA+ affirming.
Grow Therapy inclusivity and specialization overview
Licensure types: Grow Therapy's network of 23,000+ providers includes therapists and prescribers. Providers can offer both therapy and medication support, and the large network size allows for diverse provider backgrounds and specializations.
Specializations offered: With 90+ specialties, Grow Therapy offers a broad range of specialized care. Common specializations include anxiety, depression, trauma, ADHD, OCD, eating disorders, addiction, bipolar disorder, and personality disorders.
Languages available: Providers offer care in 35+ languages. American Sign Language (ASL) is also available for patients who need it.
Inclusivity factors: The provider search allows filtering by demographic needs including LGBTQ, women's issues, men's issues, older adults, military and veterans, foster care, and racism.
The care you need, when you need it
Learn how Rula can support your mental health journey
Platform availability and access
How quickly you can get care, how easily you can find the right provider, and what formats are available can make or break your therapy experience. Geode and Grow Therapy take different approaches to access. Geode focuses on community-based care in six states with same-week availability, while Grow Therapy offers nationwide coverage with appointments in two days or less.
Rula operates nationwide across all 50 states and Washington, D.C., providing scheduled mental health care through live video sessions and in-person appointments at provider offices, with availability often as soon as the next day.
How access works with Geode
States served: Geode provides services in six states: Georgia, Illinois, Nebraska, North Carolina, Texas, and Wisconsin.
Matching process: After reaching out to Geode's intake team, you'll complete a confidential assessment. Based on your specific needs, the team will connect you with an appropriate licensed professional.
Session formats: You can choose between in-person care at Geode's physical office locations or secure video sessions online.
Scheduling: Appointments are typically available within the same week, with most patients scheduled within seven days. Standard office hours run Monday through Friday from 9:00 a.m. to 5:00 p.m.
App/portal experience: Geode offers online appointment scheduling and secure messaging for non-urgent communication with your care team. The platform does not currently offer a mobile app.
How access works with Grow Therapy
States served: Grow Therapy operates across all 50 states plus Washington, D.C., with both virtual and in-person session options available depending on your provider.
Matching process: You can browse and filter Grow Therapy's full provider network yourself, review individual provider profiles, and select the therapist or prescriber you'd like to work with before scheduling your first appointment online.
Session formats: Sessions are available via virtual video or in-person at provider offices. Secure messaging between appointments lets you stay in touch with your provider as needed.
Scheduling: With no waitlists, Grow Therapy typically offers appointments within two days or less. You can view real-time availability and book directly online, with many providers offering evening and weekend time slots.
App/portal experience: All care coordination happens through Grow Therapy's web-based platform, where you can search for providers, schedule appointments, and message your care team. A dedicated mobile app is not currently available.
What each platform does best
Understanding what each platform does best allows you to make an informed choice based on your specific care priorities. Whether you value in-person care at a local office with specialized treatment options or prefer broad nationwide access with a large provider network, knowing these key strengths can guide you toward the platform that fits your needs.
Geode excels when you need:
Community-based care with physical office locations you can visit in person while maintaining virtual options for flexibility
Advanced treatment options like TMS or Spravato for treatment-resistant depression or complex conditions
Coordinated, team-based care where psychiatrists, therapists, and nurse practitioners work together on your treatment plan
Same-week appointment availability with dedicated 60-minute initial sessions
Payment plans if you are experiencing financial hardship
Grow Therapy excels when you need:
Nationwide access to care regardless of which state you live in
The fastest access to care with appointments available in two days or less and no waitlists
A very large provider network with extensive filtering options to find your ideal match
90+ specialties, including niche areas and demographic-specific expertise.
Medicaid coverage or one of 80+ accepted insurance plans with transparent average costs
Multilingual care with 35+ languages including ASL
Summary: Is Geode or Grow Therapy right for you?
Geode and Grow Therapy take different approaches to mental healthcare. Geode operates in six states with community-based physical locations and offers advanced treatments like TMS and Spravato for treatment-resistant conditions. Grow Therapy provides nationwide access through a large provider network with some of the fastest appointment availability in the industry.
Geode may be the better fit for people in one of its service states who value having a physical office in their community, need advanced treatment options, or prefer coordinated team-based care. Grow Therapy tends to work well for people who need care quickly, want the widest possible choice of providers and specialties, or require Medicaid coverage or multilingual services.
Rula is also worth considering for people who want insurance-based care with the option of therapy or psychiatry (medication management) through a single platform. Rula supports therapy for ages 5+ and psychiatry for ages 13+ across all 50 states and Washington, D.C., with sessions held via live video on Zoom and in-person therapy available at provider-operated offices in some locations. Patients receive an upfront cost estimate before their first appointment, and appointments are often available as soon as tomorrow.
FAQs
Does Geode or Grow Therapy accept insurance?
Both platforms accept insurance, but their coverage differs. Grow Therapy is in-network with 80+ insurance plans, including most major carriers, Medicare, and Medicaid. Geode accepts Medicare and most commercial insurance plans, though specific coverage varies by state. Grow Therapy's broader insurance acceptance, particularly its Medicaid coverage, is a meaningful differentiator for many patients.
How much does Geode cost compared to Grow Therapy?
Grow Therapy operates on a per-session model with an average insured cost of $21 and self-pay rates ranging from $75 to $200. Geode bills through insurance, with out-of-pocket costs depending on your specific plan, copay, and deductible. Payment plans are available through Geode for patients experiencing financial hardship.
Does Geode or Grow Therapy offer in-person therapy?
Both platforms offer in-person therapy. Geode operates community-based physical locations across its six service states, with virtual visits also available. Grow Therapy provides in-person and virtual options across its nationwide provider network, allowing patients to choose based on location and provider availability.
Why choose Rula for quality of care?
Rula emphasizes measurable outcomes, with 93% of patients saying they feel better about their symptoms after receiving care through Rula, alongside a nationwide network of 21,000+ licensed providers across 180+ clinical specialties and modalities. It offers therapy (including individual, couples, family, child ages 5+, and teen therapy) and psychiatry for ages 13+ via live video and in-person visits. Many insured patients paying around $15 per session with insurance.
Find care with Rula
Choosing between mental health platforms is an important decision — one that can shape not just your access to care, but your entire experience of getting better. If you're ready to move forward, Rula makes it straightforward to take that next step. You can verify your insurance coverage in minutes, browse providers who match your specific needs and preferences, and see your estimated costs upfront before booking. Appointments are often available as soon as tomorrow, so you can start making progress without the wait.
Rula’s editorial process
Rula’s editorial team is on a mission to make science-backed mental health insights accessible and practical for every person seeking to better understand or improve mental wellness.
Members of Rula’s clinical leadership team and other expert providers contribute to all published content, offering guidance on themes and insights based on their firsthand experience in the field. Every piece of content is thoroughly reviewed by a clinician before publishing.





