Doula Cost

• Services of a doula typically run from a low of $250 to a high of $1,500, although the national average is roughly $600 -$700. Prices vary based on region. Doulas in larger metropolitan areas with higher costs of living can command higher fees. For example, doulas in San Francisco, CA charge an average of $1,250. Their counterparts in Cambridge, MA ask for an average of $725, while doulas in Little Rock, AK charge an average of $500.

• Most certified doulas will provide one or two pre-birth sessions in the home, will attend the birth at the hospital or birthing center and will do at least one post-birth home visit. Most will also offer free phone consultations to paid clients, and will arrange for a backup doula in case of emergency.

• According to Birthing With Child, certain company flex-spending accounts can be used for doula fees. Some insurance carriers also provide reimbursement for doulas.
• The Association of Labor Assistants & Childbirth Educators also says that most doulas will set up a sliding scale or payment plan to help those who normally wouldn't be able to afford a doula.

• Doulas of North America, DoulaWold, the Doula Network, the Childbirth and Postpartum Professional Association and the Association of Labor Assistants & Childbirth Educators offer searchable state-by-state directories of doulas. They suggest asking about the doula's training and education, and checking references. Prospective clients should also find out how often and where sessions will take place and get specific details about fees and backup plans.
• Most doulas require a deposit of at least 50% of the fee, although many will offer 50% - 100% refunds if they are unable to attend the birth.

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