07/28/2026
This infographic from Simple Practice shows the average CASH RATE of therapy in each state (Here in we are at the median).
**Yes, I’ve shared this info before, but was able to find updated figures (and honestly, there hasn’t been much movement in the past 8 years, despite the changes to overall Cost of Living)**
Sounds like your therapist is rolling in the dough, right? Well, not so fast! In the interest of full transparency, it is important to note:
1. Most full time clinicians see (and can bill for) around 20 - 25 clients each week. This means that the other 15-20 hours (paperwork, meetings, etc) are UNPAID. *For every 1-hour client session, I put in AT LEAST an extra 30 minutes*
2. Insurance reimbursement is significantly less, about 50-60% of cash rate, depending on insurance company and type of session (intake/family/individual/group).
3. These figures are GROSS income for the business. The cost of doing business (rent, utilities, supplies, banking and credit card fees, malpractice/liability insurance) and keeping up our licenses (continuing education, renewal fees billed annually) take a HUGE chunk out of this. *This is all before we can pay ourselves a salary and take out personal expenses like income taxes, retirement savings, etc*
At the end of the day, it is easy to see how our degrees are consistently noted as having some of the the worst returns on investment for advanced degrees in the health care industry.