What's Your Real Hourly Rate?

Most therapists think they earn $100-150/hour. The reality—when you factor in unpaid admin time, no-shows, and insurance headaches—is often half that.

Your Practice, By The Numbers

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$
minutes
%

Admin & Expenses

This is where the real picture emerges. How much unpaid time do you spend?

minutes
hours
hours
$

Your Weekly Total

Here's what the math actually says about your practice.

Your Session Rate
$144
Per session
Actual Hourly Rate
$67
When you count ALL your hours
Weekly Income
$2,592
After no-shows
Total Hours Worked
38.6
Clinical + unpaid admin
The Gap
Session hours 20 hrs
Total hours worked 38.6 hrs
Unpaid hours per week 18.6 hrs
Lost to no-shows weekly $288
Annual income (50 weeks) $129,600
Caseload Sustainability Check
Sustainable (18) Pushing It (25) Burnout Zone (30+)
Based on your caseload, you're in a sustainable range.

What This Means for You

You're working nearly 39 hours a week but only getting paid for 20 of them. That's almost half your time going uncompensated.

Here are three ideas for right-sizing your business

  • Raise your rates — Even a $20 increase per session adds $24,000/year at your caseload
  • Shift toward cash-pay — Eliminate insurance admin time and earn 36% more per session
  • Add group therapy — A single 90-minute group (8 clients × $60) earns $480 vs. $120 for an individual session

Each path requires one thing: a steady flow of clients who find you, choose you, and pay what you're worth.

Ready to Build a Practice That Works for You?

Let's talk about how targeted marketing can help you attract the right clients at the right rates—without feeling salesy.

Book a Free Consultation

Jon Simmons

Meta Advertising Strategist
Co-Founder, Slow North

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