Therapist SalaryCalculator
See your real take-home pay after overhead, insurance adjustments, and taxes. Based on 2025-2026 industry data.
Average private pay rate is $159. Varies by location, specialty, and experience.
Most therapists find 20-25 sessions sustainable. Remember: each session requires admin time too.
Account for vacation, sick days, holidays, and slow periods. 46-48 weeks is realistic.
Virtual / Minimal overhead typically includes:
- Liability insurance (~$100/mo)
- EHR software (~$40/mo)
- HIPAA email (~$10/mo)
- Website (~$20/mo)
- Phone/internet
Annual Take-Home
$117,417
After overhead & insurance adjustments
True Hourly Rate
$89/hr
Accounting for ~29 hours/week including admin time
Average therapist salaries by setting
Community Mental Health
$45,000 - $65,000
Salaried with benefits. Lower pay but predictable income, supervision, and loan forgiveness options.
Typical caseload: 28-35/week
Group Practice (W-2)
$55,000 - $85,000
Employee at a group practice. They handle billing, marketing, and admin. You see clients.
Typical caseload: 22-28/week
Group Practice (1099)
$70,000 - $110,000
Contractor at group practice. Higher gross but responsible for your own taxes. Practice takes 40-60%.
Typical caseload: 20-26/week
Solo Private Practice
$80,000 - $150,000+
Full autonomy and highest earning potential, but you run the whole business.
Typical caseload: 18-25/week
Salaries vary significantly by location, specialty, and experience. Data based on 2025-2026 industry reports.
What actually affects your income
Insurance pays 30% less on average
The average private pay rate is $159/session. Insurance reimburses around $111 on average. A 50/50 mix means you're earning less than you might think.
Overhead is real (15-40%)
Virtual practices can run at 15% overhead. A full office suite with rent, utilities, and staff can hit 40%. Know your numbers.
Your "hourly rate" is a lie
A $150 session isn't $150/hour. Add documentation, prep, emails, and admin time. Your true hourly rate is often 40-50% of your session rate.
Sustainability matters
Most therapists burn out above 25 sessions/week. Building a practice at 20-22 sessions leaves room for the admin work and your own wellbeing.
Common Questions
Why is insurance reimbursement so much lower?
Insurance companies negotiate rates, and therapists often accept lower rates for the steady referral stream. The average insurance reimbursement is about 30% less than private pay rates. This gap is why many therapists transition toward private pay over time.
What should I include in overhead?
Common overhead costs: liability insurance, EHR/practice management software, HIPAA-compliant email, website hosting, phone service, office rent (if applicable), marketing, professional dues, supervision, and continuing education. Virtual practices typically run 15-20%, full offices 30-40%.
How many sessions per week is sustainable?
Research suggests 20-25 direct client hours is sustainable long-term. Higher caseloads (30+) correlate with burnout. Remember that each session requires additional time for documentation, preparation, and follow-up.
Should I go insurance or private pay?
It depends. Insurance brings steady referrals but lower rates and more admin work. Private pay means higher rates and more autonomy, but you need to build your referral network. Many therapists start with insurance panels and gradually transition.
Time is money in private practice
If paperwork and session prep are eating into your earning hours, we built a tool that might help. Reframe Practice generates personalized client worksheets in under 60 seconds.
See how it works