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Is your pay fair?
Pre-licensed therapists are often told to be grateful for hours and not ask questions. Put in two numbers from your offer and see where the money from every session goes: to you, to running the practice, and to the owner.
Every session, where the money goes
- YouYour pay per session$0
- Your supervisionWhat you pay out of pocket, per session$0
- Running the practiceBilling, software, marketing, admin, supervision$0
- The ownerProfit, and payment for the risk of owning the business$0
Free resources
What I wish someone had told me as an associate
Ten questions to ask before you sign
- Am I paid a split, a flat rate or a salary?
- Is my split based on what's billed or what's actually collected?
- Am I paid for no-shows and late cancellations?
- Is supervision included? How many hours a week?
- Am I a W-2 employee or a 1099 contractor?
- How are referrals assigned, and how fast does a caseload usually fill?
- Is there a minimum caseload, and what happens if I don't meet it?
- Are notes, trainings and team meetings paid?
- Who handles billing, denials and credentialing?
- What changes when I'm fully licensed?
Red flags worth pausing on
- You can't see what was billed or collected for your sessions.
- Your pay is clawed back when a claim is denied.
- A non-compete or non-solicit that would keep you from practicing after you leave.
- A low split and paying for your own supervision.
- Penalties for missing a caseload quota.
- "You'll get paid when insurance pays," with no timeline.
- Nobody can explain how raises work.
What a practice's share should cover
- Steady referrals and marketing
- Billing, claims and credentialing
- An EHR, telehealth platform and scheduling
- Supervision toward your license
- Malpractice coverage, or clarity on who pays it
- Training, consultation and a team you can call on
If a practice keeps a bigger share, it should be giving you more of this.
A note from Marisa
You have more power than you think.
I started as an associate too, fresh out of school, paying for supervision and not sure what I was allowed to ask for. Most of what I learned about fair pay, I learned the hard way. I built these resources so you don't have to.
Asking questions about your pay doesn't make you difficult. It makes you a professional. And you have time to find a place that treats you like one.
Marisa Derr, LMFT
This calculator gives estimates for comparing offers, not tax, legal or financial advice. Running costs vary a lot by practice, so ask for real numbers when you can. For W-2 roles the practice also pays payroll taxes and any benefits on top of your pay. The ranges shown are a rough guide, not a standard.
