According to Salary.com: A licensed clinical social worker (or “mental health clinician”) makes an average salary of $70,423. A family counselor working in Cambridge, MA makes an average salary of $44,880. A substance abuse counselor working in Cambridge, MA makes an average salary of $60,295. Show For many, working as a fulltime therapist is financially untenable. Consider this: the average cost of a 1500 square foot home in Cambridge exceeds a million dollars. And while Cambridge can be considered an expensive city, the math isn’t too dissimilar in other cities across the country. For example:
It’s no secret that counselors don’t choose this profession for the pay. But is financial struggle our collective fate? I hope not, and I don’t think so. With hard work and good planning, earning an income of $100,000 per year in private practice is an obtainable goal. Now, let’s discuss the financial aspects of running a viable counseling practice: 1. Managing client fees: Client fees vary depending on the location of your practice, and the payer(s) you work with. For example, in Oregon, a masters-level clinician accepting 3rd party insurance payments (for example, a combination of Anthem, United Healthcare, and Cigna) might earn $99 for a diagnostic
evaluation (90791). Ongoing appointments for individual or family psychotherapy (90834/90837/90847) might pay around $70. For now, let’s estimate that all your clients pay for services with insurance, and your average fee for a 45-minute session is $75. 3. Small, large, and hidden costs: Now that revenues are calculated, we need to subtract any/all practice expenses. There are large, small, and hidden costs to running a practice: from patient parking, to coffee, to organic tissues, to printer ink. Below is a sample (broad category) expense list.
$126,000 (revenue) - $25,310 = 100,690 (net). And there you have it: a 6-figure private practice! While the above provides a theoretical outline of private practice financials, no counseling practice will perfectly mirror the example. To help you determine with greater accurately your finances, here’s a list of variables that could potentially detract from, or enhance, your practice’s earnings. Possible Detractors:
Possible Enhancements:
Which field of psychology makes the most money?Psychiatrist positions are by far the highest-paying jobs for psychology majors. The average salary is $217,798, according to PayScale.
How can a therapist make 6 figures?How do you scale to multiple 6 figures in private practice?. Charge more.. See more clients.. Work more weeks per year.. Reduce your expenses as much as possible.. Offer higher-end services - retreats, intensives, group work that have a higher price point and help more people in a shorter amount of time.. What is a typical split at private practice?Usually, this a 60/40 or 50/50 split; the agency keeps 60-50% of the fee, and the contracting therapist gets 40-50%.
Can you make money in private practice?Although earning potential will vary depending on the hours you work, your location, and the cost of living, taking home a six-figure salary while operating a private practice is achievable. As medical billers, we often see clients who are trying to grow their business and increase their take-home pay.
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