Speech therapists send estimates when a family asks what an evaluation and a course of therapy will cost, when a school or agency requests a contract bid, or when a client wants to know out-of-pocket costs before starting. Families often compare cost per session, how many sessions are likely, and whether you provide paperwork for insurance reimbursement.
When to use estimates: Use estimates to provide project quotes and get client approval before starting work. Once approved, convert your estimate to an invoice with one click to collect payment.
Create an invoice for payment collection
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Invoice_1001_Client_2026-10-14.pdf
State whether the fee covers testing, scoring, the written report, and a feedback meeting, so families know what is paid for up front.
A quote of weekly 45-minute sessions for about three months is clear. Make it explicit that actual need depends on progress.
Clinic, home, school, and telehealth visits can have different rates or travel fees. Spell out which one the quote assumes.
Reports, IEP meetings, teacher consults, and phone time beyond a set limit should be listed so they are not seen as hidden fees.
Say whether you are in network, out of network, or private-pay only, and whether you provide a superbill. Families should know you cannot guarantee reimbursement.
Including the policy at the quote stage sets expectations before the first appointment.
State how long the quote holds and when your rates may be reviewed, such as at the start of the year.
| Service | Priced | Typical range |
|---|---|---|
| Individual therapy session (45-60 min) | per session | $90-200 |
| Individual therapy session (30 min) | per session | $60-120 |
| Initial speech or language evaluation with written report | flat fee | $250-700 |
| Group therapy or social skills group | per child, per session | $40-90 |
| Home, school, or telehealth visit surcharge or mobile rate | per visit | $15-50 added |
| IEP meeting, teacher consult, or care coordination | per hour | $75-175 |
| Contract SLP work for school or agency | per hour | $60-110 |
| Progress report or letter for insurance or school | flat fee | $50-200 |
Typical US ranges. Rates vary by region, experience, and job size.
Testing, scoring, and report writing take several hours. A flat fee is easier for families to compare and ensures your unbilled time is covered.
Outcomes vary, so estimate a likely number of sessions and say the plan will be reviewed regularly. This avoids implying a guaranteed result or length of care.
A prepaid block of sessions at a modest discount can improve cash flow, but state what happens to unused sessions and refunds.
For districts and agencies, include travel, documentation, and meeting time in your hourly rate, since many contracts pay only for direct service hours.
Many SLPs offer a short free phone call to discuss fit and fees, but charge for any in-depth consultation or evaluation. State clearly which one is free before the call.
Usually not, because the number of sessions depends on progress. Give a per-session rate and a likely range of sessions, and make clear the family can stop or adjust at any time.
Ask about caseload, hours per week, travel, documentation, and meeting expectations. Quote an hourly rate that covers non-direct time, and confirm the payment schedule and cancellation terms in the contract.
You can explain your fees and provide a superbill, but reimbursement depends on the plan. Suggest they call their insurer to ask about out-of-network speech therapy benefits, deductibles, and visit limits.
Use the Speech Therapist invoice template to bill the client, or convert this estimate once it's approved.
Speech Therapist invoice template