Therapy sessions are usually priced from a posted fee schedule, so formal estimates are less common. They come up for psychological testing, court-related work, group programs, intensive therapy, and when a client asks what treatment might cost over several months. Clients typically compare your per-session fee, whether you take their insurance, and how long treatment may last.
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 the per-session rate, the length it covers (for example 53 minutes), and the expected frequency so the client can estimate monthly costs.
Therapy duration depends on clinical progress, so give a range or say it is open-ended instead of promising a number of sessions.
List the interview, test administration, scoring, report writing, and feedback session so the client knows what is covered and what is extra.
Spell out hourly rates and retainer requirements for records preparation, depositions, and testimony, which can be much more than regular session fees.
Putting the notice window and fee in the quote prevents surprises later.
Tell clients you do not bill insurance directly, that they may seek reimbursement themselves, and that coverage is not guaranteed.
Explain when fees are reviewed and how much notice clients will get for increases.
| Service | Priced | Typical range |
|---|---|---|
| Individual therapy session (45-55 min) | per session | $100-225 |
| Initial intake / diagnostic evaluation | per session | $125-275 |
| Couples or family therapy session (60-90 min) | per session | $130-275 |
| Sliding scale session | per session | $60-120 |
| Psychological testing and report | flat fee | $1,200-3,500 |
| Letters, forms, and records summaries | per hour | $100-250 |
| Group therapy | per person per session | $40-90 |
| Late cancellation or no-show fee | per missed session | $50-150 or full session fee |
Typical US ranges. Rates vary by region, experience, and job size.
Work backward from your target income, office or telehealth costs, insurance and licensing fees, and the number of sessions you can see in a week without burning out. Then compare with local therapists with similar credentials and specialties.
Psychological and neuropsychological evaluations take many hours of scoring and report writing. Quote a flat fee based on the total hours, and collect a deposit or half up front.
If you offer reduced fees, state the number of slots and how you decide, so clients understand the full fee is not the only option and you do not have to negotiate case by case.
Forensic work is time-consuming and unpredictable. Use a higher hourly rate, require a retainer, and charge for preparation, travel, and cancellations of scheduled testimony.
Usually they share the session fee and expected frequency rather than a total. Because length of treatment depends on the client's needs, a total cost is an estimate at best. Testing and forensic work are more likely to receive formal written quotes.
Thirty to 60 days is common. Testing slots and report time are limited, so a deadline helps you plan your schedule and protects you if your fees change.
Many practices do, often 50 percent for testing and a retainer for court-related work. The deposit commits the client to a time slot and covers early hours of scoring and report preparation.
Be clear about whether you are in-network, out-of-network, or self-pay only. If out-of-network, offer a superbill, explain that reimbursement depends on their plan, and suggest they check their out-of-network benefits before starting.
Use the Therapist invoice template to bill the client, or convert this estimate once it's approved.
Therapist invoice template