Registered dietitians (RDs and RDNs) in private practice bill individual clients, families, and organizations for nutrition assessments, medical nutrition therapy, and ongoing coaching. Many also invoice gyms, schools, clinics, and companies for group workshops, meal planning, menu analysis, and consulting. Invoices usually go to self-pay clients, but some dietitians also send superbills so clients can seek insurance reimbursement.
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Most private-practice dietitians charge per session, with a higher fee for the initial assessment (60 to 90 minutes) and a lower fee for 30 to 45 minute follow-ups. Many sell packages, such as a 3-month or 6-session program, billed upfront or in installments, often at a small discount compared with paying per visit. Some offer monthly memberships that include check-ins and messaging. Corporate and consulting work is typically billed hourly or as a flat project fee, and speaking or workshops are charged per event. Meal plans, recipe development, and grocery guides are sometimes priced as separate line items. If you accept insurance, you bill the payer rather than the client, and the client's invoice covers only copays, deductibles, or non-covered services.
| Service | Priced | Typical range |
|---|---|---|
| Initial nutrition assessment (60-90 min) | per session | $125-300 |
| Follow-up counseling session (30-45 min) | per session | $75-175 |
| Multi-session program (e.g., 3 months, 6 visits) | package | $450-1,200 |
| Custom meal plan | flat fee | $75-250 |
| Monthly coaching membership with messaging | per month | $100-300 |
| Corporate or community workshop | per event | $250-1,000 |
| Consulting (menu analysis, food labeling, content review) | per hour | $75-175 |
| Grocery store tour | per tour | $75-200 |
Typical US ranges. Rates vary by region, experience, and job size.
| Description | Qty | Rate | Amount |
|---|---|---|---|
| Initial nutrition assessment and medical nutrition therapy, 60 min (telehealth) - IBS and food sensitivity evaluation | 1 session | $185.00 | $185.00 |
| Follow-up counseling session, 45 min (telehealth) | 3 session | $110.00 | $330.00 |
| Personalized low-FODMAP reintroduction meal plan, 2 weeks | 1 flat fee | $95.00 | $95.00 |
| Food and symptom journal review between sessions | 1 flat fee | $40.00 | $40.00 |
| Total | $650.00 | ||
Notes: Services provided 3/4/25 to 4/15/25. Payment due within 14 days of invoice date. Accepted: credit/debit card, HSA/FSA card, or ACH. A superbill with CPT 97802 and 97803 and diagnosis code is available on request for out-of-network reimbursement. Cancellations under 24 hours' notice are billed at 50% of the session fee.
Clients submitting a superbill to insurance, HSA, or FSA need your RD credential and NPI to be reimbursed.
Insurers and FSA/HSA administrators check dates of service, and session length supports the code billed.
Clients seeking reimbursement need the correct codes, and they show exactly what was provided.
Many insurance plans only reimburse nutrition counseling when it is tied to a covered diagnosis, so a superbill without one is often rejected.
Prevents disputes over what a prepaid package covers and when it expires.
Some of these may not be reimbursable, so itemizing helps clients and payers sort what qualifies.
Late-cancel fees are generally not reimbursable by insurance and should be easy to identify and explain.
Most private-practice dietitians collect payment at the time of service by card on file, or require upfront payment for packages and memberships. For clients billed afterward, due-on-receipt or net 7 to 14 days is common. Corporate and organizational clients often pay net 30, and a 25 to 50 percent deposit is typical for workshops and larger consulting projects. A late cancellation or no-show fee, usually 50 to 100 percent of the session fee with 24 hours' notice, should be written in your intake agreement. Card payments, ACH, and HSA/FSA cards are the usual methods. If you charge late fees on unpaid invoices, state the rate in advance and check your state's rules.
Storing a card with written consent makes it easy to charge late cancellations, no-shows, and package installments without chasing clients for payment.
If you offer both insurance-billable MNT and non-covered services like meal plans or general wellness coaching, bill them on separate lines so clients and payers can tell which is which.
Providing a superbill is a courtesy, not a guarantee of reimbursement. Tell clients up front that coverage depends on their plan and that payment is due to you regardless.
Show sessions used and remaining on each invoice or receipt. It reduces questions about expiration and makes renewals easier to bring up.
Reviewing food logs, labs, or messages takes time. Either build it into your package price or list it as a separate fee, and tell clients which at the start.
A superbill is an itemized statement with your name, credentials, NPI, dates of service, CPT codes, diagnosis codes, and fees paid. Clients submit it to their insurer for possible out-of-network reimbursement. Many dietitians who do not bill insurance directly provide one on request.
The most common are 97802 (initial MNT assessment and intervention, per 15 minutes), 97803 (reassessment and follow-up, per 15 minutes), and 97804 (group MNT). Some payers also use G0270 and G0271 for Medicare MNT. Check each payer's requirements, as coverage and code rules vary.
Often yes, particularly when nutrition counseling is recommended for a medical condition. Rules depend on the plan, and some administrators ask for a letter of medical necessity. Itemize your invoice and tell clients to confirm eligibility with their plan.
In most states, professional health services like nutrition counseling are not taxed, but sales of physical products such as supplements or printed materials may be. Rules vary, so check with your state's department of revenue or a tax professional.
Put your cancellation policy in your intake paperwork, then list the fee on the invoice as a separate line with the date of the missed session. Insurance does not cover these fees, so the client pays them directly.
Send a Dietitian estimate for approval, then turn it into an invoice when the work is done.
Dietitian estimate template