Speech therapists, also called speech-language pathologists (SLPs), who work privately bill families, adults, schools, and facilities for evaluations, therapy sessions, and related services. Private-pay clients, and insurance clients who need a receipt to submit for reimbursement, are the people who most often receive a standalone invoice. Typical charges include assessments, individual or group sessions, report writing, and consultations with teachers or other providers.
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Most private practice SLPs charge per session, with a set length of 30, 45, or 60 minutes. Evaluations are priced separately and higher than treatment, often as a flat fee that includes testing, scoring, and a written report. Some clinicians sell packages of sessions at a small discount, or bill monthly for a fixed number of weekly visits. Time outside the session, such as school meetings, IEP attendance, phone consults, and extended report writing, is usually billed hourly. Travel or mobile visits to homes and schools may add a trip fee or a higher session rate. Contract SLPs working for schools, clinics, or staffing agencies are often paid hourly and invoice the agency instead of the family. Clinicians who accept insurance bill through claims, while private-pay and out-of-network clients receive a superbill or invoice with the codes needed for reimbursement.
| 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.
| Description | Qty | Rate | Amount |
|---|---|---|---|
| Individual speech therapy session, articulation (45 min) - dates: 3/4, 3/11, 3/18, 3/25 | 4 session | $125.00 | $500.00 |
| Teacher consultation by phone (30 min) | 0.5 hour | $110.00 | $55.00 |
| Written progress report for school | 1 flat fee | $90.00 | $90.00 |
| Late cancellation fee (less than 24 hours notice) - 3/13 | 1 fee | $60.00 | $60.00 |
| Total | $705.00 | ||
Notes: Payment due within 14 days. Accepted by card, check, or HSA/FSA card. A superbill with CPT and diagnosis codes is attached for out-of-network reimbursement. Cancellations need 24 hours notice.
Parents are often the payer while the child is the patient. Insurers and HSA/FSA administrators need to match the claim to the right person.
Families and reimbursement plans need each date of service, and listing them prevents disputes about how many sessions were billed.
Common codes such as 92507 for treatment or 92523 for evaluation let clients submit for out-of-network reimbursement. Only include codes you are qualified and permitted to use.
Insurers and many flexible spending accounts require the provider's credentials (such as CCC-SLP) and identifiers on documentation.
Place of service can affect reimbursement, and telehealth visits may be coded differently from in-person ones.
Reports, consults, and meetings should be listed with time and rate so they are not mistaken for therapy sessions.
Charging a late-cancel fee is easier to enforce when it references a policy the client agreed to in writing.
Many private practice SLPs collect payment at the time of service by card on file, and send invoices monthly or after a block of sessions for clients who prefer to pay later. Net 7 to net 14 is common for private-pay families, and net 30 is more typical for schools, agencies, and facilities. Evaluations are often paid in full at booking or on the day of testing. Late fees are usually small and should be stated in your intake paperwork. Accepted methods commonly include credit and debit cards, HSA/FSA cards, checks, and bank transfer. Contract SLPs invoicing districts or staffing companies should follow the payer's schedule and may wait 30 to 60 days.
Children get sick often, so late cancellations are common. Ask for 24 hours notice, state the fee, and have the parent sign the policy before the first session so a fee on an invoice is not a surprise.
Your invoice should show dates, services, and codes without clinical detail. Share only what the payer needs, and follow HIPAA rules if you are a covered entity.
Many families submit your documents to their insurer for partial reimbursement. A clear itemized superbill with codes, your NPI, and proof of payment saves you repeated requests.
Evaluation reports, progress summaries, and IEP meetings take real time. Include them in the evaluation fee or list them as separate line items so unpaid hours do not pile up.
If you contract with a district or agency, match your invoice to their required format, including service logs, student IDs if permitted, and purchase order numbers.
Generally yes, if the policy is written and the client agreed to it before services began. Note the date and the fee on the invoice. Insurance plans often do not cover missed-session fees, so these are usually billed directly to the family.
A superbill is an itemized statement with your credentials, NPI, dates of service, CPT codes, diagnosis codes, and the amount paid. Out-of-network clients send it to their insurer for reimbursement. If you do not bill insurance, offering one is a common courtesy.
Per session is the most common approach because it is simple for families. Use hourly billing for work outside sessions, such as consultations, meetings, and long report writing, where time varies.
Healthcare services are generally not subject to sales tax in most states, but rules vary. Products like therapy materials you sell separately may be taxable. Check with your state department of revenue or an accountant.
Ask for the district's invoicing requirements before starting. They often need a contract or PO number, service dates, hours, and sometimes signed service logs. Payment is typically on net 30 or longer terms.
Send a Speech Therapist estimate for approval, then turn it into an invoice when the work is done.
Speech Therapist estimate template