The Heard 2025 Financial State of Private Practice Report

The Heard 2025 Financial State of Private Practice Report

For the third year in a row, we surveyed therapists nationwide to better understand the state of private practice finances in the United States today.

For the third year in a row, we surveyed therapists nationwide to better understand the state of private practice finances in the United States today.

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Big-picture insights for therapy practice owners

Answers to questions that matter

Visual data and concise breakdowns give you the information you need to take action and respond to changing trends.

The largest survey of its kind

We asked 3,000+ therapists to tell us about their practices—how they run them, the challenges they face, and their plans for the future.

A source you
can trust

We work with thousands of therapists to manage their bookkeeping and taxes. This is Heard’s third year in a row publishing the Report.

Get the 2025 Financial State of Private Practice Report

See what other therapists have to say about their businesses and the field today.

34% of therapists reported making more in profit in 2024 than 2023.

Yet on average, therapists earned 36% less per session from insurance.

$111
avg. insurance reimbursement rate in 2024
$159
avg. private pay rate in 2024

85% of therapists reported feeling concerned about the financial impact of the new Trump administration on their practice.

68% of therapists reported having some student loan debt with 22% having more than $100,000.

68%
Have student loan debt
22%
More than $100,000

Explore free articles, guides, and tools developed by experts to help you understand and manage your therapy practice finances.

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Heard

is

the

only

accounting

platform

for

therapist

entrepreneurs

that

enables

you

to

manage

your

bookkeeping,

taxes,

and

payroll,

all

in

one

place.