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Find your state board CE requirements:

For NBCC Counselor (NCC), click here: NCC CE Requirements.

How to Set Fees Ethically in Private Practice

$ – For pricing details, see our Pricing page.  **Make sure you are logged in prior to taking any exam or purchasing units.**

You will need to purchase 1 unit for every 1 hour of coursework to gain access to the certificate of completion.

You will receive a certificate of completion after passing the exam, completing the course evaluation, and purchasing the appropriate number of units.  The certificate of completion will then be accessible on your myCourses page in the Your Course History section under the tab “Aspira Courses I’ve Passed”.  There will be a “Download” button under the “Certificate” column that you will be able to click on to pull up your certificate once all requirements listed above have been met.

To access the course document, click on the “View Coursework” button below (you may need to scroll down on the page). If the course is a video course the button will read “View Webinar” or “View Video”.  If the course is a Book course the button will display “Buy Book”.

How to Set Fees Ethically in Private Practice: Ethics and Outcomes (off-site content) – Online CE Course

PLEASE READ:  This course is an offsite online program by ZynnyMe and has NO  separate costs in addition to the units purchased with Aspira CE.  When you click on the “Enroll in Course” button below you will be redirected to the ZynnyMe site to enroll and complete this course.  You can then return to this site ( to complete the exam for this course, pay for your units, and earn your certificate of completion for CE.

Want to build your business and get CEUs at the same time? Business School for Therapists is the largest online business training program for therapists, counselors, social workers and psychologists. (See the 8 modules for Business School for Therapists in our course listing.  There is an additional cost for this program charged by ZynnyMe.)

How to Set Fees Ethically in Private Practice Course Objectives, Description, and Outline

Course Objectives:
  1. Identify the 4 step process to setting your fee
  2. Describe 3 ways fees impact the client and the clinician
  3. Identify 4 alternatives to sliding scale in private practice
  4. Define usual and customary fees
  5. Identify 3 key points in discussing a fee raise with a client
Course Description:

This is a training for therapists to learn how to determine their fee as well as handle financial conversations with clients in an ethical way that can improve clinical outcomes.

Course Outline:
  • The importance of Fees
    • Stigma of mental healthcare
    • Value of psychotherapy
    • Why comparison doesn’t work
  • Usual and Customary Fees
    • The development of fee structure from an insurance perspective
  • Financial needs and the therapeutic relationship
    • Impact of person money stories
    • The money narrative of the field
    • Breaking the cycle
    • Accepting personal and clinical needs
  • Clinical Impact of Fee
  • How to Set the Fee
    • 4 Step Formula for Ethical Fee
    • Common expenses in private practice
    • Integrating business planning
  • Pricing Blocks
  • Giving Back
    • Ethics of Sliding Scale
    • Alternatives to sliding scale
  • Insurance and Fees
    • How to handle the third party relationship
    • Steps to getting off of panels that are not the right fit
  • Ethical Fee Raising
    • Script for a healthy conversation
Instructors: Miranda Palmer, LMFT & Kelly Higdon, LMFT

Miranda Palmer, LMFT, loves helping therapists bridge the gap between what it takes to be a great therapist who gets great clinical outcomes and what it takes to run a successful therapy practice. She has helped thousands of therapists from around the world make the mindset shifts that allow a more effortless application of marketing strategies that grow a private practice that is not just financially sustainable, but also achieve great clinical outcomes.

Kelly Higdon, LMFT, believes that private practice is one of the solutions to increasing access to quality mental health in our communities. Her passion lies in empowering private practice owners to serve at their highest and best, improving clinical outcomes through their business planning and to break the statistic that mental health clinicians are the worst paid Master’s’degree. She has helped thousands through training, education and coaching.

Miranda Palmer, LMFT and Kelly Higdon, LMFT are the creators and presenters of this online course Marketing Masterclass: COVID Edition.  Having a strong marketing plan is another key to success in a successful private practice.  Miranda and Kelly break this component down into several areas to help you achieve the best plan for your private practice.


Click here to return to Aspira Continuing Education’s Home page of CEs for Psychologists, MFTs, Social Workers, Professional Counselors, and SUDC Counselors


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Approved States

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  • Guam
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  • North Dakota
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  • New York
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  • Louisiana
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