Sliding Scale Fee Calculator
Set your standard and minimum fees, enter your client's household size and income, and get a suggested reduced rate based on Federal Poverty Level guidelines.
Sliding Scale Fee Calculator
Based on 2025 Federal Poverty Level guidelines
Your Full Fee Scale
Below 150% FPL
150–200% FPL
200–300% FPL
300–400% FPL
Above 400% FPL
This calculator uses 2025 HHS Federal Poverty Level guidelines as a reference. Fee suggestions are estimates only. You are responsible for setting fees that are clinically and ethically appropriate for your practice. Always list the actual amount charged (not your full fee) on superbills.
How This Calculator Works
The calculator uses 2025 HHS Federal Poverty Level (FPL) guidelines to determine where your client falls on the income spectrum. It then applies a tiered discount to your full session fee:
| Income Level | Discount | Example ($160 full fee) |
|---|---|---|
| Below 150% FPL | 50% | $80 |
| 150-200% FPL | 35% | $104 |
| 200-300% FPL | 20% | $128 |
| 300-400% FPL | 10% | $144 |
| Above 400% FPL | 0% | $160 (full fee) |
The suggested fee will never go below your stated minimum fee. This ensures your sliding scale policy is sustainable for your practice.
Tips for Using a Sliding Scale
- Hold 10-20% of your caseload for reduced-fee clients
- State your full fee upfront on your website and directory listings
- Revisit sliding scale agreements annually as client circumstances change
- Always list the actual amount charged on superbills, not your full fee
For a deeper dive on sliding scale models, intake conversations, and ethical considerations, read our complete sliding scale guide.
Generate Superbills for Sliding Scale Clients
When a sliding scale client needs a superbill for insurance reimbursement, the fee on the superbill must reflect what they actually paid. Superbilled generates professional superbill PDFs with the correct fee amount in seconds.