Glossary

Sliding scale

A sliding scale is a fee structure where a therapist adjusts their session rate based on a client's income or ability to pay.

How it works

Instead of one fixed fee, the provider offers a range and sets your rate from where you fall in it — often with a limited number of reduced-fee slots. Terms vary, so confirm specifics directly with the provider.

Why it matters when choosing a therapist

Cost is one of the most common barriers to starting therapy. Sliding-scale availability can make care reachable without insurance — Kairn lets you filter to providers who offer it.

Informational, not legal, medical, or clinical advice — for guidance about your situation, consult a licensed professional. If you're in crisis, call or text 988 — free, 24/7. Text HOME to 741741 to reach a crisis counselor. In an emergency, call 911.

Related: In-network vs out-of-network

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Last reviewed 2026-06-25.

Sliding scale — what it means | Kairn glossary · Kairn