Setting psychologist fees is one of the most stressful decisions. This guide covers real ranges, factors, taxation and how to communicate to the patient.
Psychologist fee ranges in Spain (2026)
- Madrid, Barcelona: €60-100 in-person, €50-80 online.
- Valencia, Seville, Bilbao: €50-85 in-person, €45-70 online.
- Mid-size cities: €45-70 in-person, €40-60 online.
- Small cities/rural: €35-60 in-person, €35-55 online.
Factors that justify your fee
- Formal training (specific postgrads).
- Clinical experience.
- Verifiable outcomes.
- Demand (full agenda = raise).
- Costs (office, software, supervision, training, insurance).
Calculate your real costs
- Self-employed contribution: €80-300.
- Office rental: €100-450.
- Clinical software: €20-50.
- Supervision: €60-150.
- Training: €40-150/month.
- Insurance: €8-25.
- Accountancy: €30-90.
- Marketing: €20-150.
Fixed monthly total: €350-1,300.
Packs and discounts
- Maximum reasonable discount: 10-15% off single session.
- Expiry 3-6 months.
- Communicate as 'clinical investment', not as offer.
Taxation: VAT, income tax, Verifactu
- VAT: clinical psychology exempt. Coaching: 21%.
- Income tax: 7% withholding if client is company or self-employed.
- Verifactu: certified software from July 2026.
How to communicate fees
- Visible price on website: filters and saves messages.
- Neutral phrase: 'The session costs €70'.
- Confidence: if you don't convey it, the patient questions it.
How and when to raise fees
Indicators to raise:
- Full agenda 4 weeks straight.
- Wait list > 1 week.
- 12+ months without raising.
- Added relevant training.
Preguntas frecuentes
Common questions about psychology fees.
How much does a psychologist charge in Spain in 2026?
€40-100 per session by city, specialisation and experience. Big-city average: €60-80 in-person.
Does a psychology session include VAT?
Clinical psychology by qualified healthcare professional: exempt. Non-clinical coaching: 21%.
Can I discount the first patient?
Legal but strategically debatable: attracts price-sensitive patients.
How often should I raise fees?
If agenda is full and 12-18 months passed, time to review. Reasonable raises: 5-10% annually.
How do I handle 'it's expensive' patients?
First ask what concerns them. Communicate value (training, approach, tools).