Home About The Underpricing Fix Explore DWA Blog Apply to The Underpricing Fix Login

What to Do When a Client Says They Can't Afford Your Rate

 

You state your rate. There's a pause. And then: "I really want to work with you, but I just can't afford that right now."

In the space of about three seconds, something happens inside you. You feel selfish. You wonder if your rate is too high. You start doing math in your head. And before you've had time to think it through, you hear yourself say, "I can actually work with you on that."

 

First, let's name what's actually happening 

When a client says they can't afford your rate, the guilt hits fast. You feel greedy for charging what you charge. You feel like you're turning someone away who needs help. A scarcity voice shows up and tells you that some money is better than no money.

So you offer a lower rate. You tell yourself this is the last time. You feel relieved for about thirty seconds.

But here's what that moment is not: it's not a signal that your rate is wrong. It's not proof that you don't care. And it's not a test of your values as a dietitian.

What it is, though, is a moment that feels deeply personal because you went into this work because you care. And that's exactly why it's so hard to stay committed to your full rate.

 

What usually happens next 

This is the part nobody talks about.

The client who couldn't afford your rate shows up to the first session and immediately unloads. You realize quickly that this client is going to take a lot out of you. She cancels last minute and asks you to make an exception to your cancellation policy. She emails between sessions with urgent situations that didn't feel that urgent when you read them. And somewhere in the third or fourth session, you notice she isn't really motivated to change anything.

You are now giving more and getting less, financially and energetically, from the same number of hours in your week.

This isn't true of every client who pushes back on rate. Some will surprise you. But the pattern is common enough that it's worth paying attention to. When someone opens a conversation by asking you to take less, they are already telling you something about how they value the exchange. That's not a judgment of them as a person. It's useful information about fit.

 

What saying yes to a lower rate actually means 

A discount in private practice dietetics is rarely a small thing. When a client can't afford your rate, the gap between what they can pay and what you charge is usually significant. A 50% discount, for example, is not a minor adjustment. It's a meaningful financial decision that compounds across every week you see that client. Further, a discounted client who isn't the right fit can cost you more than just money. It usually also costs you: the energy she takes across every session, the resentment that builds when you're giving more than the rate justifies, and the full-rate client you couldn't take because that slot was filled.

 

Perspective shifts worth holding onto 

Before we get to what to say, here are some reframes that can help you hold your rate without feeling like you're abandoning your values.

"I can't afford that" is information, not a negotiation. 

When a client says they can't afford your rate, they are telling you something true about where they are right now. That information helps you both. It tells you this client isn't the right fit for your practice at this time, and that's okay. It doesn't mean they never will be. It doesn't mean you don't care about them.

Saying no creates space for a yes. 

Every time you hold to your full rate with a client who isn't the right fit, you preserve a spot in your caseload for someone who is. Someone who is ready, motivated, and able to invest. That's better for your practice and, honestly, better for client outcomes.

You can be compassionate and still hold to your full rate. 

These two things are not in conflict. Warmth and firmness can exist in the same sentence. You do not have to choose between being a caring dietitian and running a financially stable practice.

Lowering your rate doesn't make you more ethical. 

Your rate is not a values statement. It is a financial decision based on what your practice needs to generate. There are other resources available for clients who need lower-cost care, including dietitians are who financially stable enough that they can offer sliding scale spots without it impacting their business and their quality of work with clients. Connecting someone to those resources is not abandoning them. It's being honest about what's a good fit.

You are allowed to refer out. 

Referring a client to a more affordable resource is a legitimate, caring response. It means you took their situation seriously enough to help them find something that actually works for them, rather than taking their money and resenting the relationship.

The part of you that went into this work because you care about access is not wrong. Access to care matters. But your personal financial stability is not the mechanism for solving it. 

 

What to actually say 

If you read those perspective shifts and thought "I believe all of that intellectually, but I still couldn't say no in the moment" that's common. Knowing something is true and being able to act on it in real time are two different things. The scripts below are not about being cold. They're about having language ready so you're not making a split-second financial decision from a place of guilt. Practice them before you need them. The first time feels uncomfortable. It gets easier.

When you want to hold your rate clearly and warmly: 

"I completely understand. My rate is [$] per session and I'm not able to adjust that. I don't want you to stretch beyond what feels financially comfortable for you. If it would be helpful, I'm happy to share some resources for lower-cost nutrition support in the area."

When you want to acknowledge what they said without apologizing for your rate: 

"I hear you. I know that's an investment. My rate is set based on what I need to run my practice sustainably, and I keep it consistent across clients. I want to make sure you're working with someone who's a good fit for your budget right now." 

When you want to refer out with care: 

"It sounds like right now isn't the right time, and that's okay. There are some great options for lower-cost support, and I'm happy to point you in a direction that works better for where you are financially." 

 

The reminders to come back to. 

Save this somewhere you can find it when you need it.

  • "I can't afford that" is not a verdict on my worth or my rate.
  • I am not required to lower my rate. Not this time. Not one more time.
  • Lowering my rate does not make me more ethical. It makes me less financially stable.
  • I can be warm and still not waiver on my rate.
  • Referring out is not abandoning someone. It's being honest about fit.
  • Some money is not always better than no money. Not when it costs me this much.
  • The resentment I feel in that discounted session is data. I need to pay attention to it.

 

One more thing 

If you've already said yes more times than you can count, you don't need to shame yourself for it. The guilt that shows up in these moments is real, and it makes sense given how you were trained and what you care about. You were not making bad decisions. You were making decisions from a belief system that told you saying yes was the right thing to do.

What changes now is not that you were wrong then. What changes is that you have more information. You can stay committed to your full rate with the next client who pushes back. You don't have to unwind every existing arrangement today. You just have to start making different decisions from here.

 

Not sure if your current full rate is the right rate for you and your practice? I built a free tool, the Session Rate Calculator, that helps you determine the session rate based on your needs and your numbers. Click here to download it for free. 

 

And if the guilt around charging your full rate or raising your session rate is something you keep running into, my 6-week small cohort program, The Underpricing Fix, is designed to help dietitians charge a session rate built around their needs without the guilt. Learn more about The Underpricing Fix here

 

Bethany Wheeler is a registered dietitian and founder of Dietitian Wealth Accelerator. She helps private practice dietitians raise their session rates without the guilt or fear and build financially stable private practices. 

Close

50% Complete

Two Step

Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua.