Physician Pay · PSYCHIATRY
Psychiatry pay: locum, telehealth, per diem & consulting rates (2026)
Real data on what psychiatry physicians earn across every type of physician work. Tell us yours, and we'll show you what direct looks like.
What we hear from psychiatry physicians
Psychiatrists tell us facility bill rates for inpatient, CL, and telepsych work commonly hit $375–$425/hr, while agencies pay out closer to $180/hr — one of the widest spreads in medicine. Direct rates we've seen on Saile run materially higher because there's no middleman. The actual number depends on setting (inpatient, CL, telepsych), and geography.
The Spread
What your staffing agency isn't telling you
When a facility pays a markup rate for your shift, where does the difference go? It's not malpractice. It's not credentialing. It's the spread — the gap between what the facility is billed and what you take home. Most agencies will never show you the bill rate. We will.
Facility pays
$400/hr
You receive
$180/hr
Agency keeps
$220/hr
Example based on typical inpatient psychiatry coverage rates. Your number is probably different. Submit it below and we'll show you where you fall.
Help us expose locum tenens markup
Anonymous. Takes 30 seconds. The more physicians tell us, the better we can call out who's taking what.
How Saile works
01 · Upload once
Credentials, licenses, DEA — all in one profile.
02 · Match direct
Facilities reach you directly. No recruiter.
03 · Keep the spread
No 30–50% agency markup. Ever.
Frequently asked questions
How much do psychiatrists make as locums? +
Locum psychiatrists typically earn $200–$350/hr depending on setting and geography. Direct rates on Saile can run materially higher because there's no agency markup.
What do staffing agencies take from psychiatry placements? +
Psychiatry agency spreads are among the widest in medicine — commonly 45–55% of the facility bill rate, or $180–$220/hr per shift kept by the agency.
Can psychiatrists work locum without an agency? +
Yes. Saile connects psychiatrists directly with hospitals, CMHCs, and telepsych platforms — no agency, no non-compete.
Is there telepsychiatry work on Saile? +
Yes. Telepsych and async psychiatry opportunities post regularly. Create a profile to see what's live.
Built by physicians. For physicians.
Direct shifts. Transparent rates. No middleman.