What is an agency spread?
The difference between the bill rate your organization pays an agency and the pay rate the clinician receives, per hour.
Free tool for finance and operations leaders
Agency spend vs internal staffing comparison
Enter an agency bill rate, the clinician’s pay rate, hours and your own internal cost per hour. The tool shows the agency spread per hour and per year, and the annual difference between agency and internal cost.
The agency spread is the bill rate your organization pays minus the pay rate the clinician receives.
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Every field starts blank. The page only does arithmetic on what you type. Inputs stay in your browser and are not saved or sent.
Agency spread per hour: —
Agency spread per year: —
Agency cost per year: —
Internal cost per year: —
Difference, agency minus internal, per year: —
How to use the comparison
- Enter the hourly bill rate from the agency invoice or contract.
- Enter the clinician’s hourly pay rate if the agency shares it.
- Enter the hours you expect to use in a year.
- Enter your own fully loaded internal cost per hour, as your finance team calculates it.
- Copy the results into your budget notes.
How the numbers are calculated
- Spread per hour = bill rate − pay rate.
- Spread per year = spread per hour × hours.
- Agency cost per year = bill rate × hours.
- Internal cost per year = internal cost per hour × hours.
- Difference = agency cost per year − internal cost per year.
What the tool does not do
It does not estimate your internal cost, taxes, benefits or recruiting expense. Use the internal cost figure your finance team already uses.
Questions about the comparison
What should internal cost per hour include?
Use your finance team’s own fully loaded figure. The tool does not suggest one.
Does the tool include default rates?
No. Every field starts blank and nothing is estimated.
Is my data saved?
No. Inputs stay in your browser and are not saved or sent.
How do I share the results?
Use Copy results to place the figures on your clipboard.