I don't like the system either, but to ignore it is to ignore profit. There are people in real need of massage therapy that may not receive it under any other circumstance. My job is to facilitate healing for people and I will do that under any circumstance. Cash, charge, ATM, money order, travelers check, bank check, online payments,insurance, and sometimes even barter. It is what it is. As far as what it typically pays me. For an accident case, I get about $35-40 per 15 minutes. The treatment is highly specialized for a certain area and they typically last 30 minutes each session . The sessions are generally 2x per week for 4-6 weeks. I do have to do a lot more paperwork but after you find out what they are looking for, it goes pretty quickly. The setback is that you don't get paid instantly. They usually send a check within a month of sending in a claim. The check is usually for the entire month. When it comes it is nice. Comparatively, you can look at it like this. For 60 minutes of treatment for the week for a relaxation massage, I get $60. The client may come once or twice for the month totalling $120. For an auto accident insurance case, I get $160 for that same week. They will come for at least 4 weeks totalling $640. After that they generally come back for wellness massage. I think it is time for therapist to get over their fears of the medical system, use their gifts where needed, and prosper.