After a long week, I finally booked a Swedish massage at my favorite spa. As I sank into the plush massage table, I should’ve been drifting into bliss, but instead, one nagging question took over: how much to tip a massage therapist? The 20% rule works for dinner out, but is it the same amount for massage services? Like many people, I wanted to show my appreciation but wasn’t sure what was considered an appropriate tip.
In this blog, I’ll share my personal experiences with how I tip massage therapists and explore when and how much to tip for different types of services. We’ll go over spa settings, private massages, and even medical and therapeutic environments to make sure you always feel confident tipping for the service provided.
The Standard: Why 20% is a Safe Bet for Most Massages
At many spas, I tend to stick with 20%—it’s straightforward easy, and most therapists are happy to accept tips at that rate. For example, after a Swedish massage at a well-known chain like Massage Envy, I decided this was fair. The therapist was attentive, the ambiance was relaxing, and I left feeling rejuvenated. This felt like the right way to tip your massage therapist for the care I received.
This 20% guideline matches service industry standards and is perfect for most spa services. If you’re getting a good massage and the experience meets your expectations, starting at 20% is a great tipping etiquette rule. Of course, you can always adjust your tip based on the service quality or specific needs you have during the session.
When More is Warranted: Exceptional Service Deserves an Exceptional Tip
Then there are times when 20% just doesn’t feel like enough. Last year, I booked a deep tissue massage after training for a marathon. My licensed massage therapist adjusted the pressure perfectly, targeting my sore muscles with such precision that it felt like magic. After an hour of intense relief, I knew I had to give more money than usual—I ended up tipping 25% because the exceptional service was worth every penny.
In moments like these, when the professional therapist caters to specific needs with care, it’s more than appropriate to add a higher tip. If you just finished a tough game or need help with an injury, consider giving your therapist a higher tip. It’s a nice way to show you appreciate their hard work and skill. They put a lot of effort into helping you feel better!
Tipping in Medical and Therapeutic Settings: When to Hold Back
But tipping isn’t always expected. When my doctor recommended massage therapy for chronic back pain, I began sessions with a therapist at a physical therapy clinic. This wasn’t your typical spa setting—there were no robes, no soothing music, just a focus on my wellness and recovery. I didn’t tip during these sessions because it felt more medical than a relaxation service.
If you’re seeing a physical therapist or licensed massage therapist as part of a medical treatment plan, tipping may not be necessary or expected. Often in clinical settings, the emphasis is on rehabilitation rather than relaxation, and tipping isn’t the norm. It’s okay to hold back in these environments and focus on your wellness rather than the tipping norms that apply to more casual or spa-based massages.
When the Therapist is the Business Owner: Do You Still Tip?
One time, I booked a private massage at a small, independent studio where the therapist was also the business owner. I hesitated—should I tip when the therapist was keeping all the money from the service? I knew many therapists who own their businesses often pay for their space, insurance, and other costs. After some thought, I left a 15% tip because the personalized service was great, and supporting a local business felt right.
This scenario often leaves people wondering, but it’s important to consider the quality of the service provided. While the owner may keep more income, your tip still recognizes the effort and personal touch put into the session. If you’re happy with the service, tipping shows appreciation, even if the therapist owns the business.
The Power of Cash Tips (and When to Tip Directly)
One thing I’ve learned over the years is that cash tips often make the biggest impact. After finishing a massage, I usually ask if I can tip the therapist directly. If that’s not possible, I’ll use the tip envelope at the front desk. It’s worth checking how the spa handles tips, as some spas take a percentage from credit card tips, which means the therapist gets less than you intended. Giving cash makes sure that they receive the full amount.
Cash is often king in the service industry because it directly supports the therapist without any deductions. If cash isn’t an option, try to clarify how tips are managed to maximize what your therapist receives. Knowing your tips are reaching the right person will make you feel even better about your gesture.
What If You’re on a Budget? Alternatives to Cash Tips
Of course, sometimes you can’t afford to tip as much as you’d like. I’ve been there, too—budgeting every dollar while still wanting to show appreciation for the service provided. In these cases, I tip what I can and make sure to leave a positive review online. A great review boosts the therapist’s reputation and brings in more clients, which helps their income beyond your session.
Even if your wallet is tight and a larger tip is out of the question, there are still many ways to express your appreciation to a professional therapist. A kind word, for instance, can go a long way in brightening their day. A simple “thank you,” or acknowledgment of their hard work can make them feel seen and valued.
Referring friends or family members who may be struggling with similar issues is a great way to show your gratitude. By doing so, you’re not only helping your therapist grow their practice but also changing the life of someone you care about. Also, highlighting your great experience on social media or review platforms is valuable. This will help increase their online visibility, attract new clients, and contribute to their long-term success. By showing your appreciation in these ways, you can show your gratitude without breaking the bank.
Why Tipping is Essential for Massage Therapists
Over the years, I’ve come to understand just how important tipping is for massage therapists. Most rely on tips to supplement their hourly wage, which often isn’t as high as many people think. They’ve spent several years honing their skills, mastering techniques like deep tissue or sports massage, and supporting the well-being of their clients. Tipping is more than a simple courtesy—it’s a way to recognize their dedication to a job that directly impacts our health and wellness.
Therapists often work in settings where their pay doesn’t reflect the true value of the service provided. Tips are an essential part of their income and serve as a direct acknowledgment of their skill, care, and effort.
Gratitude Goes a Long Way
At the end of the day, tipping is my way of showing gratitude for the care and attention I receive. Whether it’s a quick 60-minute session at a local spa or a specialized deep tissue massage, I know that even a small gesture of appreciation makes a big difference to the therapist. And who knows—leaving that extra tip might just lead to an even better experience next time.
Tipping isn’t just about numbers; it’s about recognizing the person behind the service, valuing their work, and building a connection that improves every session. So next time you’re wondering how much to tip a massage therapist, think of it as part of the service that keeps you coming back feeling relaxed and valued.
Gratitude Is More Than a Tip
Tipping your massage therapist goes beyond a simple transaction—it’s a way to show gratitude for their hard work, dedication, and the care they put into every session. Whether you’re at a spa, receiving a sports massage, or working with a professional therapist in a clinical setting, your tip is a recognition of the personal and professional effort that goes into making you feel your best. Remember, every gesture counts, from cash tips to a positive review, and even small actions can make a significant impact.
The next time you’re on the massage table, consider how your appreciation can reflect the value of the service provided. So, don’t just think of it as tipping—think of it as investing in the well-being of the people who help keep us moving, relaxed, and pain-free.
About The Author
Hannah Young
Hannah Young is the Associate Director of Marketing for Massage Magazine Insurance Plus (MMIP). Hannah has dedicated her career to the advancement of the massage therapy industry by spearheading the MASSAGE Magazine and MMIP family of brands. Her impactful efforts extend beyond the corporate realm, as Hannah has successfully raised substantial funds for massage therapist grants and foundations. Notably, she spearheaded the establishment of the annual Massage Therapist Appreciation Week, a testament to her dedication to recognizing and honoring the contributions of massage therapists.