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Health & wellness · Ranked by price to features

10 Best Therapy Practice Management Software of 2026

By the Rankozo research desk · Updated November 9, 2026 · Next review December 24, 2026

TherapyNotes is the best therapy practice management software for solo and group private practices in 2026, at $69 a month for one user and $60 for each added clinician on Group; Sessions Health suits new and budget-minded therapists, with a free plan for up to 3 clients and Professional at $39 a month plus $29 per extra practitioner; the cheapest paid plan is TherapyAppointment at $10 a month for up to 10 sessions.

Tools ranked
10
With free plan
2
Cheapest paid plan
TherapyAppointment, $10
per month for up to 10 sessions

By the numbers

Comparison table

Tool
TherapyNotes018.78.6$69per month for one clinicianNo
Sessions Health028.69.3$39per month for the first practitionerYes
SimplePractice038.57.6$49per month for one clinicianNo
TheraNest048.48.4$29per therapist per monthNo
TherapyAppointment058.49.0$10per month for up to 10 sessionsNo
TheraPlatform068.38.5$39per month for one providerNo
Jane078.17.3Check priceNo
Practice Better088.17.8$35per month for one practitionerYes
IntakeQ097.97.5$29.90per month for Forms Only, 10 submissionsNo
Valant107.36.0Check priceNo

Click a column to sort. Prices are the cheapest paid plan quoted from each vendor's US pricing page; "Check price" means the US price check is pending.

How this ranking works

One method for every tool. We compared documented features and published prices; we did not run hands-on tests. Value carries the most weight.

Full method
40%
35%
25%
ValueFeaturesEase of use

This list is for therapists, counselors and psychologists in private practice who need one system for scheduling, notes, client intake, billing and telehealth. Therapy EHRs charge in three main ways: a fee per clinician, a base fee plus a smaller fee for each added clinician, or a price tied to sessions or clients. Usage fees for claims, text reminders and card processing come on top. We compared documented features and published prices on each vendor's own pages and scored value at 40%, features at 35% and ease of use at 25%. Prices are the cheapest paid plan in USD on monthly billing as shown in November 2026. Jane showed only Canadian prices from our location and Valant sells by quote, so both are marked as pending.

The verdict

TherapyNotes gives private practices the best balance of price and depth: $69 a month covers a solo clinician, groups pay $89 for the first clinician and $60 for each one after, and admin staff are free. Sessions Health is the budget pick, with a free plan for 3 clients, Professional at $39 and $29 for each extra practitioner. SimplePractice has the most complete all-round product and a $49 Starter plan, but most practices need Essential at $79 for reminders and messaging, and only Plus can add clinicians. TherapyAppointment is cheapest for part-time therapists at $10 a month up to 10 sessions. TheraNest bundles unlimited claims into its $89 Premier seat, TheraPlatform includes unlimited telehealth from $39, and Jane, Practice Better, IntakeQ and Valant cover clinics, program-based practices, forms-first practices and larger behavioral health groups.

  1. 01Top value

    TherapyNotes

    8.7/10

    A behavioral health EHR with scheduling, notes, billing and telehealth for solo and group practices.

    Price

    $69per month for one clinician

    Solo $69 per month for one user; Group $89 per month for the first clinician plus $60 per additional clinician

    “Solo $69 /month for one user” Quoted from the pricing page, November 9, 2026.

    Free plan
    No
    Free trial
    30 days
    Value (40%)
    8.6
    Features (35%)
    9.0
    Ease of use (25%)
    8.6

    Best forInsurance-billing therapists and growing group practices that want low add-on clinician fees and free admin staff.

    TherapyNotes keeps its price sheet short. Solo costs $69 a month for one user, and Group costs $89 for the first clinician plus $60 for each additional clinician, with non-clinical staff accounts free. Practices with 20 or more users move to Enterprise at the same rates with a designated account manager. Every plan includes the 30-day free trial, automatic software updates, backups and a mobile companion app. Usage fees are listed openly: 25¢ per electronic claim, 14¢ per text or call reminder with free email reminders, and 3.1% plus 30¢ per card transaction. Premium Telehealth adds $15 per clinician, the TherapyFuel marketing service adds $40, and ePrescribe costs $65 per prescriber. For a three-clinician group, the base bill is $209 a month, lower than SimplePractice Plus at the same size. The trade-offs are no free tier and a card rate that sits above several competitors, so practices with heavy self-pay volume should check processing costs.

    • ✓Additional clinicians cost $60 a month on Group, below most rivals
    • ✓Non-clinical staff accounts are free on Group and Enterprise
    • ✓30-day free trial with no credit card, signup fee or long-term contract
    • ✕No free plan
    • ✕Telehealth beyond the basics is a $15 per clinician add-on
    • ✕Card processing at 3.1% plus 30¢ is higher than several rivals
    Free plan:
    No, 30-day free trial
    Cheapest paid plan:
    Solo, $69 per month
    Extra clinician:
    $60 per month on Group
    Electronic claims:
    25¢ per claim
    Card processing:
    3.1% plus 30¢ per transaction

    Bottom line: TherapyNotes gives insurance-billing practices the best mix of features and per-clinician cost. Self-pay practices should compare its 3.1% card rate first.

    Visit therapynotes.com ↗

  2. 02

    Sessions Health

    8.6/10

    A HIPAA-compliant EHR for therapists with a free tier, flat pricing and pay-per-use claims.

    Price

    $39per month for the first practitioner

    Free Freemium plan for up to 3 clients; Professional $39 per month plus $29 per additional practitioner

    “starting at $39/month for the first practitioner and $29/month for each additional practitioner” Quoted from the pricing page, November 9, 2026.

    Free plan
    Yes
    Free trial
    30 days
    Value (40%)
    9.3
    Features (35%)
    7.8
    Ease of use (25%)
    8.4

    Best forNew and budget-minded therapists who want a free start and a low flat fee per clinician.

    Sessions Health keeps pricing flat. The Freemium plan costs nothing and covers up to 3 clients for one practitioner, which suits a new private practice that is still building a caseload. Professional costs $39 a month for the first practitioner and $29 for each additional practitioner, with unlimited clients, unlimited administrators and free data import from another EHR. The core feature list covers what a therapist needs: custom forms and note templates, auto-scored assessments, treatment plans, calendar sync, email and SMS reminders, integrated card payments with AutoPay, superbills, electronic claims with ERAs, secondary claims and incident-to billing. Usage costs are extra: integrated telehealth is $10 a month per practitioner, claims cost $0.19 to $0.25 each depending on monthly volume, eligibility reports are $0.15 each and AI Assist is $35 per practitioner. Sessions Health has fewer extras than SimplePractice, but a three-clinician group pays $97 a month before add-ons.

    • ✓Permanent free plan for up to 3 clients
    • ✓Additional practitioners cost $29 a month, the lowest verified add-on fee here
    • ✓No long-term contracts and free import from another EHR
    • ✕Integrated telehealth is a $10 per practitioner add-on
    • ✕Claims cost $0.19 to $0.25 each
    • ✕AI Assist costs $35 per practitioner per month
    Free plan:
    Yes, up to 3 clients
    Cheapest paid plan:
    Professional, $39 per month
    Extra practitioner:
    $29 per month
    Electronic claims:
    $0.19 to $0.25 per claim by volume
    Telehealth:
    $10 per practitioner per month, up to 4 participants

    Bottom line: Sessions Health is the best low-cost EHR for therapists, with a real free tier and $29 add-on seats. Heavy telehealth users should add $10 per practitioner.

    Visit sessionshealth.com ↗

  3. 03

    SimplePractice

    8.5/10

    A practice management and EHR platform for therapists with telehealth, a client portal and tiered plans.

    Price

    $49per month for one clinician

    Starter $49 per month; Essential $79; Plus $99 for the first clinician plus $74 per additional clinician, billed monthly

    “/month for 3 months, then $49 billed monthly” Quoted from the pricing page, November 9, 2026.

    Free plan
    No
    Free trial
    30 days
    Value (40%)
    7.6
    Features (35%)
    9.2
    Ease of use (25%)
    9.0

    Best forSolo therapists who want a polished client portal and mobile apps, with room to add AI note tools.

    SimplePractice has the broadest feature set among the self-serve tools here, and its pricing reflects that. Starter costs $49 a month and includes unlimited clients, telehealth, online payments, progress notes, paperless intake and the client portal app, plus free credentialing support. Essential at $79 adds appointment reminders, calendar sync, customizable treatment plans, Wiley Treatment Planners and secure messaging, which most working practices will need. Plus at $99 adds group appointments, group telehealth, a premium support line and advanced analytics, and it is the only plan that lets you add clinicians, at $74 each. New accounts get 50% off for 3 months by converting within 7 days. Add-ons include Care Aide at $59 a month, Note Taker at $35, ePrescribe at $49 with an $89 setup fee and Insurance Navigator at $1.79 per claim. The product is strong, but a two-clinician practice pays $173 a month on Plus, more than TherapyNotes or TheraNest.

    • ✓Free credentialing support and integrated measurement-based care from Starter
    • ✓50% off the first 3 months when you convert within 7 days of the trial
    • ✓Large user base of over 250k practitioners, per the vendor
    • ✕Starter lacks appointment reminders and calendar sync
    • ✕Adding clinicians requires Plus, at $74 per additional clinician
    • ✕Insurance Navigator files claims at $1.79 per claim after a 30-day trial
    Free plan:
    No, 30-day free trial
    Cheapest paid plan:
    Starter, $49 per month
    Extra clinician:
    From $74 per month on Plus
    AI add-on:
    Care Aide, $59 per month for the account owner
    Groups of 6+:
    Custom pricing through sales

    Bottom line: SimplePractice is the most complete self-serve EHR for solo therapists. Groups pay more per clinician than with TherapyNotes.

    Visit simplepractice.com ↗

  4. 04

    TheraNest

    8.4/10

    Ensora Health's mental health EHR, sold per therapist in three tiers with unlimited clients.

    Price

    $29per therapist per month

    Essentials $29, Advanced $59 and Premier $89 per therapist per month billed monthly; about 8% less billed yearly

    “Essentials $29 therapist/mo” Quoted from the pricing page, November 9, 2026.

    Free plan
    No
    Free trial
    21 days
    Value (40%)
    8.4
    Features (35%)
    8.5
    Ease of use (25%)
    8.2

    Best forInsurance-based practices that want unlimited claims and eligibility checks bundled into a per-therapist price.

    TheraNest, now sold by Ensora Health, prices every plan per therapist, so cost scales in a straight line. Essentials at $29 a month covers scheduling, a secure client portal, calendar sync, basic intake forms and notes, Ensai notes enhancement and card payments, with telehealth as an option. Advanced at $59 adds online booking, secure messaging, custom intake forms and unlimited individual and group telehealth, plus 50 free claims and 50 eligibility checks per practice each month. Premier at $89 adds insurance billing automation, the Wiley Practice Planner and unlimited claims, eligibility checks and reminders, subject to a fair usage policy. Paying yearly includes one month free, which brings Essentials to $319 a year. Ensai AI notes cost $35 per provider per month. The catch is that the cheapest plan leaves out booking and messaging, so most practices will compare Advanced at $59 per therapist with TherapyNotes and SimplePractice.

    • ✓Premier bundles unlimited claims processing and eligibility checks
    • ✓Annual billing includes one month free
    • ✓21-day trial of Premier with no credit card
    • ✕Essentials leaves out online booking and secure messaging
    • ✕Advanced includes only 50 claims and 50 eligibility checks per practice per month
    • ✕Group pricing beyond per-therapist plans needs a quote
    Free plan:
    No, 21-day free trial of Premier
    Cheapest paid plan:
    Essentials, $29 per therapist per month
    Yearly price:
    Essentials $319 per year
    Claims:
    50 free per month on Advanced, unlimited on Premier
    AI notes add-on:
    $35 per provider per month

    Bottom line: TheraNest suits insurance-heavy practices that want claims bundled into the seat price. Self-pay solo therapists may find Essentials too limited.

    Visit ensorahealth.com ↗

  5. 05

    TherapyAppointment

    8.4/10

    An all-features practice management system for therapists that prices solo plans by sessions booked.

    Price

    $10per month for up to 10 sessions

    $10 per month until you book more than 10 sessions, then $39, then $59 from 40 sessions; Group $59 plus $39 per additional clinician

    “$10 /mo Intro pricing until you book more than 10 sessions” Quoted from the pricing page, November 9, 2026.

    Free plan
    No
    Free trial
    30 days
    Value (40%)
    9.0
    Features (35%)
    7.9
    Ease of use (25%)
    8.0

    Best forPart-time and newly opened solo practices with a small session count each month.

    TherapyAppointment ties the solo price to how busy you are. After the first 30 days free, the plan costs $10 a month until you book more than 10 sessions, $39 until you book more than 39 sessions, and $59 once you book 40 or more. The Group Plan is $59 a month plus $39 per additional clinician and includes clinician-level reports, supervisor sign-off and new client triage. Every plan includes the same features: free administrative accounts, free appointment reminders, a client portal with unlimited messaging, automated intake with e-signatures, self-scheduling, multiple locations, free ERA posting and two-way calendar sync. Usage fees are low: claims cost 15¢ each paid to Office Ally, benefits checks cost 7¢ and card processing is 2.9% + $0.30. AI Notes cost $0.59 per note and integrated telehealth is $15 per provider. Annual billing is not offered, and a full-time solo therapist ends up at $59, so the savings mainly help part-time practices.

    • ✓Lowest verified entry price at $10 a month for small caseloads
    • ✓Free appointment reminders and a free listing in the Therapist Finder
    • ✓No feature tiers, so a growing practice does not lose tools
    • ✕No annual billing option
    • ✕Integrated telehealth is $15 per provider per month
    • ✕ePrescribe costs $65 per prescriber plus a $110 setup fee
    Free plan:
    No, first 30 days free
    Cheapest paid plan:
    $10 per month up to 10 sessions
    Standard solo rate:
    $59 per month from 40 sessions
    Extra clinician:
    $39 per month on the Group Plan
    Card processing:
    2.9% + $0.30 per transaction

    Bottom line: TherapyAppointment is the cheapest way to run a small or part-time practice. Full-time solo therapists pay $59, close to rivals.

    Visit therapyappointment.com ↗

  6. 06

    TheraPlatform

    8.3/10

    An EHR, practice management and teletherapy platform with interactive therapy apps.

    Price

    $39per month for one provider

    Basic $39 per month; Pro $69 plus $39 per additional provider; Pro Plus $79 plus $49 per additional provider

    “Basic $ 39 $ 19.50 Save 50% for 3 months” Quoted from the pricing page, November 9, 2026.

    Free plan
    No
    Free trial
    30 days
    Value (40%)
    8.5
    Features (35%)
    8.3
    Ease of use (25%)
    8.0

    Best forTelehealth-heavy therapists who want unlimited video, whiteboards and therapy apps in the base plan.

    TheraPlatform was built around teletherapy, and its pricing shows it: every plan includes unlimited HIPAA compliant video, group sessions, an interactive whiteboard and interactive therapy apps. Basic costs $39 a month for one provider and cannot add others. Pro at $69 adds providers at $39 each, and Pro Plus at $79 adds them at $49 each. New customers who buy during the trial get 50% off for 3 months. The scheduling side covers online booking, a booking widget, email reminders, text reminders at $0.02 per message, Google calendar sync and a client portal with secure messaging. Documentation includes customizable notes, assessments, treatment plans, note co-sign and homework sharing, and billing covers AutoPay, superbills, claim batching at $0.25 per claim and ERA auto posting, with a free biller account. AI Notes cost $30 per provider and the Wiley Treatment Planner $15. It is good value for video-first therapists, though usage fees add up.

    • ✓Telehealth is included rather than sold as an add-on
    • ✓Free scheduler users and a free biller account
    • ✓30-day free trial with no credit card or setup fee
    • ✕Basic cannot add more providers
    • ✕Electronic claims cost $0.25 each and text reminders $0.02 each
    • ✕Wiley Treatment Planner is a $15 per provider add-on
    Free plan:
    No, 30-day free trial
    Cheapest paid plan:
    Basic, $39 per month
    Extra provider:
    $39 on Pro, $49 on Pro Plus
    Electronic claims:
    $0.25 per claim
    Introductory offer:
    50% off for 3 months for early buyers

    Bottom line: TheraPlatform is the value pick for telehealth-first therapists because video is included. Groups should compare Pro with TherapyNotes Group.

    Visit theraplatform.com ↗

  7. 07

    Jane

    8.1/10

    A clinic management system for allied health and mental health practices with online booking, charting and payments.

    Price

    Check price

    See vendor pricing (USD check pending)

    US price check pending. Vendor pricing page

    Free plan
    No
    Value (40%)
    7.3
    Features (35%)
    8.6
    Ease of use (25%)
    8.8

    Best forMultidisciplinary clinics that mix therapists with other practitioners and want strong online booking.

    Jane is clinic software that fits practices where therapists share a front desk and booking site with other practitioners. Every plan includes custom-branded online booking, unlimited admins and locations, 1:1 and group appointments and classes, 1:1 telehealth, secure messaging, intake forms, custom charting templates and outcome measure surveys. The entry Balance plan covers a single practitioner and up to 20 appointments a month. Practice removes those limits with unlimited appointments and staff profiles, free SMS reminders where available and timesheets, and lets clinics buy cheaper part-time licenses for staff under 24 booked hours a week. Thrive adds rooms and equipment, patient self check-in, an automated waitlist, return visit reminders, packages and memberships. AI Scribe, group telehealth, insurance billing and payroll are add-ons. The pricing page showed only Canadian dollar prices from our location, so the USD price is pending.

    • ✓Practice and Thrive plans include unlimited appointments and staff profiles
    • ✓Part-time practitioner licenses for staff under 24 booked hours per week
    • ✓Packages, memberships and an automated waitlist on Thrive
    • ✕The pricing page showed only CAD prices from our location
    • ✕The entry Balance plan is limited to 20 appointments per month
    • ✕Insurance billing is an add-on on Practice and Thrive
    Free plan:
    No
    Entry plan limit:
    Balance, single practitioner, 20 appointments per month
    Part-time license:
    Staff under 24 booked hours per week
    AI Scribe:
    5 free notes, unlimited as a paid add-on
    USD price:
    Pending, page showed CAD

    Bottom line: Jane is a strong pick for mixed-discipline clinics that value booking and charting. Confirm the USD price for your practice before signing up.

    Visit jane.app ↗

  8. 08

    Practice Better

    8.1/10

    A practice platform for health and wellness practitioners with EHR, programs, telehealth and billing.

    Price

    $35per month for one practitioner

    Free Sprout plan for 3 clients; Starter $35 per month, or $25 per month billed annually; Professional $69; Plus $99

    “Starter $25/month (annually) $35/month (monthly)” Quoted from the pricing page, November 9, 2026.

    Free plan
    Yes
    Free trial
    14 days
    Value (40%)
    7.8
    Features (35%)
    8.2
    Ease of use (25%)
    8.4

    Best forTherapists who also sell programs, courses or coaching packages alongside sessions.

    Practice Better is aimed at the wider wellness market, so it suits therapists who run programs or coaching alongside one-to-one sessions. The free Sprout plan covers 3 clients. Starter costs $35 a month, or $25 billed annually, for one practitioner and 10 clients, with scheduling, telehealth video, integrated billing and payments, secure messaging, a client portal, forms and note templates and 20+ integrations. Professional at $69 raises the limit to 300 clients and adds group scheduling, fixed-date programs, deposits and payment plans and Zapier. Plus at $99 removes client limits and adds evergreen and self-paced programs, portal branding, 750 SMS reminders a month and a dedicated fax number. Team at $155 covers 2 practitioners, with more at $50 each. AI charting starts at $10 and ePrescribe is $49. The client caps are the main drawback for therapists: a full solo caseload usually needs Professional at $69 or more.

    • ✓Free Sprout plan for students and new practitioners
    • ✓Programs and courses are built in, which few EHRs offer
    • ✓Annual billing saves up to 10%
    • ✕Starter covers only 10 clients and Professional 300
    • ✕SMS reminders start on the $99 Plus plan
    • ✕Team plans start at $155 a month for 2 practitioners
    Free plan:
    Yes, Sprout, up to 3 clients
    Cheapest paid plan:
    Starter, $35 per month or $25 billed annually
    Client limits:
    10 on Starter, 300 on Professional, unlimited on Plus
    Team plan:
    $155 per month for 2 practitioners, $50 per added practitioner
    Free trial:
    14 days, 30 days on Team

    Bottom line: Practice Better fits therapists who sell programs as well as sessions. Insurance-focused practices will get more from TherapyNotes or TheraNest.

    Visit practicebetter.io ↗

  9. 09

    IntakeQ

    7.9/10

    Online intake forms and practice management for health practices, with optional appointment and billing tools.

    Price

    $29.90per month for Forms Only, 10 submissions

    Forms Only from $29.90 per month on the low volume plan; Practice Management from $59.90 per month low volume or $84.90 per month

    “$29.90 / month 10 Form Submissions/month” Quoted from the pricing page, November 9, 2026.

    Free plan
    No
    Free trial
    14 days
    Value (40%)
    7.5
    Features (35%)
    8.0
    Ease of use (25%)
    8.3

    Best forPractices that mainly need branded intake forms and e-signatures, with scheduling and claims as an upgrade.

    IntakeQ began as an intake forms tool and that remains its strongest part. Forms Only costs $54.90 a month, or $29.90 on the low volume plan capped at 10 form submissions a month, and includes unlimited branded templates, attachments, client and provider e-signatures, form reminders, SOAP and other treatment notes, secure document sharing, e-faxing options and a HIPAA BAA. Practice Management costs $84.90 a month and adds appointment management, reminders, a booking widget, automated intake, a secure client portal, payments and recurring payments, claims and superbills, task management, telehealth and phone support. A low volume version costs $59.90 and covers 25 appointments and 25 client form submissions per practitioner every 30 days. Extra practitioners cost $20 to $30 depending on the plan. For a full-time therapist who needs scheduling and billing, the $84.90 plan is pricier than TherapyNotes Solo, so IntakeQ makes most sense when forms are the priority.

    • ✓Strong intake forms with e-faxing and a HIPAA BAA
    • ✓Telehealth included on Practice Management
    • ✓No contract and cancel anytime
    • ✕Low volume Practice Management is capped at 25 appointments per practitioner per 30 days
    • ✕Full Practice Management costs $84.90 a month
    • ✕Extra practitioners cost $20 to $30 each depending on plan
    Free plan:
    No, 14-day free trial
    Cheapest paid plan:
    Forms Only low volume, $29.90 per month
    Practice Management:
    $59.90 low volume or $84.90 per month
    Extra practitioner:
    $25 low volume or $30 on Practice Management
    Assistant accounts:
    2 on Forms Only

    Bottom line: IntakeQ is the forms specialist on this list. Full practice management costs more than the leading therapy EHRs.

    Visit intakeq.com ↗

  10. 10

    Valant

    7.3/10

    A behavioral health EHR for group practices and outpatient programs with clinical, billing and patient engagement tools.

    Price

    Check price

    See vendor pricing (USD check pending)

    US price check pending. Vendor pricing page

    Free plan
    No
    Value (40%)
    6.0
    Features (35%)
    8.8
    Ease of use (25%)
    7.4

    Best forLarger behavioral health groups and programs with prescribers that want a sales-led setup.

    Valant is a behavioral health EHR that leans toward groups and programs rather than solo clinicians. Its product menu covers clinical documentation, AI Notes Assist, intake and assessment automation, ePrescribing, PDMP checks, treatment planning, eLabs, group therapy, clinical reporting and telehealth, plus a practice management side with billing, utilization review, scheduling, prospective patient management, card processing, consent forms, an integrated clearinghouse and eligibility checks. The pricing page does not list figures. Valant says pricing is built around the number and type of provider licenses, including therapist, prescriber and supervisor roles, along with optional features, and a product specialist prepares a quote. That makes it hard to compare per clinician, so we scored value conservatively. Valant makes sense for multi-provider practices with psychiatric prescribers or intensive outpatient programs that need these tools in one place. A solo therapist will usually spend less, and set up faster, with TherapyNotes, SimplePractice or Sessions Health.

    • ✓Built for behavioral health, including intensive outpatient and partial hospitalization programs
    • ✓Licensing by role covers therapists, prescribers and supervisors
    • ✓Broad billing and reporting tools in one system
    • ✕No public price; every plan needs a quote
    • ✕No self-serve free trial listed
    • ✕More than a solo private practice usually needs
    Free plan:
    No
    Pricing model:
    Custom quote by number and type of provider licenses
    Served:
    Solo to multi-provider outpatient, IOP and PHP organizations
    Prescriber tools:
    ePrescribing, PDMP and eLabs
    USD price:
    Pending, quote only

    Bottom line: Valant suits behavioral health groups with prescribers and programs. Solo therapists should pick a self-serve tool with public prices.

    Visit valant.io ↗

What to check before you pay

01

Price the practice per clinician, not per plan

Base prices hide how each vendor charges for added clinicians. Sessions Health adds $29 a month per practitioner, TherapyAppointment and TheraPlatform Pro add $39, TherapyNotes Group adds $60, and SimplePractice Plus adds $74. TheraNest charges every therapist the full plan price. For three clinicians, the monthly base bill is $97 on Sessions Health, $137 on TherapyAppointment, $147 on TheraPlatform Pro, $177 on TheraNest Advanced, $209 on TherapyNotes Group and $247 on SimplePractice Plus.

02

Count claim and reminder fees if you take insurance

Insurance practices pay per claim on most tools. TherapyAppointment lists 15¢ per claim paid to Office Ally, Sessions Health $0.19 to $0.25, TherapyNotes and TheraPlatform 25¢, and SimplePractice Insurance Navigator $1.79 per claim. TheraNest Advanced includes 50 claims a month and Premier includes unlimited claims under a fair usage policy. Text reminders also vary: TherapyNotes charges 14¢ per text or call, TheraPlatform $0.02 per text, and TherapyAppointment lists reminders as free.

03

Check whether telehealth is included

Video can add $10 to $15 a month per clinician. TheraPlatform includes unlimited HIPAA compliant video on every plan, SimplePractice includes telehealth from Starter, IntakeQ includes it on Practice Management and TheraNest includes it from Advanced. Sessions Health charges $10 per practitioner, and TherapyNotes Premium Telehealth and TherapyAppointment's integrated telehealth each cost $15 per clinician.

04

Look at plan limits before the price

Low entry prices often come with caps. TherapyAppointment's $10 price stops after 10 sessions a month, Practice Better Starter covers 10 clients, Jane Balance allows 20 appointments a month, IntakeQ low volume Practice Management covers 25 appointments per practitioner per 30 days, and Sessions Health Freemium covers 3 clients. SimplePractice Starter leaves out reminders and calendar sync, and TheraNest Essentials leaves out online booking and messaging.

05

Budget separately for AI notes

Most vendors now sell AI note drafting as an add-on. TherapyAppointment charges $0.59 per chart note, TheraPlatform $30 per provider, Sessions Health AI Assist and TheraNest's Ensai AI notes $35, SimplePractice Note Taker $35 and Care Aide $59 for the account owner, and Practice Better's AI Charting Assistant starts at $10. Jane includes 5 free AI Scribe notes per month, with unlimited notes as an add-on.

FAQ

What is the best practice management software for therapists?

TherapyNotes ranks first in our 2026 comparison, at $69 a month for a solo clinician and $60 for each added clinician on Group, with free admin staff accounts. Sessions Health ranks second on value, with a free plan for 3 clients and Professional at $39 a month, and SimplePractice ranks third for therapists who want the most complete client portal, from $49 a month.

What is the cheapest EHR for a therapist in private practice?

Sessions Health has a free plan for up to 3 clients, and Practice Better's free Sprout plan also covers 3 clients. Among paid plans, TherapyAppointment costs $10 a month until you book more than 10 sessions, and TheraNest Essentials costs $29 per therapist per month.

How much does SimplePractice cost compared with TherapyNotes?

SimplePractice Starter is $49 a month, Essential $79 and Plus $99, with added clinicians from $74 on Plus. TherapyNotes Solo is $69 a month and Group is $89 for the first clinician plus $60 for each additional clinician.

Which therapy software includes telehealth at no extra cost?

TheraPlatform includes unlimited HIPAA compliant video on every plan from $39 a month, SimplePractice includes telehealth from Starter, and TheraNest includes unlimited individual and group telehealth from Advanced at $59 per therapist. Sessions Health, TherapyNotes and TherapyAppointment charge $10 to $15 per clinician for integrated telehealth.

Which tool is best for a group therapy practice?

TherapyNotes Group costs $89 for the first clinician and $60 for each additional one, and Sessions Health adds practitioners at $29 each. Larger behavioral health groups with prescribers or intensive outpatient programs can request a quote from Valant.

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