How we make this list: we compare pricing pages, product documentation and public user reviews. Ratings come from G2, Capterra or Trustpilot, with the date we checked them.
Key takeaways
- SimplePractice at 49 to 99 dollars per month and TherapyNotes at 69 dollars solo are the two default picks, with polish versus billing efficiency as the main trade-off.
- Insurance billing is where the real cost hides: per-claim fees, clearinghouse charges, and paid add-ons can add 50 to 150 dollars a month on top of the subscription.
- Every platform here states HIPAA compliance and signs a Business Associate Agreement, but do not assume compliance from marketing alone: verify the BAA and security practices before entering client data.
- TheraNest at 29 dollars per therapist and Power Diary from 9.50 dollars are the lowest-cost entries for solo practices that do not need every premium feature.
- This guide covers software for billing and practice management, not medical advice, and billing rules vary by payer and state, so confirm requirements with each payer.
Quick comparison
| Tool | Best for | Starting price | Free plan |
|---|
 SimplePractice | Solo practices wanting polish and depth | $49 per month | No |
 TherapyNotes | Insurance-heavy practices wanting billing efficiency | $69 per month | No |
 TheraNest | Budget-conscious solo and small groups | $29 per therapist per month | No |
 PracticeQ | Customizable intake and workflow automation | $59.90 per month | No |
 Jane | Multi-disciplinary clinics and allied health | $59 per month | No |
 CounSol.com | Therapist-focused simplicity with personal support | $49.95 per month | No |
 Power Diary | Lean practices wanting the lowest bill | $9.50 per month | No |
 Carepatron | Price-sensitive solo practitioners | Free | Yes |
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The best behavioral health billing software
#1SimplePractice
Best for: Solo practices wanting polish and depth4.1/5 on
G2 (129 reviews, checked Oct 2026)
Visit simplepractice.com
Starting price$49 per month
Free planNo
SimplePractice is the most popular practice management platform for mental health professionals, with plans at 49, 79, and 99 dollars per clinician per month, plus 74 dollars per extra clinician on group plans. It covers scheduling, charting, built-in telehealth, a client portal, and insurance billing, with Wiley Treatment Planner templates and customizable notes that many therapists prefer. Its 4.6 rating on Capterra across 2,827 reviews reflects broad satisfaction with polish and depth.
The drawbacks are billing costs and price rises. Claims cost 0.39 dollars each on every plan from October 2026, the Starter plan rose from 29 to 49 dollars in March 2025, and add-ons such as AI Note Taker at 35 dollars per clinician and e-prescribing at 49 dollars add up. A solo therapist filing 40 claims a month lands near 91 dollars all-in on the Essential plan before card processing. SimplePractice suits practices that value polish, telehealth, and templates over the lowest billing cost.
What we like- Polished interface
- Built-in telehealth on every plan
- Customizable note and treatment plan templates
Watch out for- Claims cost 0.39 dollars each from October 2026
- Starter rose from 29 to 49 dollars
- AI notes add-on costs 35 dollars
#2TherapyNotes
Best for: Insurance-heavy practices wanting billing efficiency4.4/5 on
G2 (99 reviews, checked Oct 2026)
Visit therapynotes.com
Starting price$69 per month
Free planNo
TherapyNotes is the billing efficiency pick, with a Solo plan at 69 dollars per month and group pricing at 79 dollars for the first clinician plus 50 dollars per additional clinician. Its insurance workflows cover electronic claims, ERA posting, eligibility checks, and EOB handling, which is why insurance-heavy practices shortlist it first. Its 4.7 rating on Capterra across 963 reviews is the highest on this list, and unlimited free non-clinical users help front-office staff work without extra seat costs.
The limits are claim fees and telehealth tiers. From October 2026, electronic claims cost 0.25 dollars each plus 0.09 dollars per claim inside an ERA, basic telehealth covers only 2 participants free, and premium telehealth with 16 participants costs 15 dollars per month. TherapyNotes suits insurance-heavy practices that prioritize billing depth and are willing to pay per-claim fees for it.
What we like- Deep insurance billing with ERA and eligibility workflows
- 4.7 Capterra rating
- Unlimited free non-clinical users
Watch out for- Claims now 0.25 dollars plus 0.09 dollars per ERA claim
- Premium telehealth costs 15 dollars
- Mobile app lacks notes and billing
#3TheraNest
Best for: Budget-conscious solo and small groups4.2/5 on
G2 (141 reviews, checked Oct 2026)
Visit theranest.com
Starting price$29 per therapist per month
Free planNo
TheraNest, now under the Ensora brand, offers the lowest entry price among full-featured options, with Essentials at 29 dollars, a mid-tier at 59 dollars, and Premier at 89 dollars per therapist per month. It covers client management, scheduling, billing, progress notes, and reporting, and its Advanced plan includes 50 free claims a month, then 0.23 dollars per claim, with unlimited claims on Premier under a fair use policy. TheraNest also offers managed billing through its revenue cycle management service, priced separately, for practices that want to outsource billing entirely.
The drawbacks are add-on costs and admin fees. Telehealth costs 12 dollars per month except on Premier, admin users cost 19 to 29 dollars, and the AMA CPT fee adds 19.50 dollars per year. TheraNest suits budget-conscious solo and small group practices that want solid billing without SimplePractice pricing.
What we like- Essentials plan at 29 dollars
- Managed billing option through RCM
- 50 free claims a month on Advanced
Watch out for- Telehealth is a 12 dollar add-on except on Premier
- Claims cost 0.23 dollars after 30 free
- Admins cost 19 to 29 dollars
Starting price$59.90 per month
Free planNo
PracticeQ focuses on intake and workflow automation, with customizable online forms, appointment scheduling, charting, and billing in one system. Its Starter plan costs 59.90 dollars per month, with a higher tier at 84.90 dollars, and appointment caps per practitioner keep pricing predictable for part-time practices. For practices where intake paperwork eats hours each week, PracticeQ automation is the main selling point.
The limits are billing depth and scale. Advanced insurance billing features trail TherapyNotes, and the review base is smaller than the market leaders, so independent feedback is thinner. PracticeQ suits practices that prioritize streamlined intake and workflow automation over the deepest billing engine.
What we like- Strong intake forms and automation
- Starter at 59.90 dollars
- Appointment caps keep pricing predictable
Watch out for- Fewer advanced billing features than TherapyNotes
- Smaller review base
- Higher tier at 84.90 dollars
#5Jane
Best for: Multi-disciplinary clinics and allied health4.0/5 on
G2 (19 reviews, checked Oct 2026)
Visit jane.app
Starting price$59 per month
Free planNo
Jane serves multi-disciplinary clinics, including physiotherapy, massage, psychology, and allied health, with scheduling, charting, 1:1 telehealth, and payments in one system. Its Balance plan costs 59 dollars per month, with plans from 54 to 99 dollars and extra practitioners from 17.50 to 40 dollars, which suits growing clinics adding staff. Jane interface is clean and its support reputation is strong among allied health users.
The drawbacks are US insurance costs. US insurance billing needs a 20 dollar add-on plus a separate Claim.MD account, and group video costs 15 dollars extra, so the all-in price for US insurance billers is higher than the headline rate. Jane suits multi-disciplinary clinics, especially outside the US or with mixed cash and insurance caseloads.
What we like- Multi-disciplinary scheduling and charting
- 1:1 telehealth included
- Extra practitioners from 17.50 dollars
Watch out for- US insurance billing needs a 20 dollar add-on plus a Claim.MD account
- Group video costs 15 dollars
- Plans run 54 to 99 dollars
#6CounSol.com
Best for: Therapist-focused simplicity with personal support4.4/5 on
G2 (4 reviews, checked Oct 2026)
Visit counsol.com
Starting price$49.95 per month
Free planNo
CounSol.com is a therapist-focused platform with four clear tiers starting at 49.95 dollars per month on its Standard plan at current sale pricing, covering scheduling, charting, billing, and a client portal. Its counseling-first design and personal support reputation appeal to solo counselors who want a simple system with a human on the other end of support. Its 4.7 rating on Capterra across 830 reviews matches TherapyNotes for satisfaction.
The limits are telehealth gating and integrations. Telehealth only appears from the Premium plan, which costs more than Standard, and integrations are fewer than SimplePractice or TherapyNotes. CounSol suits solo counselors who want simplicity and personal support over the widest feature set.
What we like- Counseling-first design
- Personal support reputation
- 4.7 rating on Capterra across 830 reviews
Watch out for- Telehealth only from the Premium plan
- Fewer integrations than SimplePractice
- Four tiers can confuse
#7Power Diary
Best for: Lean practices wanting the lowest bill4.7/5 on
G2 (300 reviews, checked Oct 2026)
Visit powerdiary.com
Starting price$9.50 per month
Free planNo
Power Diary offers the lowest monthly bill on this list, with a Starter plan from 9.50 dollars per month, covering scheduling, client management, and basic billing for lean practices. It suits part-time therapists and small practices that need core practice management without paying for premium features they rarely use. Its simple interface keeps setup fast and training minimal.
The drawbacks are billing depth and US fit. Behavioral health billing features are thinner than TherapyNotes or SimplePractice, and its US presence is smaller, so payer-specific workflows may need manual work. Power Diary suits lean, mostly cash-pay practices that want the lowest possible monthly cost.
What we like- Starter plan from 9.50 dollars per month
- Lean and simple
- Good for part-time practices
Watch out for- Fewer behavioral health billing features
- Smaller US presence
- Add-ons raise the total
#8Carepatron
Best for: Price-sensitive solo practitioners4.5/5 on
G2 (733 reviews, checked Oct 2026)
Visit carepatron.com
Starting priceFree
Free planYes
Carepatron offers a free tier plus paid plans from 31 dollars per month, covering scheduling, charting, telehealth, an AI scribe, and a client portal, which makes it the cheapest way to start for part-time and solo practitioners watching cost. Its 4.4 rating on Capterra across 850 reviews reflects solid satisfaction for the price, and its modern interface suits therapists who want a single system for practice management.
The limits are insurance integration and depth. US insurance billing runs through Claim.MD integration rather than a built-in clearinghouse, paid tiers rise to 39 dollars, and behavioral billing depth trails TherapyNotes. Carepatron suits price-sensitive solo practitioners, especially those with cash-pay or low insurance volume.
What we like- Free tier available
- Paid plans from 31 dollars
- Scheduling, charting, telehealth, and AI scribe
Watch out for- US insurance needs Claim.MD integration
- Paid tiers rise to 39 dollars
- Smaller behavioral billing depth
How we chose
We compared subscription price, per-claim fees, billing depth, telehealth inclusion, and add-on costs, using June and October 2026 vendor pricing verified against official pages. We favored platforms with transparent claim fees and built-in clearinghouse access, and we flagged where telehealth, e-prescribing, or AI notes cost extra. We treated HIPAA compliance as a baseline to verify through a signed BAA, not as a differentiator, since every platform here claims it.
How to choose the best behavioral health billing software
Start by counting your monthly claims and calculating the all-in cost, including subscription, per-claim fees, telehealth, and reminders, since headline prices hide 50 to 150 dollars in extras. Next, check whether your specific payers connect directly, since smaller regional payers sometimes need separate enrollment. Then confirm the vendor will sign a BAA and describe its security practices in writing before entering client data. Finally, run a free trial with real claims, including a denial and a resubmission, since billing workflows only show their quality under real payer friction.
Frequently asked questions
What is the difference between billing software and a billing service?
Billing software lets your own staff submit and track claims, while a billing service or revenue cycle management company handles billing for you, usually for a percentage of collections, often 5 to 10 percent. Software costs less but needs staff time, while a service costs more but removes the work.
How much does behavioral health billing software really cost?
Subscriptions run 9.50 to 99 dollars per clinician per month, plus per-claim fees of 0.23 to 0.39 dollars, plus telehealth, reminder, and AI add-ons. A typical insurance-billing solo practice pays roughly 80 to 110 dollars all-in per month before card processing.
Do I need a BAA from my billing software vendor?
Yes, if the vendor stores or processes protected health information, US law requires a signed Business Associate Agreement. Do not assume compliance from marketing claims: ask for the BAA and read its security terms before entering client data.
What causes most behavioral health claim denials?
Common causes include missing authorizations, mismatched diagnosis and procedure codes, lapsed eligibility, and notes that do not support the billed session length. Good software flags authorization and eligibility issues before submission.
Can I outsource billing instead of using software?
Yes, through managed billing or revenue cycle services offered by vendors such as TheraNest, or through independent billing companies. Outsourcing suits practices with high denial rates or no billing staff, but it costs a percentage of collections.
Does telehealth come included with billing software?
It depends. SimplePractice includes telehealth on every plan, TherapyNotes includes basic 2-person telehealth free with premium at 15 dollars, and TheraNest charges 12 dollars except on Premier. Check the video participant limit before choosing.
Sources we checked (0)
Is your product missing or out of date?
We review this list regularly. Vendors can request a listing, send updated pricing or ask about featured placement.
Shihab Mia · Founder, Rankite
Shihab has 5+ years in B2B and SaaS SEO. He writes Rankite's software buying guides from pricing pages, documentation and public user reviews. More about Shihab.