How we make this list: we compare pricing pages, product documentation and public user reviews. Rankite is independent; if a vendor ever pays for a featured spot, that listing is clearly labeled Partner.
Key takeaways
- Mental health private practices cluster around three options: SimplePractice (Starter $49/month, 30-day trial), TherapyNotes (30-day trial, electronic claims at 14 cents each) and TheraNest by Ensora Health.
- Massage therapists and bodyworkers get better value from discipline-specific tools: ClinicSense ($39/month, 14-day trial) and MassageBook, which lists your practice free.
- Rehab therapists (PT, OT, speech) belong on WebPT, the purpose-built rehab EMR, though pricing is custom quote only.
- Multi-discipline clinics love Jane (Balance $59/month, Insurance Billing add-on $20/month), which handles massage, physio and mental health in one schedule.
- The real cost is never just the subscription. Watch per-claim fees, clearinghouse charges, card processing rates and the add-ons that billing features often require.
Quick comparison
| Tool | Best for | Starting price | Free plan |
|---|
 SimplePractice | Mental health solo and group practices that want it all | $49/month (Starter) | Free trial (30 days) |
 TherapyNotes | Behavioral health practices that file a lot of electronic claims | See website | Free trial (30 days, no credit card) |
 TheraNest | Mental health practices that want billing mostly automated | See website (Solo, small group and organization plans) | See website |
 Jane | Multi-discipline clinics mixing massage, physio and mental health | $59/month (Balance, USD) | See website |
 Zanda | Health and wellness practices that want global-friendly billing | See website (Starter and Growth plans, 50% off for 6 months) | See website |
 ClinicSense | Massage therapists and bodyworkers who want simple billing | $39/month | Free trial (14 days, no credit card) |
 MassageBook | Massage therapists who want bookings plus free client discovery | See website (practice management plans) | Yes (free basic listing on the MassageBook directory) |
 WebPT | Rehab therapy clinics that bill complex PT, OT and speech claims | See website (custom quote, demo required) | No |
Is your product missing or out of date?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.
Billing software that speaks your discipline
Therapists did not go to school to become billing experts. But somewhere between the intake forms and the session notes, most end up spending evenings on superbills, rejected claims and card payments that never processed. Generic billing software handles none of the therapy-specific stuff: CMS-1500 forms, superbills, ERA posting, eligibility checks, SOAP notes tied to invoices, telehealth billing. The eight tools below are built for therapy disciplines specifically: mental health, massage and bodywork, rehab therapy, and the multi-discipline clinics that mix them.
The best billing software for therapists
Starting price$49/month (Starter)
Free planFree trial (30 days)
SimplePractice is the default EHR for US mental health private practice, and its billing stack is the reason. Even the $49 Starter plan covers the full loop: schedule the session, take the note, generate the invoice or claim, collect the card payment, reconcile. The insurance side includes benefits verification with client cost estimates and a claim assistant that catches errors before submission. The coming Insurance Navigator add-on files at $1.79 per claim with specialist support.
The pricing page currently advertises 50 percent off the first three months ($24.50 on Starter), which reverts to standard rates after. That is a genuine discount, not a trap, but budget the real numbers. The 30-day free trial needs no card and extends if you are still deciding. For a solo therapist billing insurance, SimplePractice is the easiest recommendation on this list: one login, one bill, everything connected.
What we like- Starter at $49/month includes scheduling, notes, client portal, telehealth and billing
- Essential ($79) and Plus ($99) add group appointments and premium phone support
- Insurance tools include automatic benefits verification and a claim assistant that catches errors
Watch out for- The attractive prices are promo rates (50 percent off 3 months) before standard billing kicks in
- AI note tools and ePrescribe are paid add-ons
- Groups over 6 practitioners move to custom pricing
#2
TherapyNotes
Best for: Behavioral health practices that file a lot of electronic claims
Visit therapynotes.com
Starting priceSee website
Free planFree trial (30 days, no credit card)
TherapyNotes is the behavioral health veteran, and its billing economics are its best feature. Electronic claims, ERAs and eligibility requests each cost 14 cents, which undercuts per-claim pricing from most competitors by a wide margin for high-volume billers. Every plan includes unlimited clients, appointments, notes and storage, plus a mobile companion app and a free client portal. The 30-day trial takes no credit card, and the company imports your client data from another EMR free.
The catch is the add-on stack: payment processing runs 3.1 percent plus 30 cents, premium telehealth adds $15 per clinician per month, and ePrescribe is $65 per prescriber per month. For a practice that files hundreds of claims a month, the cheap e-claims outweigh the add-ons. For a cash-pay practice, the subscription may be more than needed. Check therapynotes.com for current base pricing before you budget, since the page did not display it during this review.
What we like- Unlimited clients, appointments, notes and file storage on every plan
- Electronic billing at 14 cents per claim, ERA and eligibility check is genuinely cheap
- 24/7 phone and email support with free data import from another EMR
Watch out for- The base plan price did not render on the vendor pricing page, so budget blind until you check
- Billing, telehealth upgrades and payment processing are add-ons that stack
- Premium telehealth and MIPS reporting cost extra per clinician
#3
TheraNest
Best for: Mental health practices that want billing mostly automated
Visit theranest.com
Starting priceSee website (Solo, small group and organization plans)
Free planSee website
TheraNest by Ensora Health takes the strongest automation stance on this list: set your billing rules once per payer and the system creates invoices, submits claims and posts ERAs, surfacing only the exceptions that need a human decision. For therapists who lose evenings to claim follow-up, that is the pitch. The optional RCM Essentials add-on goes further: Ensora's team handles your insurance claims for a flat fee rather than a percentage of collections, which is a fairer model for small practices.
TheraNest is HITRUST certified and HIPAA compliant, with multi-location management for growing organizations. The pricing page did not render plan numbers during this review (plans scale from solo through 50+ clinicians), so confirm on theranest.com. The honest comparison is with SimplePractice: TheraNest automates more of the billing cycle, SimplePractice integrates more of the whole practice. Billing-heavy insurance practices should trial both.
What we like- Automated billing with invoice creation, claim submission and ERA posting in one flow
- Optional RCM Essentials service handles insurance claims for a flat fee
- Credentialing help to get on insurance panels included on eligible plans
Watch out for- Plan prices were not readable on the vendor pricing page
- Now part of Ensora Health, so watch for platform changes
- AI note features are a paid add-on
#4
Jane
Best for: Multi-discipline clinics mixing massage, physio and mental health
Visit jane.app
Starting price$59/month (Balance, USD)
Free planSee website
Jane is the multi-discipline answer. Where the mental health tools assume talk therapy and the massage tools assume bodywork, Jane runs a clinic where a massage therapist, a physiotherapist and a counselor share one calendar, one charting library and one billing system. Every plan includes superbills, CMS-1500s, invoices, receipts, packages, memberships and gift cards, with 10,000-plus chart templates and an AI scribe (5 free notes a month, unlimited at $15 per practitioner).
The pricing is honest and modular: Balance at $59 a month for a solo practitioner under 20 appointments, Practice at $79 with one full-time practitioner included and unlimited appointments, Thrive at $99 with rooms, waitlists and marketing tools. The insurance billing add-on is $20 a month plus $5 per full-time license, and note that the clearinghouse account is separate. For mixed practices, Jane replaces two or three single-discipline tools, which usually saves money overall.
What we like- One schedule, charting and billing system for every discipline in the clinic
- Superbills and CMS-1500s included on every plan
- Admin and support staff profiles are free, only booking practitioners are charged
Watch out for- Insurance billing is a $20/month add-on plus per-license fees
- Balance caps at 20 appointments a month, so growing practices land on Practice ($79)
- Clearinghouse account is separate and not included
#5
Zanda
Best for: Health and wellness practices that want global-friendly billing
Visit powerdiary.com
Starting priceSee website (Starter and Growth plans, 50% off for 6 months)
Free planSee website
Zanda (formerly Power Diary) is the practice management system many international health and wellness practices grew up on, and it now serves US therapists too. The billing toolkit is complete: customizable invoices and receipts, pre-set ICD-10 diagnosis codes, session packs and authorizations for prepaid blocks, third-party billing profiles, and Stripe integration for card payments. The Starter plan covers a single practitioner calendar with 1,000 appointments; Growth goes unlimited with multiple locations.
The rebrand from Power Diary to Zanda is recent enough that you will still see the old name in reviews and integrations, which is worth knowing when researching. The pricing page advertises 50 percent off for 6 months for new accounts, though the plan numbers did not render during this review. For wellness practices with international clients or practitioners, Zanda's regional pricing and HIPAA, GDPR and ISO 27001 compliance make it a natural fit.
What we like- Built for health and wellness practices with ICD-10 codes, session packs and third-party billing profiles
- Stripe integration for online payments with regional pricing
- Free AI documentation tools and comprehensive data import included
Watch out for- Power Diary rebranded to Zanda, so older reviews and links use the old name
- Plan prices did not render on the pricing page
- SMS and payment costs vary by region
Starting price$39/month
Free planFree trial (14 days, no credit card)
ClinicSense is built for massage therapists, physiotherapists and wellness professionals, and its pricing model is the fairest on this list: you pay for the appointment volume you actually do. Lite covers 20 appointments a month, Standard covers 200, Premium is unlimited, and you only move up after exceeding your tier two months running. The flat $39 base price includes online booking, SOAP notes, email and text reminders, invoicing, treatment packages and gift certificates.
The No-Show Guard feature deserves a mention: it requires clients to have a card on file to book, which directly protects the revenue no-shows destroy. The 14-day trial includes every feature with no credit card. The honest boundary is discipline: this is wellness billing, with TELUS Health eClaims and Square payments, not a behavioral health claims engine. For massage and bodywork practices, it is the value pick.
What we like- $39 flat monthly price with plans tiered by appointment volume (Lite 20, Standard 200, Premium unlimited)
- No-Show Guard requires a card to book, cutting lost revenue
- SOAP notes, intake forms, invoicing, packages and gift certificates in one place
Watch out for- Additional practitioners cost $20/month each
- Built for massage and wellness, not insurance-heavy mental health billing
- Square is the card processor, so no choice there
#7
MassageBook
Best for: Massage therapists who want bookings plus free client discovery
Visit massagebook.com
Starting priceSee website (practice management plans)
Free planYes (free basic listing on the MassageBook directory)
MassageBook plays two roles: a consumer directory where clients find and book massage therapists, and practice management software for the therapists themselves. The directory listing is free, which makes MassageBook the only tool on this list that actively sends you clients rather than just billing them. The business side covers online booking with instant confirmation, appointment reminders, payments, SOAP notes and client management.
The honest read is that the free listing is marketing and the practice software is the product, and the paid plans need confirming on massagebook.com since the homepage focuses on the consumer side. For a new massage practice, the combination is compelling: get listed free, take bookings online, and upgrade to the full management suite when the calendar fills. Established practices should compare its booking and billing depth against ClinicSense before committing.
What we like- Free directory listing puts your practice in front of local clients
- Practice management covers online booking, SOAP notes, payments and reminders
- Gift card marketplace creates a new revenue channel
Watch out for- The free tier is a listing, not the full practice software
- Pricing for paid business plans was not on the homepage
- Built only for massage and bodywork, nothing else
#8
WebPT
Best for: Rehab therapy clinics that bill complex PT, OT and speech claims
Visit webpt.com
Starting priceSee website (custom quote, demo required)
Free planNo
WebPT is the rehab therapy standard: physical, occupational and speech therapy clinics run documentation, scheduling, billing and marketing on one platform. The billing story is rehab-specific: AI-enhanced coding checks catch missed units and compliance risks before claims submit, real-time dashboards track performance by CPT code, and the optional full-service revenue cycle management hands the whole billing operation to WebPT's team. Its Therabill product is a standalone billing option inside the same company.
Everything about the buying process is enterprise: book a demo, get a custom quote, plan an implementation. There is no public pricing and no trial. The honest fit test is the practice: a multi-therapist PT clinic billing insurance lives here. A solo massage therapist or a cash-pay counselor does not belong here at all. If your discipline is rehab and your claims are complex, WebPT is the category leader for a reason.
What we like- Purpose-built for rehab therapy with documentation, billing and compliance in one platform
- AI tools document faster and catch coding errors before claims go out
- Full-service RCM option puts billing experts on your claims
Watch out for- Custom pricing only, with a demo-led sales process and implementation
- Built for clinics, overkill for solo cash-pay therapists
- No free plan or trial
How to pick billing software for your therapy practice
Start with your payer mix, not the feature list
Insurance-heavy mental health practices need claims engines: SimplePractice, TherapyNotes or TheraNest. Cash-pay and package-based practices (most massage, many counselors) need invoicing, cards on file and packages: ClinicSense, Jane or MassageBook. Rehab clinics billing PT/OT codes need rehab-specific compliance: WebPT. Buying a claims engine for a cash practice wastes money every month.
Match the tool to the discipline
Mental health tools assume talk therapy workflows: superbills, CMS-1500s, ERA posting. Massage tools assume hands-on workflows: SOAP notes, intake forms, packages, gift cards. Multi-discipline clinics need one system for all of it, which is Jane's whole pitch. A tool built for your discipline gets adopted; a generic tool gets worked around.
Price the whole billing stack, not the subscription
The subscription is the smallest line item. Add per-claim fees (TherapyNotes 14 cents, SimplePractice's Insurance Navigator $1.79), clearinghouse accounts (separate on Jane), card processing (2.6 to 3.1 percent plus per-transaction fees everywhere), and the add-ons that billing often requires (insurance billing add-ons on Jane and TheraNest, premium telehealth, ePrescribe). Ask for the all-in monthly cost for your claim volume before you sign.
Trial it with a real billing cycle
Every tool here except WebPT offers a trial or free tier. Do not evaluate on scheduling alone: run one real billing cycle through the trial. Submit test claims, post an ERA, chase a denial, refund a card. The billing workflow you hate at week two is the one you will hate at month twelve.
The billing mistakes that cost therapists money
The most expensive billing software is the one that lets revenue leak quietly. The common leaks are consistent across practices: no card on file at booking (ClinicSense's No-Show Guard and Jane's payment policies exist for this), superbills generated late or never for out-of-network clients, eligibility never verified before the first session (SimplePractice automates this), and denied claims that sit unworked because nobody owns the denial queue (TheraNest's exception queue, WebPT's dashboards).
The second mistake is underpricing the billing work itself. A biller costs 5 to 8 percent of collections; RCM services like TheraNest's flat-fee Essentials or WebPT's full-service RCM exist because many practices lose more to unworked denials than the service costs. If your denial rate is climbing and nobody has time to work it, outsourcing beats another software subscription. The tool handles the workflow; someone still has to own the revenue.
How we chose
We started with the searches buyers actually run: billing software for therapists, therapy billing software, mental health billing software and massage therapy software. For each candidate we opened the vendor's own pricing page, checked plan details against public reviews on G2 and Capterra and practitioner discussion on Reddit, and compared billing depth (claims, superbills, ERAs, eligibility), discipline fit, ease of use and pricing transparency. Where a price could not be verified on the vendor's page we wrote "See website" rather than guessing. We never claim hands-on testing: this is document research, priced from vendor pages.
Frequently asked questions
What is the best billing software for a solo therapist?
For a solo mental health therapist billing insurance, SimplePractice Starter ($49/month, 30-day trial) is the most complete single subscription. For a solo massage therapist, ClinicSense ($39/month, 14-day trial) or MassageBook's free listing are better discipline fits. Cash-pay solos of any discipline should compare Jane Balance ($59/month).
How much does therapy billing software cost?
Solo plans run $39 to $79 a month (ClinicSense $39, SimplePractice Starter $49, Jane Balance $59). But the subscription is only part of it: add per-claim fees, clearinghouse costs, card processing at 2.6 to 3.1 percent, and billing add-ons. Insurance-heavy practices should budget the all-in number, not the headline price.
Do I need a clearinghouse, and what does it cost?
If you file electronic insurance claims, claims go through a clearinghouse. Some tools bundle it (TherapyNotes at 14 cents per claim), some require a separate account (Jane integrates with Claim.MD, account not included). Ask whether clearinghouse fees are included in the per-claim price before comparing vendors.
Can therapy billing software handle superbills?
Yes, all the mental health tools here generate superbills for out-of-network clients: SimplePractice, TherapyNotes, TheraNest and Jane all include them. This matters for practices with out-of-network or cash-pay clients who submit to their insurers for reimbursement.
Should I outsource billing instead of buying software?
If denials are piling up unworked, consider it. RCM services (TheraNest's flat-fee RCM Essentials, WebPT's full-service RCM) cost less than a part-time biller for many practices. Software handles the workflow, but someone has to work the denials. Many practices do both: software for clean claims, a service for the messy ones.
Is my client data safe in therapy billing software?
All the tools on this list are HIPAA compliant as a baseline, with encryption and secure backups. TheraNest adds HITRUST certification; Jane is SOC 2 audited; Zanda carries ISO 27001. Always sign a Business Associate Agreement (BAA) with your vendor, which HIPAA requires.
Sources we checked (8)
- https://www.simplepractice.com/pricing/
- https://www.therapynotes.com/pricing/
- https://theranest.com/pricing/
- https://jane.app/pricing
- https://powerdiary.com/pricing/
- https://www.clinicsense.com/pricing/
- https://www.massagebook.com/
- https://www.webpt.com/
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 spent more than a decade helping SaaS and e-commerce brands grow through search. He writes Rankite's software buying guides from pricing pages, documentation and public user reviews. More about Shihab.