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.
SimplePractice is the best pick for most therapy practices in 2026 because it combines scheduling, notes, telehealth and built-in claims in one system, with a clear per-claim fee. TherapyNotes is the stronger alternative for insurance-heavy practices that want structured notes, 24/7 phone support and low per-transaction billing fees.
Key takeaways
- SimplePractice suits most therapy practices, while TherapyNotes suits insurance-heavy practices that file many claims.
- Per-claim fees matter more than the subscription once a practice files more than about 100 claims a month.
- TheraNest and Sessions Health keep costs low for small practices, while Valant and ICANotes fit psychiatry and larger groups.
- Check eligibility before the session and track ERA payments against each claim.
- Prices were checked on 11 and 12 November 2026; several are third-party reported.
What does mental health billing software need to do
Mental health billing software needs to turn a completed session into a clean claim, send that claim to the payer, track the payment, and show what is still owed. Therapy billing has details that general medical billing often handles poorly, such as session length, therapy CPT codes, and authorizations. A tool built for mental health should link the note to the claim, so the code on the claim matches the code in the note. ERA, which stands for electronic remittance advice, posts payments and denials back into the system, so staff can see which claims were paid in full and which need work. The tool must sign a business associate agreement and protect client data under HIPAA rules.
How much should a mental health practice expect to pay for billing
A mental health practice should expect to pay a monthly subscription plus a fee for each claim, eligibility check, and ERA line. Solo therapists in this guide pay from 0 dollars on a free plan to 99 dollars a month for a full plan, before claim fees. Claim fees in this guide range from 14 cents to 39 cents per claim. A group that files 400 claims a month will pay about 56 to 156 dollars in claim fees. Eligibility checks add a similar cost, often 14 to 25 cents each, unless the plan includes them. Card processing is a separate cost, usually about 2.9 percent plus 30 cents per payment. Some tools also charge an annual CPT code license fee of about 20 dollars per clinician.
Should you use built-in billing or a separate billing service
Built-in billing suits most small and mid-sized therapy practices because the claim starts inside the same system that holds the schedule and the note. Staff do not need to re-enter client details, dates, or codes, and the claim is less likely to carry a typing error. A separate billing service suits practices that want someone else to chase denials, work appeals, and follow up on unpaid claims. That service usually charges a percentage of collections, often 4 to 8 percent. If denials are common, authorizations are complex, or the practice has no billing staff, a service may pay for itself by recovering money that would otherwise be written off. Either way, the practice should keep control of its payer enrollments and its own reports, so it can change tools without losing its billing history.
When does a general medical billing system fall short for therapy
A general medical billing system can fall short for therapy when it treats a 45-minute session like a short office visit, or when it has no template for therapy notes, treatment plans, and outcome measures. Mental health notes need diagnosis codes, session type, and progress toward treatment goals, and the billing code must match what the note supports. Eligibility checks are another gap, since a general tool may miss a separate behavioral health plan. Superbills are a third gap. Many therapy clients pay out of pocket and submit a superbill to their insurer, so the tool should produce a clean superbill with the right codes, dates, and provider details. Reporting is a fourth gap, since a therapy practice needs revenue by clinician, by payer, and by service type. That is why this guide stays inside mental health practice software, rather than listing general medical billing platforms.
Mental health billing software compared
| Tool |
Best for |
Starting price |
Free plan |
| SimplePractice |
Most therapy practices |
$49 per month |
30-day trial |
| TherapyNotes |
Insurance-heavy practices |
$69 per month |
30-day trial |
| TheraNest |
Low-cost per-therapist billing |
$29 per therapist |
21-day trial |
| Valant |
Psychiatry and large groups |
quote |
Demo only |
| EZBIS |
Modular billing system |
$225 per month |
Free trial |
| ICANotes |
Psychiatry notes and coding |
$55 per clinician |
30-day trial |
| Carepatron |
Low-cost and multi-discipline clinics |
$0 free; $39 paid |
Yes, free plan |
| Sessions Health |
Small practices, simple price |
$39 per month |
Up to 3 clients |
What does billing cost for a 5-clinician therapy practice each month
The worked example below uses a 5-clinician therapy practice that files 400 claims a month and runs 40 eligibility checks a month. Prices are monthly rates from vendor pricing pages or third-party reports checked on 11 and 12 November 2026. Card processing and add-ons are left out. SimplePractice Plus costs 395 dollars for five clinicians, plus 400 claims at 39 cents, which is 156 dollars, for a total of 551 dollars. TherapyNotes Group costs 279 dollars for five clinicians, plus 400 claims at 25 cents, which is 100 dollars, plus 40 checks at 14 cents, for a total of 384.60 dollars. TheraNest Advanced costs 295 dollars for five therapists, plus 350 extra claims at 23 cents, which is 80.50 dollars, for a total of 375.50 dollars. Sessions Health costs 155 dollars, plus 400 claims at 25 cents, which is 100 dollars, plus 40 checks at 15 cents, for a total of 261 dollars. Carepatron Plus costs 195 dollars, plus 400 claims at 25 cents, which is 100 dollars, for a total of 295 dollars. These totals show why the lowest subscription is not always the lowest bill.
Quick comparison
| Tool | Best for | Starting price | Free plan |
|---|
 SimplePractice | Most therapy practices that want scheduling, notes, telehealth and claims in one system | $49 per month for Starter, third-party reported, checked 12 Nov 2026 | No free plan; 30-day free trial |
 TherapyNotes | Insurance-heavy therapy practices that want structured notes and 24/7 phone support | $69 per month for Solo, third-party reported, checked 12 Nov 2026 | No free plan; 30-day free trial |
 TheraNest | Solo and small groups that want low per-therapist pricing | $29 per therapist per month for Essentials, checked on the vendor pricing page 11 Nov 2026 | No free plan; 21-day free trial of Premier |
 Valant | Psychiatry practices and larger behavioral health groups | quote; third-party reports put the range at $100 to $300 per provider per month, checked 12 Nov 2026 | No free plan and no free trial; demo only |
 EZBIS | Practices that want a modular billing system with a purchase option | $225 per month for EZBIS Cloud, third-party reported, checked 12 Nov 2026 | No free plan; free trial supported |
 ICANotes | Psychiatry practices that need fast structured notes and automatic coding | $55 per clinician per month for Notes Only, full-time, third-party reported, checked 12 Nov 2026 | No free plan; 30-day free trial |
 Carepatron | Low-cost practices and multi-discipline clinics that want a free plan | $0 on the free plan; $39 per user per month for Plus on monthly billing, third-party reported, checked 12 Nov 2026 | Yes, free plan with 1GB storage and up to 100 appointments a month |
 Sessions Health | Small therapy practices that want a simple low price | $39 per month for Professional, third-party reported, checked 12 Nov 2026 | Yes, free plan for up to 3 active clients |
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We review this list regularly. Vendors can request a listing, send updated pricing or ask about featured placement.
Best medical billing software for mental health
#1SimplePractice
Best for: Most therapy practices that want scheduling, notes, telehealth and claims in one system4.1/5 on
G2 (129 reviews, checked Oct 2026)
Visit simplepractice.com
Starting price$49 per month for Starter, third-party reported, checked 12 Nov 2026
Free planNo free plan; 30-day free trial
SimplePractice is the most complete all-in-one option here, and the easiest starting point for a practice that bills insurance. Starter costs 49 dollars a month, Essential costs 79 dollars, and Plus costs 99 dollars, based on third-party reports checked in October 2026. Claims cost 39 cents each on every plan from 1 October 2026, down to 33 cents after 1,000 claims.
What we like- Built-in claims with no separate clearinghouse account
- Wide range of note templates
- Strong client portal
Watch out for- Claim fees rose to 39 cents each from 1 October 2026, and free monthly claims were removed
#2TherapyNotes
Best for: Insurance-heavy therapy practices that want structured notes and 24/7 phone support4.4/5 on
G2 (99 reviews, checked Oct 2026)
Visit therapynotes.com
Starting price$69 per month for Solo, third-party reported, checked 12 Nov 2026
Free planNo free plan; 30-day free trial
TherapyNotes is built only for behavioral health, and that focus shows in its notes, billing, and support. Solo costs 69 dollars a month, and Group costs 79 dollars for the first clinician plus 50 dollars for each additional clinician, based on third-party reports checked in October 2026. The vendor pricing page opened on 11 November 2026 lists 25 cents per electronic claim and 9 cents per claim on ERA, which conflicts with older guides that list 14 cents.
What we like- Structured behavioral health notes
- 24/7 phone support
- Free non-clinical staff seats
Watch out for- Per-transaction fees add up fast, and the vendor page now lists 25 cents per electronic claim, which conflicts with older guides that list 14 cents
#3TheraNest
Best for: Solo and small groups that want low per-therapist pricing4.2/5 on
G2 (141 reviews, checked Oct 2026)
Visit theranest.com
Starting price$29 per therapist per month for Essentials, checked on the vendor pricing page 11 Nov 2026
Free planNo free plan; 21-day free trial of Premier
TheraNest, now part of Ensora Health, is the lowest-cost entry in this guide, and its pricing is clear on the vendor pricing page opened on 11 November 2026. Essentials costs 29 dollars per therapist a month, Advanced costs 59 dollars, and Premier costs 89 dollars. Essentials does not process claims. Advanced adds online booking, secure messaging, and 50 claims and 50 eligibility checks per practice each month. After those allowances, claims cost 23 cents each and checks cost 25 cents each.
What we like- Low entry price
- 50 claims and 50 eligibility checks included on Advanced
- Unlimited admin users on every plan
Watch out for- Essentials does not process claims at all, so a billing practice must pay at least 59 dollars per therapist for Advanced
#4Valant
Best for: Psychiatry practices and larger behavioral health groups2.9/5 on
G2 (16 reviews, checked Oct 2026)
Visit valant.io
Starting pricequote; third-party reports put the range at $100 to $300 per provider per month, checked 12 Nov 2026
Free planNo free plan and no free trial; demo only
Valant is a behavioral health EHR built for psychiatry and larger groups, and it covers the clinical depth that therapy-only tools often lack. It includes scheduling, notes, billing, telehealth, e-prescribing, outcome measures, and a patient portal called MYIO in one system. The vendor does not publish a price list, so this guide lists the starting price as quote. Third-party reports put the range at about 100 to 300 dollars per provider per month, with implementation often adding 500 to 2,500 dollars.
What we like- Built for behavioral health with e-prescribing tied to state prescription drug monitoring programs
- Strong outcome measurement and treatment planning
Watch out for- No published price list, so a practice cannot budget without a sales call, and implementation and training can add thousands of dollars
#5EZBIS
Best for: Practices that want a modular billing system with a purchase option4.0/5 on
G2 (12 reviews, checked Oct 2026)
Visit ezbis.com
Starting price$225 per month for EZBIS Cloud, third-party reported, checked 12 Nov 2026
Free planNo free plan; free trial supported
EZBIS is the oldest product in this guide, and it takes a different approach from the subscription-only tools above. It is modular, so a practice can buy the billing, scheduling, electronic health record, and patient accounting modules it needs, rather than paying for a full suite. Third-party listings report EZBIS Cloud at 225 dollars a month, with one-time prices of 995 dollars for basic billing and 3,995 dollars for a complete office system with three users.
What we like- Modular design lets a practice buy only the billing and scheduling modules it needs
- One-time purchase options for the on-premise version
Watch out for- The vendor does not publish a simple pricing page, the product started in chiropractic care, and the interface is older than newer cloud tools in this guide
#6ICANotes
Best for: Psychiatry practices that need fast structured notes and automatic coding3.6/5 on
G2 (12 reviews, checked Oct 2026)
Visit icanotes.com
Starting price$55 per clinician per month for Notes Only, full-time, third-party reported, checked 12 Nov 2026
Free planNo free plan; 30-day free trial
ICANotes is built for behavioral health documentation, and its billing strength comes from notes that are written to support the claim. Full-time plans cost 55 dollars a month for Notes Only, 75 dollars for Non-Prescribing, and 213 dollars for Prescribing, plus a one-time activation fee of 99 dollars, based on third-party reports checked in October 2026. Telehealth is an add-on, reported at both 10 dollars and 20 dollars per user a month, so this guide flags that conflict.
What we like- Button-driven notes with more than 70 rating scales
- Automatic billing code assignment
- Separate plans for prescribers and non-prescribers
Watch out for- Telehealth pricing is reported as both 10 dollars and 20 dollars per user a month in different sources, so confirm the current add-on price before you sign up
#7Carepatron
Best for: Low-cost practices and multi-discipline clinics that want a free plan4.5/5 on
G2 (733 reviews, checked Oct 2026)
Visit carepatron.com
Starting price$0 on the free plan; $39 per user per month for Plus on monthly billing, third-party reported, checked 12 Nov 2026
Free planYes, free plan with 1GB storage and up to 100 appointments a month
Carepatron is the lowest-cost paid option in this guide after TheraNest Essentials, and it is the only tool here with a usable free plan. The free plan costs 0 dollars and includes telehealth, the client portal, and an AI scribe. Plus costs 39 dollars per user a month on monthly billing, or 31 dollars when billed yearly, and Advanced costs 49 dollars a month, or 39 dollars when billed yearly. Electronic claims cost 25 cents each, with lower rates from 200 claims a month, down to 19 cents from 1,000 claims.
What we like- Real free plan with telehealth and AI scribe
- Low paid prices
- Claims at 25 cents each with lower rates at higher volume
Watch out for- The free plan has no insurance billing, and Plus caps email sends at 500 per user a month, so a busy practice may need Advanced
#8Sessions Health
Best for: Small therapy practices that want a simple low price4.8/5 on
G2 (3 reviews, checked Oct 2026)
Visit sessionshealth.com
Starting price$39 per month for Professional, third-party reported, checked 12 Nov 2026
Free planYes, free plan for up to 3 active clients
Sessions Health is the simplest tool in this guide, and it suits a small practice that wants low fixed costs and clear billing fees. The Professional plan costs 39 dollars a month for the first practitioner, with each additional practitioner at 29 dollars a month, based on third-party reports checked in October 2026. Telehealth costs 10 dollars a month per practitioner, and AI Assist costs 35 dollars a month per practitioner. Electronic claims start at 25 cents each, then fall to 19 cents at higher volumes.
What we like- Low base price with clear per-claim fees
- Free plan for up to 3 clients
- Unlimited administrators included
Watch out for- Telehealth and AI notes are paid add-ons, and the tool has no e-prescribing, so psychiatry practices will need another system for prescriptions
Frequently asked questions
Does mental health billing software handle superbills for out-of-network clients
Yes, most tools in this guide produce superbills for out-of-network clients, and the best ones link the superbill to the note and the session record. A superbill should show the client name, dates of service, CPT codes, diagnosis codes, provider details, and the amount paid. SimplePractice, TherapyNotes, TheraNest, Carepatron, and Sessions Health all support superbills or client statements that serve the same purpose.
How much does an electronic claim cost in mental health billing
An electronic claim in this guide costs from 14 cents to 39 cents, depending on the tool and the monthly volume. TherapyNotes lists 25 cents per electronic claim on its vendor pricing page opened on 11 November 2026, while older guides list 14 cents. SimplePractice charges 39 cents per claim from 1 October 2026. TheraNest charges 23 cents after 50 included claims on Advanced, and Sessions Health and Carepatron start at 25 cents.
Can I check insurance eligibility before the first session
Yes, most tools in this guide offer eligibility checks, either included in the plan or priced per check. TheraNest Advanced includes 50 checks per practice each month, and Premier includes unlimited checks under a fair usage policy. TherapyNotes lists eligibility requests at 14 cents each on its vendor pricing page, while Sessions Health lists them at 15 cents each. A check before the first session can show active coverage, copay, deductible, visit limits, and authorization needs.
Do I need a separate clearinghouse for mental health claims
No, most tools in this guide include clearinghouse access inside the subscription or the per-claim fee, so a practice does not need a separate clearinghouse account. SimplePractice, TherapyNotes, TheraNest, Carepatron, and Sessions Health all send claims through their own clearinghouse partners. The per-claim fee covers that routing, while ERA posting brings payment data back into the same system. A practice should still confirm whether secondary claims are supported and whether paper claims carry a separate fee.
What is the cheapest mental health billing software for a small practice
The cheapest option depends on claim volume and whether the practice needs telehealth or prescribing. Carepatron has a free plan for very small caseloads, and Sessions Health has a free plan for up to 3 clients. Among paid plans, TheraNest Essentials starts at 29 dollars per therapist a month, but it does not process claims, so Advanced at 59 dollars is the real entry point for billing.
How we picked
We picked tools built for mental health and psychiatry workflows, with scheduling, notes, and billing in one system. We checked prices on vendor pricing pages where they were readable, including TherapyNotes and TheraNest on 11 November 2026, and used third-party reports where the vendor publishes no simple price list. We ranked tools by billing fit, claim and eligibility fees, and total cost for a small group, not by subscription price alone.
Last verified: 12 November 2026
Sources we checked (10)
- https://www.simplepractice.com
- https://www.therapynotes.com/pricing/
- https://ensorahealth.com/pricing/theranest-mental-health/
- https://www.valant.io
- https://www.ezbis.com
- https://www.icanotes.com
- https://www.carepatron.com
- https://www.sessionshealth.com
- https://www.choosingtherapy.com/billing-software-for-mental-health/
- https://www.choosingtherapy.com/theranest-review/
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.