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
- The cheapest real entry points: TheraNest Essentials ($29/therapist/month), Practice Better Starter ($35/month), Sessions Health Professional ($39/month) and ClinicSense Lite ($39/month). Carepatron and Sessions Health also keep a genuinely free plan.
- The two market leaders cost more: SimplePractice ($49 to $99/month per plan) and TherapyNotes ($69/month solo, $79 plus $50 per added clinician in a group).
- Insurance billing moves the math: SimplePractice now charges $0.39 per claim with no free claims as of October 2026, while Sessions Health stays at $0.19 to $0.25 per claim.
- Telehealth is not automatically included: SimplePractice bundles it on every plan, TheraNest includes it from Advanced up, and Sessions Health charges $10/month per practitioner as an add-on.
Quick comparison
| Tool | Best for | Starting price | Free plan |
|---|
SimplePractice | Solo and group therapy practices wanting an all-in-one EHR | $49/month (Starter plan; $79 Essential, $99 Plus) | No (30-day free trial) |
TherapyNotes | Behavioral health practices needing structured notes plus billing | $69/month (Solo plan, single user) | No (30-day free trial) |
TheraNest (by Ensora Health) | Small practices wanting per-therapist pricing on a budget | $29/therapist/month (Essentials plan) | No (21-day free trial) |
Practice Better | Therapists and wellness practitioners who also run programs, packages or group sessions | $35/month (Starter plan) | Yes (Sprout free plan, up to 3 clients) |
Jane | Multidisciplinary clinics and therapists wanting polished booking, charting and billing in one | $59/month (Balance plan, 1 practitioner, 20 appointments) | No (guided demo only, no free trial) |
Carepatron | Budget-conscious solo therapists who want a genuinely usable free tier | $0 (Free plan; Plus $31/user/month, Advanced $39/user/month) | Yes (Free plan: scheduling, telehealth, client portal, AI scribe; 1 GB storage) |
Zanda | Practices wanting a low entry price with built-in AI and strong security | $19/month (Starter plan; $9.50/month for the first six months) | No (free trial available) |
ClinicSense | Wellness and therapy practitioners on simple appointment-capped tiers | $39/month (Lite plan, up to 20 appointments) | No (14-day free trial, no credit card required) |
Sessions Health | Solo clinicians wanting one flat, transparent price with no contracts | $39/month (Professional plan; $29/month per additional practitioner) | Yes (Free plan for up to 3 clients) |
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What therapists should compare beyond the calendar
A booking calendar is the smallest part of these products. The software therapists actually buy handles the whole session lifecycle: online booking, intake forms, appointment reminders, progress notes, telehealth and billing, all behind a HIPAA-compliant client portal. That is why the price gaps below are wide. A scheduler with reminders costs very little; a full EHR with insurance billing costs real money every month.
These nine tools cover the real market for therapy practices, from solo private practices to multidisciplinary clinics. Every price below comes from the vendor's own pricing page, checked in October 2026.
Starting price$49/month (Starter plan; $79 Essential, $99 Plus)
Free planNo (30-day free trial)
SimplePractice is the default pick in US private practice for one reason: everything runs in one place. Online booking, appointment requests, reminders, telehealth, notes, superbills, insurance claims and a client portal all sit on the same account, so a solo therapist never pieces together a scheduler, a video tool and a biller. The client portal handles messaging, paperwork and payments without a separate app, and group practices get group appointments, group telehealth and team roles on Plus.
The honest catch is that the headline price is the floor. Claims billing moved to a flat $0.39 per claim across all plans in October 2026, with the old free-claim allowances removed, so an insurance-heavy practice adds that to the monthly total. The AI Note Taker costs $35 per clinician per month, and each additional clinician on Plus starts at $74 per month. For a self-pay solo practice, Starter at $49 covers the essentials; insurance billers should plan around Essential or Plus.
What we like- Telehealth included on every plan with no session limits
- Full client portal with intake forms, secure messaging (Essential and up) and online payments
- Published pricing with a 30-day trial and no contracts
Watch out for- Insurance claims now cost $0.39 each with no free claims as of October 2026
- The AI Note Taker is a $35/month per-clinician add-on
- There is no permanent free plan
#2
TherapyNotes
Best for: Behavioral health practices needing structured notes plus billing
Visit therapynotes.com
Starting price$69/month (Solo plan, single user)
Free planNo (30-day free trial)
TherapyNotes is the note-first pick. Where SimplePractice leads with the portal experience, TherapyNotes leads with documentation: structured intake and progress note templates, treatment plans, outcome measures and diagnosis libraries built specifically for behavioral health workflows. Insurance billing and electronic claims run through the same system, and the group pricing is refreshingly simple: $79 per month for the first clinician and $50 per month for each additional one.
The trade-offs are in the add-ons. Basic telehealth is included, but the advanced version costs $15 per month extra, and claims carry a $0.14 per-claim fee that matters at high volume. Practices that bill mostly out of network or self-pay avoid the worst of it. Month-to-month billing with a 30-day trial makes it easy to test against your actual documentation workflow before committing.
What we like- Clear per-clinician pricing for groups ($79 for the first clinician, $50 per added clinician)
- Purpose-built behavioral health notes with treatment plans and outcome measures
- EPrescribe and secure messaging built in
Watch out for- Advanced telehealth is a $15/month add-on on top of the basic version
- Per-claim billing fees of $0.14 add up for insurance-heavy caseloads
- The interface is more clinical than welcoming for clients
#3
TheraNest (by Ensora Health)
Best for: Small practices wanting per-therapist pricing on a budget
Visit theranest.com
Starting price$29/therapist/month (Essentials plan)
Free planNo (21-day free trial)
TheraNest, now under the Ensora Health name, is the budget play for small mental health practices. Essentials at $29 per therapist per month covers scheduling, recurring sessions, online booking, secure messaging, automated reminders and insurance billing tools, which is a remarkable amount of software for the price. Practices that run groups get rosters and room assignments, and the no-show fee feature recovers real revenue for high-volume clinics.
The structure is honest about what the base tier lacks. Unlimited telehealth arrives on Advanced ($59) and Premier ($89), so video-heavy practices on Essentials pay extra. There is no free plan, only a 21-day trial, and practices that need deep reporting or complex customization will outgrow it. But for a solo or small-group practice that bills insurance and wants the lowest credible monthly cost, this is the first tool to trial.
What we like- The lowest starting price on this list at $29 per therapist
- Unlimited telehealth included on Advanced and Premier plans
- Group rosters, room assignments and no-show fee tools for clinics
Watch out for- Telehealth is not included on the cheapest Essentials tier
- No permanent free plan, only the 21-day trial
- Reporting and customization are thinner than SimplePractice or TherapyNotes
#4
Practice Better
Best for: Therapists and wellness practitioners who also run programs, packages or group sessions
Visit practicebetter.io
Starting price$35/month (Starter plan)
Free planYes (Sprout free plan, up to 3 clients)
Practice Better is the odd one out here, and that is its strength. It started in nutrition and wellness, so it treats programs, packages and group sessions as first-class citizens rather than bolt-ons. Scheduling, telehealth, billing, secure messaging, forms and note templates all ride on every paid plan, and Plus adds evergreen programs, portal branding and SMS reminders for building a practice around recurring offerings.
The pricing is tiered by practice size in a way therapists should read carefully. Starter at $35 per month only allows 10 clients, so almost any working practice lands on Professional at $69 or Plus at $99. The free Sprout plan (3 clients, core scheduling and charting) is one of the better free tiers in this category and genuinely usable for a practice in its first months. Annual billing drops Starter to $25 per month, the deepest annual discount of these tools. If your business model includes packages or group programs, trial this before the pure EHRs.
What we like- A genuinely free Sprout plan for students and brand-new practices
- Scheduling plus telehealth video chat on every paid plan
- Programs and courses features for selling packages and group offerings
Watch out for- Starter caps at 10 clients and 1 GB storage, so growing practices upgrade fast
- No admin licenses until the Plus tier
- The 14-day trial is shorter than most competitors
#5
Jane
Best for: Multidisciplinary clinics and therapists wanting polished booking, charting and billing in one
Visit jane.app
Starting price$59/month (Balance plan, 1 practitioner, 20 appointments)
Free planNo (guided demo only, no free trial)
Jane wins on polish. The booking flow, intake forms and client-facing experience look and feel like a modern consumer product, which matters when clients compare your practice to every other booking experience in their lives. Charting templates, online booking, one-to-one telehealth, email and SMS reminders and billing run together, and higher tiers add waitlists, self check-in and unlimited appointments.
The pricing structure demands attention. Balance at $59 per month covers a single practitioner with only 20 appointments, so a full-time solo therapist realistically needs Practice at $79 for unlimited appointments. There is no free trial at all, only a guided demo, which is the weakest try-before-you-buy story on this list. Jane suits clinics where the client experience is part of the brand: multidisciplinary practices, cash-pay therapists and wellness clinics that want booking to feel effortless.
What we like- One-to-one telehealth included with no extra fee
- Clean, modern booking experience clients actually enjoy
- Intake forms, charting templates and email/SMS reminders in the box
Watch out for- No free trial, only a guided demo
- The Balance tier caps at 20 appointments per month
- Priced in USD with meaningful jumps between the three tiers
#6
Carepatron
Best for: Budget-conscious solo therapists who want a genuinely usable free tier
Visit carepatron.com
Starting price$0 (Free plan; Plus $31/user/month, Advanced $39/user/month)
Free planYes (Free plan: scheduling, telehealth, client portal, AI scribe; 1 GB storage)
Carepatron is the value pick that refuses to be a toy. The free plan includes automated scheduling, built-in telehealth for groups up to 20, a client portal, an AI scribe and invoicing, which covers the entire workflow of a small self-pay practice at zero cost. Paid plans at $31 and $39 per user per month add storage, advanced features and insurance billing tools without jumping to the price points of the market leaders.
The limits are where you would expect them: 1 GB of storage on the free tier, and practices with complex insurance workflows should check which billing features their tier includes before committing. But for new practices, part-time therapists and anyone who wants to test a full practice platform without a credit card, Carepatron's free tier is the place to start, and the paid plans stay well under the cost of the big two.
What we like- The strongest free plan on this list, including telehealth, scheduling and an AI scribe
- Affordable paid tiers at $31 and $39 per user
- 14-day free trial on paid plans
Watch out for- Only 1 GB storage on the free plan
- Full AI scribe features sit on paid tiers
- Insurance billing depth varies by tier
#7
Zanda
Best for: Practices wanting a low entry price with built-in AI and strong security
Visit zandahealth.com
Starting price$19/month (Starter plan; $9.50/month for the first six months)
Free planNo (free trial available)
Zanda, the current name for the product long known as Power Diary, is the international option with the most aggressive entry price. Starter at $19 per month (half price for the first six months) covers one practitioner with scheduling, online booking, appointment reminders, a client portal, invoicing and ready-to-use note templates. Growth at $49 per month adds unlimited appointments, multiple practitioner calendars, multiple locations and room bookings, scaling per practitioner from there.
The standout is what comes free. AI writing and ambient note tools ship on every plan instead of as a paid add-on, Zoom telehealth Basic includes unlimited 40-minute sessions plus four Pro sessions per month, and onboarding includes free data import. Security credentials run to ISO 27001 plus HIPAA and GDPR compliance, which matters for practices working across borders. The Starter tier's 1,000-appointment ceiling means busy solos graduate to Growth quickly, but as a landing spot from paper or spreadsheets, few tools cost less to start.
What we like- AI note and drafting tools included standard on every plan at no extra charge
- Free Zoom telehealth Basic with unlimited 40-minute sessions
- ISO 27001, HIPAA and GDPR compliance plus free data import
Watch out for- Starter caps at 1,000 appointments and suits single-practitioner practices only
- SMS messages are billed per message
- Regional pricing varies, so US quotes need checking
#8
ClinicSense
Best for: Wellness and therapy practitioners on simple appointment-capped tiers
Visit clinicsense.com
Starting price$39/month (Lite plan, up to 20 appointments)
Free planNo (14-day free trial, no credit card required)
ClinicSense keeps the buying decision simple: pick your plan by how many appointments you see. Lite at $39 per month covers up to 20 appointments with online booking, email reminders, SOAP notes, intake forms and reports. Standard at $69 raises the cap to 200 appointments and adds SMS reminders, No-Show Guard, waitlist and block-list management, packages and gift cards, and a marketing toolkit. Premium at $99 goes unlimited with priority support.
This appointment-based pricing is a genuine differentiator for part-time therapists and growing clinics, because the bill tracks your actual volume instead of seat counts. Additional practitioners run $20 per month on the upper tiers, and annual billing earns one free month. The 14-day trial requires no credit card. The trade-off is scope: this is practice management with strong scheduling rather than a deep clinical EHR, and mental health practices wanting advanced documentation or insurance tooling should compare the note-first options above.
What we like- Pricing by appointment volume makes costs predictable: 20, 200 or unlimited appointments
- No-Show Guard, waitlists and marketing tools from the Standard tier
- Annual billing gives one month free
Watch out for- Lite's 20-appointment cap suits part-time schedules only
- Additional practitioners cost $20/month on Standard and Premium
- No permanent free plan
#9
Sessions Health
Best for: Solo clinicians wanting one flat, transparent price with no contracts
Visit sessionshealth.com
Starting price$39/month (Professional plan; $29/month per additional practitioner)
Free planYes (Free plan for up to 3 clients)
Sessions Health is the transparency pick. One Professional plan at $39 per month for the first practitioner ($29 for each additional one) includes unlimited clients, scheduling with calendar sync, customizable reminders, online booking, a client portal, paperless intake, note templates, auto-scored assessments and billing tools. There are no tiers to decode and no contracts, and admin staff, billers and schedulers are free.
The free plan for up to 3 clients is nearly unique among therapy EHRs and makes this the cheapest way to run a micro practice legally and compliantly. The honest math sits in the add-ons: telehealth at $10 per practitioner per month, AI notes at $35, and electronic claims at $0.19 to $0.25 depending on volume. For a solo clinician who bills mostly self-pay or low claim volumes, the total stays at $39. Insurance-heavy practices should compare the per-claim math with TheraNest and TherapyNotes before deciding.
What we like- One plan with unlimited clients and all core features at $39/month
- A free plan for up to 3 clients, rare in therapy EHRs
- No long-term contracts, with free admin and scheduler roles
Watch out for- Integrated telehealth is a $10/month per-practitioner add-on
- The AI Assist notes add-on costs $35/month per practitioner
- Insurance claims carry per-claim fees of $0.19 to $0.25
Solo practice or group: picking the tier that fits
Solo therapists should start with the cheapest plan that does not cap what they sell. Carepatron's free plan and Sessions Health's $39 flat rate both serve working solos without appointment caps, while TheraNest Essentials at $29 per therapist is the cheapest paid starting point. Watch the caps: Jane Balance ($59) allows only 20 appointments per month and Practice Better Starter ($35) allows only 10 clients, so full-time solos on those tools land on the $79 and $69 tiers respectively.
Groups face a different calculation: per-clinician versus per-practitioner pricing. TherapyNotes charges $79 for the first clinician plus $50 for each additional one, SimplePractice Plus starts at $99 for the first clinician and $74 for each added clinician, and TheraNest charges its tier price per therapist. A three-clinician group pays roughly $179 at TherapyNotes, versus three times the tier price at TheraNest. Sessions Health keeps it simple at $39 plus $29 per added practitioner, and Practice Better Team at $155 covers two practitioners with $50 per additional one. Model your headcount at the tier you actually need, not the advertised starting price.
The line items that move your bill
Three add-ons decide whether your real monthly cost matches the advertised price. First, insurance claims. SimplePractice now charges $0.39 per claim with no free allowances as of October 2026, Sessions Health charges $0.19 to $0.25 depending on monthly volume, and TherapyNotes charges $0.14. A practice filing 100 claims a month pays $14 to $39 in claim fees alone, so self-pay practices can ignore this and insurance-heavy ones cannot.
Second, telehealth. SimplePractice includes it on every plan, Jane includes one-to-one telehealth, Carepatron includes group telehealth up to 20, and Zanda's Zoom-powered Basic tier is free with limits. Sessions Health charges $10 per practitioner per month, and TherapyNotes charges $15 for its advanced version. Third, messaging and AI. SMS reminders carry per-message fees at most vendors, and AI note tools are the newest paid add-on in the category: $35 per clinician at SimplePractice, $35 at Sessions Health, while Zanda includes AI tools standard. Add these three lines to any quote before comparing totals.
How we chose
We started with the categories buyers search: scheduling software for therapists, therapy practice management software and therapy EHR. For each candidate we opened the vendor's own pricing page, checked prices against plan comparison pages and public reviews on G2, Capterra and practitioner discussion on Reddit, and compared features, free plan terms and practice-size fit. Where a price could not be verified on the vendor's page we wrote "See website" rather than guessing. Scheduling depth (online booking, reminders, intake forms, telehealth) carried the most weight, followed by documentation, billing and the honesty of the pricing itself. We claim no hands-on trials beyond what vendors publish; this is a pricing and feature comparison.
Frequently asked questions
How much does scheduling software for therapists cost?
A solo therapist can start free on Carepatron or Sessions Health, or pay $29 to $49 per month for a paid plan: TheraNest Essentials ($29/therapist), Practice Better Starter ($35), Sessions Health ($39), ClinicSense Lite ($39) or SimplePractice Starter ($49). Expect $79 to $155 per month once you need unlimited appointments, multiple practitioners or group features, plus per-claim and add-on fees for insurance billing.
Do I need a full EHR, or is a scheduler enough?
If you only need booking and reminders, a lighter tool like ClinicSense or Jane covers it. If you write progress notes, take insurance or run telehealth, a therapy EHR such as SimplePractice, TherapyNotes, TheraNest or Sessions Health replaces three or four separate tools and is usually cheaper in total.
Is telehealth included in the listed prices?
Not always. SimplePractice, Jane and Carepatron include it on the plans shown. TheraNest includes unlimited telehealth from the Advanced tier up. Sessions Health charges $10 per practitioner per month, TherapyNotes charges $15 for advanced telehealth, and Zanda's basic Zoom telehealth is free with session-length limits.
How do the free trials and free plans compare?
Carepatron and Sessions Health offer real free plans: Carepatron with scheduling, telehealth and AI scribe at 1 GB storage, Sessions Health for up to 3 clients. Practice Better's free Sprout plan covers 3 clients. The rest offer trials only: 30 days at SimplePractice, TherapyNotes and Sessions Health, 21 days at TheraNest, 14 days at ClinicSense and Zanda, and Jane offers a guided demo instead of a trial.
What will insurance billing add to my bill?
Claims carry per-claim fees: $0.39 at SimplePractice (no free claims since October 2026), $0.14 at TherapyNotes, and $0.19 to $0.25 at Sessions Health depending on volume. Eligibility checks and AI note add-ons can add $10 to $35 per clinician per month. Self-pay practices skip these lines entirely.
Sources we checked (13)
- https://www.simplepractice.com/pricing/
- https://therapynotes.com/
- https://theranest.com/
- https://practicebetter.io/pricing?sprout=true
- https://jane.app
- https://carepatron.com/
- https://zandahealth.com/au/pricing/
- https://zandahealth.com
- https://clinicsense.com/
- https://clinicsense.com/features/intake-and-consent-forms
- https://www.sessionshealth.com/pricing/
- https://www.capterra.com/p/180530/Power-Diary/pricing/
- https://www.capterra.com/p/178722/ClinicSense/pricing/
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.
Request a listing
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.