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.
What is the best therapy practice management software in 2026?
SimplePractice is the best therapy practice management software for most US therapists because it combines scheduling, notes, telehealth, and billing in one system. TherapyNotes is the best pick for insurance-heavy practices, TheraNest is the cheapest paid plan at 29 dollars a month, and Carepatron is the best free starting point. Sessions Health is the best budget option for small practices.
Key takeaways
- SimplePractice leads for most US therapists: Starter 49 dollars, Essential 79 dollars, and Plus 99 dollars a month for one clinician.
- TherapyNotes is the strongest choice for insurance billing, with claims, ERAs, and eligibility checks at 14 cents each and 24/7 phone support.
- TheraNest Advanced costs 59 dollars a month and includes 50 claims and 50 eligibility checks, the cheapest full insurance workflow here.
- Carepatron is free for unlimited clients and 100 appointments a month, and Sessions Health is free for up to 3 clients.
- Jane and Owl Practice suit cash-pay and multidisciplinary clinics.
What does therapy practice management software actually do?
Therapy practice management software runs the business side of a therapy practice: scheduling, intake forms, progress notes and treatment plans, secure messaging, telehealth video, invoicing, payment processing, and insurance claims. The best tools keep all of that in one system so a note becomes a claim without retyping anything in a second portal. This guide covers software for running a practice, not online therapy services that match clients with therapists. The tools here are built for mental health clinicians: psychologists, counselors, social workers, and marriage and family therapists, in solo practices and small groups.
The choice that matters most is how you get paid. Cash-pay practices need scheduling, notes, telehealth, and card payments, and almost every tool here covers that well. Insurance-based practices need electronic claims, eligibility checks, ERA posting, and a clearinghouse connection, and the tools differ sharply on price: SimplePractice charges 39 cents per claim on every plan since October 2026, TherapyNotes charges 14 cents, TheraNest includes claims on its Advanced and Premier plans, and Jane and Practice Better bill claims through a separate Claim.MD account.
How much does therapy practice management software cost?
Take a solo therapist with 80 sessions and 40 insurance claims a month. On SimplePractice Essential the bill is 79 dollars plus 40 claims at 39 cents, which is 94.60 dollars a month. On TherapyNotes Solo it is 69 dollars plus 40 claims at 14 cents, which is 74.60 dollars a month. On TheraNest Advanced it is 59 dollars a month, because the plan includes 50 claims and 50 eligibility checks per practice per month. On Sessions Health Professional with the telehealth add-on it is 49 dollars a month, though clearinghouse claim fees are not published. On Carepatron Advanced it is 39 dollars plus 40 claims at 25 cents, which is 49 dollars a month.
The cheapest subscription is rarely the cheapest total for an insurance-based practice. A cash-pay therapist pays 79 dollars on SimplePractice Essential, 69 dollars on TherapyNotes Solo, 59 dollars on TheraNest Advanced, 49 dollars on Sessions Health with telehealth, and nothing on Carepatron Free. Price the tool on your own session and claim volume, not on the headline plan price.
What should you check before you buy?
Check five things before you sign. First, insurance billing: confirm whether claims are built in, billed per claim, or routed through a separate clearinghouse account, and get the per-claim rate in writing. Second, AI notes: most tools sell an AI scribe as an add-on, from 15 dollars a month on Jane to 40 dollars per clinician on TherapyNotes, so price the bundle, not the base plan. Third, per-clinician pricing: the gap between 50 and 74 dollars per extra clinician adds up fast at five seats. Fourth, telehealth: confirm whether video is included or an add-on. Fifth, data and compliance: confirm the vendor signs a HIPAA business associate agreement, and check where client data is stored.
Comparison table
| Tool |
Best for |
Starting price |
Free plan |
| SimplePractice |
Most US therapists wanting one polished system |
49 dollars per month |
No |
| TherapyNotes |
Insurance-heavy practices wanting 24/7 support |
69 dollars per month |
No |
| TheraNest |
Budget insurance billing with included claims |
29 dollars per month |
No |
| Jane |
Cash-pay and multidisciplinary clinics |
59 dollars per month |
No |
| Practice Better |
Nutrition, coaching, and program-based practices |
35 dollars per month |
Yes |
| Carepatron |
Starting free with unlimited clients |
Free |
Yes |
| Sessions Health |
Budget insurance-based solo practices |
39 dollars per month |
Yes |
| Owl Practice |
Canadian practices wanting data stored in Canada |
Quote |
No |
Quick comparison
| Tool | Best for | Starting price | Free plan |
|---|
 SimplePractice | Most US therapists wanting one polished system | 49 dollars per month | No |
 TherapyNotes | Insurance-heavy practices wanting 24/7 support | 69 dollars per month | No |
 TheraNest | Budget insurance billing with included claims | 29 dollars per month | No |
 Jane | Cash-pay and multidisciplinary clinics | 59 dollars per month | No |
 Practice Better | Nutrition, coaching, and program-based practices | 35 dollars per month | Yes |
 Carepatron | Starting free with unlimited clients | Free | Yes |
 Sessions Health | Budget insurance-based solo practices | 39 dollars per month | Yes |
 Owl Practice | Canadian practices wanting data stored in Canada | quote | 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.
#1SimplePractice
Best for: Most US therapists wanting one polished system4.1/5 on
G2 (129 reviews, checked Oct 2026)
Visit simplepractice.com
Starting price49 dollars per month
Free planNo
SimplePractice is the default choice for US solo therapists and small groups, with third-party reviews reporting more than 250,000 users. Three plans cover one clinician: Starter at 49 dollars a month, Essential at 79 dollars, and Plus at 99 dollars, with 50 percent off the first three months for new paid accounts. Telehealth, scheduling, documentation, the client portal, and a built-in website are included, and Plus adds group appointments and extra clinicians at 74 dollars each. The cost that catches buyers out is claims: since 1 October 2026 every plan pays 39 cents per claim with no free claims included, and the Insurance Navigator add-on costs 1.79 dollars per claim. SimplePractice is the best pick when you want one polished system and bill a modest number of claims.
What we like- Cleanest all-in-one workflow in the category
- Telehealth included on every plan
- Serves more than 250,000 users
Watch out for- No free plan, only a 30-day trial
- Claims cost 39 cents each on every plan since October 2026
- US-only, so it does not suit non-US practices
#2TherapyNotes
Best for: Insurance-heavy practices wanting 24/7 support4.4/5 on
G2 (99 reviews, checked Oct 2026)
Visit therapynotes.com
Starting price69 dollars per month
Free planNo
TherapyNotes is the long-established EHR for behavioral health practices that bill insurance. Solo costs 69 dollars a month for one user, and the group plan costs 79 dollars for the first clinician plus 50 dollars per additional clinician, rising to 89 dollars plus 60 dollars from 1 December 2026. Electronic claims, ERAs, and eligibility checks cost 14 cents each with no separate clearinghouse account, so a 40-claim month costs 5.60 dollars in fees against 15.60 dollars on SimplePractice. The TherapyFuel AI add-on costs 40 dollars per clinician a month, ePrescribe costs 65 dollars per prescriber, and premium telehealth costs 15 dollars per clinician. 24/7 phone and email support comes with every plan. The tradeoff is price: the interface is structured and clinical rather than modern, and the solo plan is one of the dearest starts here.
What we like- Claims, ERAs, and eligibility checks built in at 14 cents each
- 24/7 phone support on every plan
- ONC-certified EHR
Watch out for- Solo plan at 69 dollars a month is near the top of the category
- Group prices rise to 89 dollars plus 60 per clinician from 1 December 2026
- AI notes cost 40 dollars extra per clinician
#3TheraNest
Best for: Budget insurance billing with included claims4.2/5 on
G2 (141 reviews, checked Oct 2026)
Visit theranest.com
Starting price29 dollars per month
Free planNo
TheraNest, now part of Ensora Health, is the cheapest way into a full insurance workflow. Three plans run per therapist per month: Essentials at 29 dollars, Advanced at 59 dollars, and Premier at 89 dollars, with annual billing discounts and a 21-day Premier trial. Advanced is the sweet spot: it includes telehealth and secure messaging plus monthly allowances of 50 claims and 50 eligibility checks, while Premier advertises unlimited claims under a fair-use policy. Essentials does not include claims, so insurance practices should start at Advanced. The catches are the add-ons: e-prescribing and the Ensai Session Assistant AI note tool are priced separately, admin users cost extra on the lower tiers, and group pricing is by quote. A 19.50 dollar annual CPT license fee is also billed separately. Buy TheraNest when you want the lowest subscription that still includes claims, and price the add-ons before you compare it against TherapyNotes.
What we like- Cheapest paid plans in this category
- Advanced includes 50 claims and 50 eligibility checks
- 21-day trial of the top plan
Watch out for- Many features are add-ons, including e-prescribing and the Ensai AI note tool
- A 19.50 dollar annual CPT license fee sits outside the subscription
- Group pricing is by quote
#4Jane
Best for: Cash-pay and multidisciplinary clinics4.0/5 on
G2 (19 reviews, checked Oct 2026)
Visit jane.app
Starting price59 dollars per month
Free planNo
Jane serves a wide range of health and wellness practices, which makes it the best fit for a multidisciplinary clinic where therapists work alongside physiotherapists, chiropractors, or massage therapists. US plans cost 59 dollars a month for Balance, covering one practitioner and up to 20 appointments a month, then 79 dollars for Practice plus 35 dollars per additional full-time practitioner, and 99 dollars for Thrive plus 40 dollars. Practice and Thrive include unlimited appointments, staff profiles, telehealth, and secure messaging. Insurance billing is a 20 dollar monthly add-on on Practice and Thrive, plus a separately billed Claim.MD account, so a solo therapist filing 40 claims a month pays roughly 138 dollars all-in against about 74.60 dollars on TherapyNotes. The AI Scribe costs 15 dollars per practitioner a month with five free notes. Jane has no free trial, so book a demo and confirm the Claim.MD cost for your volume.
What we like- Modern interface that suits multidisciplinary clinics
- Unlimited appointments on Practice and Thrive
- Unlimited free admin staff
Watch out for- No free trial, only a demo
- Insurance billing is a 20 dollar add-on plus a separately billed Claim.MD account
- Group telehealth costs extra
#5Practice Better
Best for: Nutrition, coaching, and program-based practices4.7/5 on
G2 (299 reviews, checked Oct 2026)
Visit practicebetter.com
Starting price35 dollars per month
Free planYes
Practice Better is a Toronto-based platform for dietitians, nutritionists, health coaches, and wellness practitioners, and many therapists run programs, courses, and packages alongside one-to-one sessions. The free plan covers up to 3 clients, Starter costs 35 dollars a month for up to 10 active clients, Professional costs 69 dollars for 300 clients, and Plus costs 99 dollars for unlimited clients, with annual billing cutting Starter to 25 dollars. The Team plan costs 155 dollars plus 50 dollars per additional practitioner. Programs, group sessions, and online courses are the strengths, and group video needs Plus. Insurance billing runs through a separately billed Claim.MD account, and Practice Better adds no per-claim fee of its own. The client cap is the trap: the 11th active client moves a Starter practice to Professional, which costs 34 dollars more a month.
What we like- Free plan for up to 3 clients
- Strong programs, courses, meal plans, and dispensary tools
- Annual billing cuts Starter to 25 dollars
Watch out for- Built for nutrition and coaching first, so mental health documentation is thinner
- Insurance billing runs through a separately billed Claim.MD account
- Starter caps at 10 active clients
#6Carepatron
Best for: Starting free with unlimited clients4.5/5 on
G2 (733 reviews, checked Oct 2026)
Visit carepatron.com
Starting priceFree
Free planYes
Carepatron is the best free starting point in this category. The free plan includes unlimited clients, 100 appointments a month, 1 GB of storage, telehealth, a client portal, and an AI scribe. Paid plans are priced per user: Plus costs 39 dollars a month, or 31 dollars on annual billing, and adds unlimited storage, group telehealth, and group scheduling; Advanced costs 49 dollars a month, or 39 dollars on annual billing, and adds electronic claims from 25 cents each through Claim.MD, roles and permissions, and white labeling. A 50 percent introductory discount applies for the first six months. Watch the 100-appointment cap on the free plan, which a full-time therapist will outgrow, and the per-user pricing, which makes a five-person team cost five times the headline price. For a solo therapist starting out, the free plan plus a later move to Advanced is the cheapest path to insurance billing here.
What we like- Free plan includes unlimited clients, telehealth, and an AI scribe
- Paid plans start low
- No client cap on any plan
Watch out for- Electronic claims only on the Advanced plan, from 25 cents each
- Paid plans are per user, so team costs climb
- 50 percent introductory pricing ends after six months
#7Sessions Health
Best for: Budget insurance-based solo practices4.8/5 on
G2 (3 reviews, checked Oct 2026)
Visit sessionshealth.com
Starting price39 dollars per month
Free planYes
Sessions Health is the budget pick for a solo therapist who bills insurance and wants a simple system. The free plan covers up to 3 active clients, and Professional costs 39 dollars a month for the first practitioner plus 29 dollars per extra practitioner, with unlimited clients. Telehealth is a 10 dollar monthly add-on, which brings a solo practice with video sessions to 49 dollars a month. Electronic claims are available through a clearinghouse connection, but Sessions Health does not publish a per-claim rate, so ask for it before you commit. Forms and superbills are the strengths, and a five-clinician group pays 155 dollars a month before telehealth. The tradeoff is scope: there is no built-in AI scribe, and fewer automations than the bigger platforms.
What we like- Free for up to 3 clients
- Professional at 39 dollars a month is the cheapest full-featured paid plan here after TheraNest Essentials
- Simple forms and superbills
Watch out for- Telehealth costs 10 dollars extra a month
- No published per-claim rate for insurance billing
- Smaller feature set than SimplePractice or TherapyNotes
Starting pricequote
Free planNo
Owl Practice is a therapy EHR built for Canadian mental health professionals, and the pick when data residency matters. Client data is stored in Canada, the platform is PIPEDA-compliant, and the interface is available in English and French. In Canada, three plans run per month: Growth at 60 Canadian dollars for up to 20 sessions a month, Advanced at 80 Canadian dollars with unlimited sessions and online booking, and Professional at 100 Canadian dollars with secure messaging and clinical measures. The US version has no published pricing as of November 2026, and older US listings showed 25 to 49 dollars a month, so US buyers should request a quote. The newest feature is Smart Notes, a built-in AI note-taker that turns sessions into documentation. Buy Owl Practice when you practice in Canada and want your data stored there.
What we like- Client data stored in Canada with PIPEDA compliance
- Built-in Smart Notes AI note-taker
- Clean workflows designed for therapists
Watch out for- No published US pricing
- Group pricing is by quote
- Insurance billing add-ons push the monthly total above the headline plan
Frequently asked questions
Which therapy practice management software is cheapest?
Carepatron is cheapest to start: its free plan covers unlimited clients, telehealth, and an AI scribe for up to 100 appointments a month. For a paid plan, TheraNest Essentials costs 29 dollars a month, and Sessions Health Professional costs 39 dollars a month with unlimited clients. For insurance billing, TheraNest Advanced at 59 dollars a month is cheapest overall because it includes 50 claims and 50 eligibility checks.
Does SimplePractice or TherapyNotes cost less for insurance billing?
TherapyNotes usually costs less for insurance billing. A solo clinician filing 40 claims a month pays 69 dollars plus 5.60 dollars in transaction fees on TherapyNotes, which is 74.60 dollars a month. The same clinician on SimplePractice Essential pays 79 dollars plus 15.60 dollars in claim fees, which is 94.60 dollars a month, because SimplePractice charges 39 cents per claim on every plan since October 2026.
Do I need a separate clearinghouse account?
It depends on the tool. TherapyNotes, SimplePractice, and TheraNest handle claims inside the platform, with per-claim fees on SimplePractice and TherapyNotes and included claims on TheraNest Advanced and Premier. Jane, Practice Better, and Carepatron route claims through a separately billed Claim.MD account, so add that subscription to the monthly total before you compare prices. Sessions Health connects to a clearinghouse too, but does not publish its per-claim rate.
Is there really free therapy practice management software?
Yes, with limits. Carepatron is free for unlimited clients and 100 appointments a month, including telehealth and an AI scribe. Sessions Health is free for up to 3 clients, and Practice Better is free for up to 3 clients. None of the free plans include electronic insurance claims, so a practice that bills insurance will need a paid plan. TheraNest Essentials at 29 dollars a month is the cheapest paid plan, but it does not include claims.
What should a group practice budget per clinician?
Budget 50 to 99 dollars per clinician per month. SimplePractice Plus charges 99 dollars for the first clinician and 74 dollars per additional clinician. TherapyNotes charges 79 dollars for the first clinician plus 50 dollars per additional clinician, rising to 89 dollars plus 60 dollars from 1 December 2026. Sessions Health charges 39 dollars for the first practitioner plus 29 dollars per extra practitioner. Add AI notes, e-prescribing, and claim fees on top.
Sources we checked (14)
- https://www.simplepractice.com
- https://www.therapynotes.com
- https://theranest.com
- https://jane.app
- https://www.practicebetter.com
- https://www.carepatron.com
- https://www.sessionshealth.com
- https://www.owlpractice.com
- https://www.choosingtherapy.com/simplepractice-pricing/
- https://www.choosingtherapy.com/therapynotes-vs-theranest/
- https://www.choosingtherapy.com/jane-app-alternatives/
- https://crowncounseling.com/reviews/best-ehr-for-therapists
- https://www.bomihealth.com/blog/platforms/national/theranest-vs-jane
- https://www.onesomatic.com/guides/practice-better-alternatives
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.