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 is the mental health heavyweight, Cliniko the allied health scheduling specialist, and Practice Better the program and nutrition platform, each beating Jane somewhere specific.
- Per practitioner pricing decides your real bill: Jane's plans climb with extra practitioners, and so do most rivals, so model your clinic at its size in two years, not today.
- US insurance billing separates the field. SimplePractice and TherapyNotes build claims in; several others route through add ons and clearinghouse partners at extra cost.
- Every platform here stores health records. Confirm the privacy terms for your country, HIPAA in the US, PIPEDA and provincial rules in Canada, before the feature comparison starts.
Quick comparison
| Tool | Best for | Starting price | Free plan |
|---|
 SimplePractice | Mental health practices wanting one system | $49 per month | No |
 Cliniko | Allied health clinics, scheduling first | $45 per practitioner per month | No |
 TherapyNotes | US therapists who bill insurance | $69 per month | No |
 Practice Better | Nutrition, coaching and program led practices | $35 per month | Yes |
 Noterro | Massage, chiropractic and physio clinics | $33 per month | No |
 Zanda | Groups paying simple per seat pricing | $19 per month | No |
 Healthie | Small caseloads and group programs | $19.99 per month | No |
 Carepatron | Solo and part time practices watching cost | Free | Yes |
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The best Jane App alternatives
#1SimplePractice
Best for: Mental health practices wanting one system4.1/5 on
G2 (129 reviews, checked Oct 2026)
Visit simplepractice.com
Starting price$49 per month
Free planNo
What we like- SimplePractice is the most complete practice platform in mental health: scheduling, documentation with strong templates, telehealth, a client portal, secure messaging and insurance billing built in with claims at a per claim fee, all in a polished interface with capable mobile apps. Starter is 49 dollars a month, with the tiers above adding the features growing practices actually use. A therapist leaving Jane for depth in notes, treatment plans and billing usually lands here.
Watch out for- It is mental health shaped: multidisciplinary clinics mixing physio, massage and counselling will find its centre of gravity narrower than Jane's. Prices have risen, with Starter moving from 29 to 49 dollars in 2025, and extra clinicians add 74 dollars a month on top of group tiers. Claims fees apply per claim. Solo practitioners paying for completeness they partly use should compare Noterro and Carepatron honestly.
#2Cliniko
Best for: Allied health clinics, scheduling first4.9/5 on
G2 (12 reviews, checked Oct 2026)
Visit cliniko.com
Starting price$45 per practitioner per month
Free planNo
What we like- Cliniko is Jane's closest allied health rival, built in Australia and used internationally: scheduling that clinics consistently rate as the cleanest in the category, online booking, treatment notes, invoicing and payments, telehealth, and multi location support, priced per practitioner from 45 dollars a month in current US comparisons. Its restraint is the appeal: it does the daily clinic job with very little ceremony and a long reputation for reliability and support.
Watch out for- Per practitioner pricing scales exactly as Jane's does, so large teams do the same maths. US insurance billing is not its home ground
- Clinics billing American insurers heavily should shortlist TherapyNotes or SimplePractice. Reporting and marketing features are deliberately light, and pricing in your currency should be confirmed, as its tiers publish in several.
#3TherapyNotes
Best for: US therapists who bill insurance4.4/5 on
G2 (99 reviews, checked Oct 2026)
Visit therapynotes.com
Starting price$69 per month
Free planNo
What we like- TherapyNotes is the insurance first platform for US behavioural health: scheduling, notes, a client portal and billing where claims, eligibility checks and remittance are built in at a low per claim charge rather than rented from a clearinghouse partner. Solo starts at 69 dollars a month in current pricing. For a US practice where claims volume is the administrative burden, its billing depth is the most direct answer to Jane's add on model.
Watch out for- Behavioural health is its whole world
- A mixed allied health clinic gains nothing. Extra clinicians add meaningful per person fees. Its interface is functional rather than loved, and telehealth is one to one focused. Outside the US its insurance machinery is irrelevant weight.
#4Practice Better
Best for: Nutrition, coaching and program led practices4.7/5 on
G2 (299 reviews, checked Oct 2026)
Visit practicebetter.io
Starting price$35 per month
Free planYes
What we like- Practice Better serves the program economy Jane does not: charting and booking plus protocols, online programs and courses, supplement dispensary integrations and client engagement tools, aimed at dietitians, health coaches and functional practices. A free tier covers a first three clients, and paid plans run from 35 dollars a month. Practices that sell programs, not just appointments, find their business model native here.
Watch out for- US insurance runs through a Claim.MD integration rather than built in billing. Group video leans on your own Zoom account at tiers where rivals include it. Prices rose across tiers in 2025, and client limits by plan mean a growing caseload steps up whether or not the features change. Talk therapy practices find its templates nutrition flavoured.
Starting price$33 per month
Free planNo
What we like- Noterro is the hands on clinic platform: charting with strong SOAP notes, booking, payments, packages and memberships, and a clinic branded client app, priced from 33 dollars a month with extra seats at modest rates. It was built for massage, chiropractic and physiotherapy practices, including mobile practitioners, which shows in details the generalists miss. For a small clinic that found Jane heavier and pricier than its needs, Noterro is the most common landing spot in its reviews.
Watch out for- US insurance support is lighter than the billing specialists: superbills on mid tiers and form auto fill at the top, rather than full clearinghouse depth. Mental health tooling is not its focus. It is a smaller company than the leaders, which some clinics weigh when choosing a system of record for a decade.
#6Zanda
Best for: Groups paying simple per seat pricing4.7/5 on
G2 (302 reviews, checked Oct 2026)
Visit zandahealth.com
Starting price$19 per month
Free planNo
What we like- Zanda, the platform formerly known as Power Diary, offers scheduling, charting, payments, rooms and locations management and telehealth options at pricing that starts low and adds per practitioner, with current comparisons placing entry at 19 dollars a month. Its long Power Diary history in allied health means mature appointment workflows, reminders that cut no shows, and broad international use. Groups that want competent basics at controlled cost shortlist it early.
Watch out for- The rebrand means older reviews and pricing references sit under two names, so verify current tiers on its site rather than trusting summaries. US claims submission exists but the add on structure needs the same scrutiny as Jane's. Feature depth in programs, marketing and reporting is mid field rather than leading.
#7Healthie
Best for: Small caseloads and group programs4.0/5 on
G2 (24 reviews, checked Oct 2026)
Visit gethealthie.com
Starting price$19.99 per month
Free planNo
What we like- Healthie blends practice management with client engagement: scheduling, charting, telehealth, food and lifestyle journaling, wearable integrations and group programs, with a client app, from 19.99 dollars a month for a small caseload. Dietitians, coaches and wellness practices that work between appointments, not just during them, find tools here that clinic platforms lack. Group tiers support small teams building program based revenue.
Watch out for- Insurance billing runs through a paid Claim.MD add on with setup fees in current comparisons. Client caps by tier mean the cheap entry price belongs to genuinely small caseloads. Traditional clinic disciplines, physio, chiropractic, will find its engagement features beside the point and its clinic machinery lighter than Cliniko or Jane.
#8Carepatron
Best for: Solo and part time practices watching cost4.5/5 on
G2 (733 reviews, checked Oct 2026)
Visit carepatron.com
Starting priceFree
Free planYes
What we like- Carepatron is the budget start: a free tier with scheduling, charting, telehealth and a client portal, paid plans at 31 to 39 dollars a month, an AI scribe in the box, and claims support through Claim.MD at a per claim fee on its advanced tier. A part time or newly independent practitioner can run a compliant looking practice for almost nothing while the caseload builds, then step up without migrating.
Watch out for- Free and cheap tiers carry limits that a full time caseload meets quickly, and its insurance and reporting depth trail the billing specialists. It is a younger platform with a smaller track record than Cliniko or SimplePractice. Group practice features exist but large clinics will test its ceiling in the first year.
How we chose
Jane itself is excluded because this article covers its alternatives. We selected practice management platforms in active sale in October 2026 used by Jane's core audiences: allied health, mental health, nutrition and wellness, and hands on therapies. Each covers scheduling, charting and payments at minimum. Prices come from vendor pages and current comparisons checked in September and October 2026, stated per month for a solo or first practitioner unless noted, because per practitioner add ons change every total. Nothing was hands on tested, and no vendor's compliance claims are endorsed here.
How to choose your Jane alternative
Start with your discipline and your payer mix, because they eliminate most of the list. US mental health billing insurance points to SimplePractice or TherapyNotes. Allied health scheduling points to Cliniko or Noterro. Nutrition and programs point to Practice Better or Healthie. Cost first solo practice points to Carepatron or Zanda. Jane's own strength, the multidisciplinary middle, is precisely where the shortlist should be trialled longest, because no rival replicates it exactly.
Then do the two year maths: your practitioner count in two years, claim volume fees, telehealth and add on charges, priced on the tier you will actually occupy. Migration of patient records deserves respect in the plan: exports, consent and retention duties follow the records, so agree the data move with the vendors before signing, and run the new system in parallel for a full billing cycle.
Frequently asked questions
Why do clinics switch from Jane?
The recurring reasons in current reviews and comparisons are cost growth as practitioners are added, US insurance billing running through a paid add on plus a clearinghouse account, and specialism: disciplines such as mental health and nutrition have dedicated platforms whose templates and workflows fit tighter than a generalist's.
Which alternative is best for insurance billing in the US?
TherapyNotes and SimplePractice, the two platforms here with claims built into the product rather than routed through partners. TherapyNotes is behavioural health only; SimplePractice covers mental health broadly with per claim fees. Allied health clinics billing US insurers should test both claims flows with real payer examples before deciding.
Are these platforms HIPAA compliant?
The vendors here market HIPAA compliance and sign business associate agreements at the relevant tiers, and Canadian platforms address PIPEDA and provincial health privacy laws. Your duties do not end at the vendor's claim: your plan tier, your configuration, staff access and your own procedures all form part of compliance. Confirm the BAA and data residency with each vendor for your jurisdiction before migrating records.
How much does practice management software cost?
Solo entry points run from free at Carepatron to 69 dollars a month at TherapyNotes, clustering between 30 and 50 dollars. The sticker is not the bill: per practitioner charges, claim fees, telehealth and clearinghouse add ons separate platforms that look identical at entry price. Model your clinic at its expected size, not its smallest.
Can I move my patient records from Jane?
Yes, with planning. Jane and the platforms here support data export in standard formats, and vendors run onboarding imports because switching clinics are their market. The obligations are yours: patient consent where required, retention of records you must keep, and a parallel run across one billing cycle so nothing, appointments, balances or claims in flight, falls between systems.
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.