ICANotes vs TherapyNotes (2026): which should you pick?
As of Nov 12, 2026, ICANotes and TherapyNotes share a 2.2 GPA, neither has a free plan, and ICANotes starts cheaper, at $35 a month against $69 a month.
Checked Oct 24, 2026 and Nov 12, 2026 · graded Oct 24, 2026 and Nov 12, 2026 by ToolGPA
ICANotes grades higher on value for money. TherapyNotes grades higher on platforms. They get the same grade on the free plan, features and ease of use.
Price, platforms and features side by side. The table says where each price was read and when.
ICANotes
Behavioral health EHR with menu-driven notes
TherapyNotes
Behavioral health EHR with notes, insurance billing and client portal
Which one is for you
Pick ICANotes if
- Fits if you are a behavioral health clinician who wants menu-driven notes
- Works for prescribers who want e-prescribing in the same chart
Look elsewhere if
- Pricey if you prescribe: $213 a month full-time plus a $99 activation fee
- Watch out: telehealth is $20 per user a month and the AI scribe $49 per user a month on top
- Tight if you are part-time: 60 notes a month on the first two tiers and 100 on Prescribing
- Watch out: text reminders, claims and patient statements are priced by contacting sales
Pick TherapyNotes if
- Fits if you're a solo therapist billing insurance who wants a phone line answered at any hour
- Works for behavioral health groups with many billers and schedulers, as non-clinical users aren't charged
Look elsewhere if
- Pricey if you're solo, as $69 a month is near the top of what this category charges
- Watch out: Group and Enterprise rise to $89 plus $60 per extra clinician from 1 December 2026
- Watch out: eligibility checks and reminders are 14¢ each, e-claims 25¢ from December, mailed claims $1, cards 3.1% + 30¢
- Pricey if you want more than the basics: TherapyFuel AI is $40 a clinician, ePrescribe $65, and HD or group telehealth $15
- Watch out: Enterprise needs at least 30 users, and full medical billing and credentialing go through partners at unpublished prices
How we grade them
| 2.2GPAICANotesFair | 2.2GPATherapyNotesFair | |
|---|---|---|
| Value for money | CNotes Only is $55 full-time, Non-Prescribing $75 and Prescribing $213, against a middle of $39 and a dearest tenth from $79. | DSolo is $69 a month for one user, in the dearest tenth of this category, which starts at $59.90. Much is then per use: 14¢ an eligibility check or reminder, 25¢ an e-claim from December. Group goes from $79 plus $50 a clinician to $89 plus $60 on 1 December 2026. |
| Free plan and trial | CA 30-day trial with no card and no free plan. | CA 30-day free trial on every plan, and no free plan. The listing doesn't say whether the trial asks for a card. Classroom accounts are free, but they leave out billing. |
| Features | BNotes, scheduling, portal, billing, e-prescribing, labs and rating scales across tiers, but claims and text reminders are priced by contacting sales. | BNotes you can rearrange, a group note wizard, an outcome measure library, electronic and paper claims, eligibility checks, ERAs, a client portal, telehealth and a mobile app. The therapy-practice job is covered; full medical billing goes through partners. |
| Ease of use | CNo store rating on record. An EHR means setting up templates and billing first. | CNo App Store rating on record. Note templates, payers and claims take setting up, though 24/7 live phone and email support comes with every plan. |
| Platforms and integrations | CA web service with no integrations or apps listed. | BWeb, plus an iPhone, iPad and Android companion app for the agenda, messages and telehealth. No desktop app, and the listing names no integrations or API. |
| Best for | behavioral health notes with menu-driven charting | behavioral health practices that bill insurance |
The GPA is the average of the five grades: an A is 4 points, an F is none. The full reasons are on each tool's page: ICANotes and TherapyNotes. How we grade
Price against what you get
ICANotes starts at $35 a month and scores 2.3 out of 4 on features, ease of use and platforms. TherapyNotes starts at $69 a month and scores 2.7.
TherapyNotes scores higher, and starts $34 a month higher: the question is whether the extra is worth that to you. Of the other therapy and clinic software on the chart, 7 score higher than ICANotes for less, and 2 score higher than TherapyNotes for less.
Features, ease of use and platforms, averaged
What paid plans start at, a month (each step along is roughly double) →
- The best score at each price
- Has a free plan
- No free plan
Where they differ
- ICANotes also covers templates and appointment booking.
- TherapyNotes also covers transcription.
At a glance
| ICANotes | TherapyNotes | |
|---|---|---|
| Pricing | Free trial | Free trial |
| Starts at | $35 per month for a part-time clinician ($55 full-time), notes only | $69 per month (Solo, one user) |
| Free plan | None | None |
| Free trial | 30-day free trial, no credit card required | 30-day free trial on every plan |
| Web | ||
| iOS | ||
| Android | ||
| Made by | ICANotes | TherapyNotes, LLC |
| Price read from | icanotes.com | support.therapynotes.com |
| Checked | Nov 12, 2026 | Oct 24, 2026 |
Worth knowing
ICANotes
- Telehealth is a $20 per user per month add-on; the AI scribe is $49 per user per month.
- Text reminders, claims and patient statements are priced by contacting sales.
- Part-time plans cap notes: 60 a month on the first two tiers and 100 on Prescribing.
- The pricing page also points to a separate ICANotes (Classic) price list that is not covered here.
TherapyNotes
- Group and Enterprise rates rise to $89 for the first clinician plus $60 per additional from 1 December 2026; Solo stays at $69.
- Much is billed per use: 14¢ per eligibility check or text and voice reminder, 25¢ per e-claim from December, $1 per mailed claim, 3.1% + 30¢ per card payment.
- TherapyFuel AI is $40 per clinician a month, ePrescribe $65 per prescriber a month, and Premium Telehealth $15 per clinician a month.
- Enterprise needs at least 30 users. Full medical billing and credentialing come through partners, at prices not published.
Key features
ICANotes
- Menu-driven notes
- Template-driven progress notes, assessments and treatment plans, including BIRP and DAP formats, that you can customize.
- AI scribe option
- AI Clinical Notes are an optional $49 per user per month add-on on top of the base plan.
- Scheduling and client portal
- Online forms, self-scheduling, automated reminders, secure messaging and a portal for clients come with the Non-Prescribing plan and above.
- Billing
- Verifies insurance, submits claims electronically and posts payments. Claims pricing is quoted by sales.
- E-prescribing and labs
- The Prescribing plan adds e-prescribing with medication management, plus lab ordering and results.
- Rating scales and treatment plans
- Over 100 clinical rating scales live inside the chart, and treatment plans track goals and interventions over time.
TherapyNotes
- Clinical notes and outcome measures
- Progress, intake and consultation notes whose sections can be rearranged or added to, a group progress note wizard, a play therapy template and an outcome measure library.
- TherapyFuel AI tools
- A $40-per-clinician add-on whose Scribe transcribes sessions to draft notes. Once one clinician has it, the whole practice can generate client history summaries and contact notes.
- Insurance billing
- Electronic and paper claims, secondary claims, real-time eligibility checks and electronic remittance advice, each charged per use, with card payments that can be charged automatically overnight.
- TherapyPortal
- A custom client portal for secure messages, documents, forms and outcome measures, which can be sent to every active client at once.
- Telehealth
- Basic telehealth is free for two participants in standard definition. Premium, at $15 per clinician a month, allows 16 participants in full HD with screen sharing and captions.
- Mobile app and support
- An iPhone, iPad and Android companion app for the agenda, client details offline, messaging and telehealth, plus 24/7 live phone and email support for every user.
Plans
ICANotes
Notes Only$55
per full-time clinician / month
Unlimited notes, templates and cloud storage for non-prescribers. Part-time: $35 a month for 60 notes.
Non-Prescribing$75
per full-time clinician / month
Adds scheduling with reminders, a client portal, messaging, billing tools and reporting. Part-time: $45, 60 notes.
Prescribing$213
per full-time clinician / month
Adds e-prescribing, medication management and lab ordering. Part-time: $138, 100 notes. $99 activation fee.
TherapyNotes
Solo$69
per month for 1 user
For a provider who is the only user on the account. Unlimited clients, appointments and notes, client portal, basic telehealth and 24/7 support.
Group$79
per month, plus $50 per additional clinician
Unlimited non-clinical users such as billers and schedulers. Rises to $89 plus $60 per additional clinician from 1 December 2026.
Enterprise$79
per month, plus $50 per additional clinician
Group rates for accounts of at least 30 users, with a designated account manager. Same 1 December 2026 rise as Group.
Ways to pay less
ICANotes
No public discounts listed.
TherapyNotes
- Education
Free classroom accounts
TherapyNotes is free for simulated practices in a classroom, whatever the class size; these accounts leave out insurance and other billing features.
Common questions
Which is cheaper, ICANotes or TherapyNotes?
As of Nov 12, 2026, ICANotes is cheaper to start with: $35 a month, against $69 a month for TherapyNotes. ICANotes starts at $35 per month for a part-time clinician ($55 full-time), notes only, and TherapyNotes starts at $69 per month (Solo, one user).
Which has a free plan, ICANotes or TherapyNotes?
As of Nov 12, 2026, neither ICANotes nor TherapyNotes has a free plan. Both have a free trial.
Which platforms do ICANotes and TherapyNotes run on?
As of Nov 12, 2026, only TherapyNotes lists iOS and Android apps. Both list a web app. A platform missing from a listing is one its maker's pages did not mention.
More comparisons
How this page was made
- The verdict at the top follows a fixed rule. When both tools are in the same category and either is in our top three for it, the verdict follows that ranking: the higher-placed tool is our pick. The top three weigh who each tool suits as well as its grades, so a pick can go against the GPA. Otherwise the page does not pick one and says which grades higher: the higher GPA first; on a tie, the one with a free plan, then the one that starts cheaper in dollars a month, counted the same way for both; if they are still level, what the choice depends on.
- The grades are our own, from each tool’s review or report card. The GPA is their average.
- Prices, plans and platforms come from each tool’s listing. The table above says where each price was read and when.
- The differences and the answers to the questions are worked out from those listings.