Sessions Health vs SimplePractice (2026): which should you pick?

Pick Sessions Health if

• Fits if you're an insurance-based therapist who files lots of claims and watches the per-claim fee
• Works for group practices with billers and admins, who cost nothing on Professional

Look elsewhere if

• Tight if you're staying free: 3 active clients, one practitioner and no administrator accounts
• Pricey if you want telehealth and AI notes, at $10 and $35 a month per practitioner on top of the plan
• Skip it if you want a phone app, as it runs only in the browser
• Watch out: claims are 19¢ to 25¢ each, eligibility checks 15¢, and cards 2.9% + 30¢ through Stripe
• Watch out: text reminders sent outside the US may cost extra, and telehealth calls hold 4 people at most

Pick SimplePractice if

• Fits if you're a solo US therapist who bills insurance and wants claims in the same account as your notes
• Works for groups of up to five clinicians who want a published price: Plus is $99 plus $74 a clinician

Look elsewhere if

• Tight if you stay on Starter: reminders, calendar sync, secure messaging and treatment plans start on Essential at $79
• Pricey if you want AI notes, as Note Taker is $35 a month and Care Aide $59 plus $49 per extra clinician
• Watch out: claims are 39¢ each, cards 3.15% + 30¢, and every clinician pays a $20 yearly fee for CPT codes
• Watch out: ePrescribe is $49 a month plus an $89 setup fee, and group sessions and extra clinicians need Plus
• Not for you if your group has six or more clinicians and you want a price up front, as those go through sales

Sessions Health

• The free plan stops at 3 active clients and has no administrator accounts.
• Telehealth ($10 a month) and AI Assist ($35 a month) are charged per practitioner, on top of the plan.
• Card payments run through Stripe at 2.9% + $0.30; text reminders sent outside the US may cost extra.
• It runs only in the browser; no mobile apps are listed.

SimplePractice

• Insurance claims cost $0.39 each, card payments 3.15% + $0.30, and each clinician pays an annual $20 fee for CPT code access.
• Reminders, calendar sync and client messaging start on Essential; group sessions and extra clinicians need Plus.
• AI notes are extra: Note Taker is $35 a month, Care Aide $59 a month plus $49 per extra clinician. ePrescribe is $49 a month plus an $89 setup fee.
• The 50% discount applies only if a paid account starts within 7 days of the trial; groups of 6 or more clinicians are priced by sales.

Sessions Health

Notes, forms and assessments

Custom forms, note templates, treatment plans and questionnaires from a template library, auto-scored assessments, and loading a new note from the previous one.

Insurance billing

Batch electronic claims from $0.25 down to $0.19 each by volume, ERAs, secondary claims, incident-to billing, real-time eligibility at $0.15 a report, and courtesy billing.

Scheduling and reminders

Two-way or one-way calendar sync, customizable email and text reminders, client time zones and online appointment requests.

Client portal

Paperless intake with e-signature, secure messaging, online scheduling and payments, with handling for minors, couples and conjoint clients.

Telehealth add-on

$10 a month per practitioner for browser video with up to 4 participants, a waiting room, screen sharing and chat; other video tools can be linked in reminders for free.

AI Assist

$35 a month per practitioner: AI notes from a session summary, an audio upload or a live scribe of telehealth and in-person sessions, plus pre-session and treatment summaries.

SimplePractice

Client portal and online booking

Clients request appointments online and complete paperless intake documents through a client portal website. Essential adds email, text and voice reminders and calendar sync.

Notes and treatment plans

Progress notes, a template library and measurement-based care come on every plan; customizable treatment plans and Wiley Treatment Planners start on Essential.

Built-in telehealth

Video sessions are included on every plan. Plus adds group appointments and group telehealth.

Insurance claims and payments

Claims are filed from the account at $0.39 each and clients pay online by card. Insurance Navigator, listed as coming soon, adds claim checks and benefits verification at $1.79 a claim.

Care Aide and Note Taker

Paid AI add-ons. Note Taker drafts progress notes from a recorded session or dictation; Care Aide adds live telehealth support, treatment plans in beta and client-ready summaries.

Clinician mobile app

An iPhone, iPad and Android app to manage the calendar, write and review session notes, share documents, send secure messages and take payments.

Sessions Health

• Freemium$0

  Up to 3 clients and 1 practitioner, with notes, scheduling, payments, insurance billing and the client portal; no administrator accounts.

• Professional$39

  per month, plus $29 per additional practitioner

  Unlimited clients, unlimited administrators at no cost, and every core feature. Telehealth, claims and AI Assist are add-ons.

SimplePractice

• Starter$49

  per month

  Unlimited clients, telehealth, progress notes, insurance claims, online payments, intake forms and a client portal. $24.50 a month for the first 3 months.

• Essential$79

  per month

  Adds free email, text and voice reminders, calendar sync, treatment plans, Wiley Treatment Planners and secure messaging. $39.50 for the first 3 months.

• Plus$99

  per month, plus $74 per additional clinician

  Adds group appointments, group telehealth, a premium support line and advanced analytics. $49.50 for the first 3 months; groups of 6+ can get custom pricing.

Sessions Health

No public discounts listed.

SimplePractice

• Other savings

  50% off the first 3 months

  Starting a paid account within 7 days of signing up halves the first 3 months: $24.50 for Starter, $39.50 for Essential and $49.50 for Plus, then the regular price.