Sessions Health vs TherapyAppointment (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 TherapyAppointment if

• Fits if you are a solo therapist who sees few clients and takes insurance
• Works for a group practice that wants reports by clinician and location

Look elsewhere if

• Pricey if you are busy: the $10 rate ends once you book more than 10 sessions
• Watch out: claims cost $0.15 each, benefit lookups $0.07 and payments 2.9% + $0.30
• Watch out: integrated telehealth is $15 a month per provider, and Zoom needs your own licence
• Pricey if you prescribe: e-prescribing is $65 a month per prescriber plus a $110 setup fee

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.

TherapyAppointment

• Insurance claims cost $0.15 each (paid to Office Ally) and benefit lookups $0.07; payments cost 2.9% + $0.30.
• Integrated telehealth is $15 a month per provider; Zoom integration is $5 plus your own Zoom for Healthcare license.
• E-prescribing is $65 a month per prescriber plus a $110 setup fee.
• Single sign-on on the Group plan is $5 a month per staff member.

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.

TherapyAppointment

Scheduling and reminders

Customizable availability, client self-scheduling, multiple locations, free appointment reminders and 2-way sync with Google, iCal and Outlook.

Client portal and messaging

A secure portal with unlimited client messaging, paperless intake with e-signatures, assessments and progress notes.

Insurance billing

Electronic claims, benefits verification, automatic ERA posting, and claim progress logs with notices for problem claims.

Reporting

Audit reports, earnings tracking and practice analytics; the Group plan adds financial and data reports by clinician and location.

Add-on tools

TA Integrated Telehealth, Zoom integration, AI Notes at $0.59 per chart note, e-prescribing and integrated payment processing.

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.

TherapyAppointment

• Solo Practice$10

  per month until you book more than 10 sessions

  Intro rate after the 30-day trial. It rises to $39 a month past 10 sessions, and to $59 past 39.

• Solo Practice (standard)$59

  per month, after booking 40 sessions

  Standard rate for solo clinicians once they book 40 sessions; every feature is included.

• Group Practice$59

  per month, plus $39 per additional clinician

  Unlimited sessions, payroll report summary, reports by clinician and location, supervisor sign-off and new-client triage.

• Edu & Non-ProfitCustom

  Special pricing for 501(c)(3) organizations, universities and training centers, quoted by sales.

Sessions Health

No public discounts listed.

TherapyAppointment

• Nonprofit

  Special pricing for non-profits and schools

  501(c)(3) organizations, universities and training centers can ask sales for special pricing; the page gives no figures.