Sessions Health vs TherapyNotes (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 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• Watch out: Enterprise needs at least 30 users, and full medical billing and credentialing go through partners at unpublished prices

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.

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.

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.

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.

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.

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.

Sessions Health

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.