SimplePractice vs Tebra (2026): which should you pick?

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

Pick Tebra if

• Fits if you run an independent medical or mental health practice that bills insurance
• Works for practices that want their website, listings and review replies next to the EHR

Look elsewhere if

• Skip it if you want a price before talking to sales, as every package is quoted after a demo
• Not for you if you want to try it first, as there's no free plan or trial on record
• Watch out: controlled-substance prescribing adds about $75 a provider, and PDMP checks $500 a facility plus about $50 a user a year
• Skip it if your team uses Android phones, as the app is listed for iPhone and iPad only
• Watch out: pricing is per clinical provider, with lower tiers only for providers billing 100 claims or fewer a month

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.

Tebra

• No subscription prices are published; every package (EHR Starter, Billing Starter, EHR+, Patient Experience + Marketing, All in One) is quoted after a demo.
• Controlled-substance prescribing adds about $75 per provider for EPCS setup, and PDMP checks cost $500 per facility plus about $50 per user a year.
• Pricing is per clinical provider; providers billing 100 claims or fewer a month can get lower-tier pricing.
• The mobile app is listed on the App Store for iPhone and iPad; the pages read mention no Android app.

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.

Tebra

Cloud EHR with AI Note Assist

Charting with flowsheets and templates, treatment plans, AI-generated clinical notes, e-prescribing with controlled-substance and PDMP checks, electronic labs and MIPS reporting.

Billing and claims

Real-time eligibility checks, charge capture, electronic claims with rejection and denial handling, automatic payment posting and insurance enrollment. Managed billing is also offered.

Patient scheduling and intake

Online scheduling, digital intake, custom appointment reminders, HIPAA-compliant two-way messaging and a patient portal.

Practice marketing

A custom practice website, listings on 80+ web profiles including Google Business Profile, patient feedback collection and AI-drafted replies to reviews.

Telehealth

Video visits are built into the platform alongside the EHR, and are listed in Tebra's packages on the pricing page.

Mobile app

An iPhone, iPad and Apple Watch app for the schedule, patient records, secure messages, clinical notes, e-prescribing, labs and superbills.

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.

Tebra

Pricing could not be confirmed. See tebra.com.

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.

Tebra

No public discounts listed.