SimplePractice vs TherapyNotes (2026): which should you pick?
As of Oct 24, 2026, we pick SimplePractice: it is first in our ranking of therapy and clinic software, and it grades higher too, 2.8 against 2.2.
Checked Oct 24, 2026 · graded Oct 24, 2026 by ToolGPA
SimplePractice grades higher on value for money and ease of use. They get the same grade on the free plan, features and platforms.
Price, platforms and features side by side. The table says where each price was read and when.
SimplePractice
Practice management and EHR for private-practice therapists
TherapyNotes
Behavioral health EHR with notes, insurance billing and client portal
Which one is for you
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 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- Watch out: Enterprise needs at least 30 users, and full medical billing and credentialing go through partners at unpublished prices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
| 2.8GPASimplePracticeGood | 2.2GPATherapyNotesFair | |
|---|---|---|
| Value for money | CStarter is $49 a month after a first 3 months at half price, between this category's middle ($39) and its dearer quarter ($59). Reminders and calendar sync need Essential at $79, and on top come 39¢ a claim and a $20 yearly CPT fee per clinician. | 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. The half-price first 3 months only applies if you start paying within 7 days of signing up. | 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 | BScheduling, paperless intake, progress notes, measurement-based care, telehealth, insurance claims and card payments all come on Starter. Nothing in the listing is missing from the job; the gaps are plan locks and add-ons. | 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 | ASimplePractice rates 4.7 on the US App Store from 33,999 ratings, which puts it at A on our ease ladder. | 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 | BWeb, plus a clinician app for iPhone, iPad and Android with the calendar, notes, messages and payments. No desktop app, and the listing names no integrations or API. | 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 | solo US therapists who bill insurance | 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: SimplePractice and TherapyNotes. How we grade
Price against what you get
SimplePractice starts at $49 a month and scores 3.3 out of 4 on features, ease of use and platforms. TherapyNotes starts at $69 a month and scores 2.7.
SimplePractice scores higher and starts $20 a month lower. Of the other therapy and clinic software on the chart, none scores higher than SimplePractice for less, and 1 scores 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
- SimplePractice also covers appointment booking.
At a glance
| SimplePractice | TherapyNotes | |
|---|---|---|
| Pricing | Free trial | Free trial |
| Starts at | $49 per month (Starter), after a first 3 months at $24.50 | $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 | SimplePractice, LLC | TherapyNotes, LLC |
| Price read from | simplepractice.com | support.therapynotes.com |
| Checked | Oct 24, 2026 | Oct 24, 2026 |
Worth knowing
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.
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
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.
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
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.
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
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.
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, SimplePractice or TherapyNotes?
As of Oct 24, 2026, SimplePractice is cheaper to start with: $49 a month, against $69 a month for TherapyNotes. SimplePractice starts at $49 per month (Starter), after a first 3 months at $24.50, and TherapyNotes starts at $69 per month (Solo, one user).
Which has a free plan, SimplePractice or TherapyNotes?
As of Oct 24, 2026, neither SimplePractice nor TherapyNotes has a free plan. Both have a free trial.
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.