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

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

Pick TheraNest if

• Fits if you're an insurance-based therapist who wants claims bundled into the plan
• Works for therapists who need help getting in-network, with one or two payer enrollments included

Look elsewhere if

• Tight if you stay on Essentials: online booking, secure messaging, custom forms and bundled claims start on Advanced
• Watch out: Advanced covers 50 claims, checks and reminders a month, then 23¢ a claim, 25¢ a check and 10¢ a reminder
• Pricey if you add the Session Assistant at $35 a month, eRx at $45 plus $135 setup, or Wiley below Premier at $25
• Watch out: each therapist pays a $19.50 yearly CPT fee, cards cost 2.99% + 30¢, and Premier's unlimited has a fair usage policy
• Skip it if you might downgrade soon, as the change only takes effect when your contract ends

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.

TheraNest

• Advanced includes 50 claims, eligibility checks and reminders a month per practice; then claims cost $0.23, checks $0.25 and reminders $0.10 each.
• Add-ons: Ensai Session Assistant $35 a month per provider, Wiley Treatment Planner $25 a month below Premier, eRx $45 a month per therapist plus a $135 setup fee.
• Each therapist pays an AMA CPT license fee of $19.50 a year, billed in December; card payments cost 2.99% + $0.30.
• Premier's unlimited claims and reminders fall under a fair usage policy, and a downgrade takes effect only when the current contract ends.

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.

TheraNest

Scheduling and client portal

Calendar management with personal calendar sync and staff availability, and a portal where clients see documents and appointments and pay online. Online booking starts on Advanced.

Notes and case management

Custom client, case and progress notes, built-in clinical case management with ICD-10 tools, and Wiley treatment planning, which is included on Premier.

Insurance claims and eligibility

Primary and secondary claims sent singly or in batches through clearinghouse partners, real-time eligibility checks, and billing automation on Premier.

Telehealth

HIPAA-compliant video for individual and group sessions, unlimited on Advanced and Premier and a $12-a-month add-on per therapist on Essentials.

Ensai AI

Ensai polishes progress notes on every plan. The Ensai Session Assistant, $35 a month per provider, scribes telehealth and office sessions into notes and writes case summaries.

Credentialing

A specialist team prepares and follows up payer enrollments with no commission: one or two payers per therapist by plan, and one more on annual billing.

Tebra

Pricing could not be confirmed. See tebra.com.

TheraNest

• Essentials$27

  per therapist / month, billed yearly ($29 billed monthly)

  Scheduling, client portal, calendar sync, basic intake forms and notes, Ensai note polishing and card payments. Telehealth is a $12 add-on.

• Advanced$54

  per therapist / month, billed yearly ($59 billed monthly)

  Adds online booking, secure messaging, custom forms and notes, unlimited individual and group telehealth, and 50 free claims and eligibility checks a month.

• Premier$82

  per therapist / month, billed yearly ($89 billed monthly)

  Adds insurance billing automation, Wiley Practice Planner, and unlimited claims, eligibility checks and text and phone reminders under a fair usage policy.

• GroupCustom

  Custom pricing for group mental health practices, quoted on request.

Tebra

No public discounts listed.

TheraNest

• Annual discount

  One month free with yearly billing

  TheraNest's pricing page gives one month free on annual plans: Essentials is $319 a year instead of $348, Advanced $649 instead of $708 and Premier $979 instead of $1,068.