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

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

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

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.

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.

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.

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.

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.

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.

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.

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.