SimplePractice review (2026): is it worth $49 a month?
Practice management and EHR for private-practice therapists

Our verdict
First of our top three therapy and clinic software
For: Most therapists in private practice
SimplePractice puts scheduling, a client portal with paperless intake, progress notes, telehealth, insurance claims and card payments in one account, from $49 a month on Starter after a 30-day trial with no card. It runs on the web, with a clinician app for iPhone, iPad and Android, and its App Store app averages 4.7 from about 34,000 ratings. Know the limits: reminders, calendar sync and secure messaging start on Essential at $79, claims cost 39¢ each and cards 3.15% + 30¢, AI notes are add-ons from $35 a month, and groups of six or more clinicians are priced by sales.
See all three and how we rankSimplePractice report card
Good · out of 4.0 · graded Oct 24, 2026
Best for solo US therapists who bill insurance
SimplePractice puts notes, telehealth, a client portal and insurance claims in one account, from $49 a month. But reminders, calendar sync and secure messaging wait on Essential at $79, claims cost 39¢ each, the AI note tools are paid add-ons, and groups of six or more have to talk to sales.
Who SimplePractice is for
- 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
Who SimplePractice is not for
- 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
Why SimplePractice gets a 2.8
Five grades, each with its reason. The GPA is their average: an A is 4 points, an F is none.
- CValue for moneyStarter 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.
- CFree plan and trialA 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.
- BFeaturesScheduling, 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.
- AEase of useSimplePractice rates 4.7 on the US App Store from 33,999 ratings, which puts it at A on our ease ladder.
- BPlatforms and integrationsWeb, 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.
What these grades rest on. Graded from this listing, whose facts were read from SimplePractice's own pages on 24 October 2026. Not based on using the product, and shorter than our full reviews. How we review and grade.
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<a href="https://toolgpa.com/tools/simplepractice#review"><img src="https://toolgpa.com/badge/simplepractice.svg" alt="SimplePractice: 2.8 GPA on ToolGPA" width="196" height="56"></a>Where SimplePractice stands among therapy and clinic software
SimplePractice's GPA of 2.8 is higher than 12 of the 12 other therapy and clinic software we grade.
It stands best on ease of use (A, above 12 of 12) and worst on free plan and trial (C, above 2).
Its paid plans start at $49 a month, against a middle price of $39 for the category: 7 of the 10 others that charge start lower.
On features, ease of use and platforms it scores 3.3 out of 4, and no tool on the category's chart scores higher without costing more.
Each grade against the category
Every bar is all 13 therapy and clinic software we grade, cut by the letter each got. SimplePractice’s own letter is outlined.
- CValue for moneyAbove 4 of 12, level with 6
- CFree plan and trialAbove 2 of 12, level with 9
- BFeaturesAbove 1 of 12, level with 11
- AEase of useAbove 12 of 12
- BPlatforms and integrationsAbove 3 of 12, level with 9
Price against what you get
Each dot is one of 11 therapy and clinic software. Further left costs less, and higher up scores better on features, ease of use and platforms. Point at a dot to see which tool it is.
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
Keep SimplePractice, or make your own?
Keep it
To replace SimplePractice you would be making insurance claims sent to payers through a clearinghouse. That is not a weekend's work, with an AI app builder or without one.
It is one of the better ones too: its GPA of 2.8 is higher than 12 of the 12 other therapy and clinic software we grade. It costs $588 a year.
What you could make
- Clinical notes and appointment booking: an app builder makes these well.
What you could not
- Insurance claims sent to payers through a clearinghouse.
- Video sessions that meet health privacy rules.
- Speech turned into text you can trust.
- A real app for iOS and Android. Something home-made would be a web page.
- AI features, unless you pay a model provider for each request yourself.
- What a company asks for before it lets staff use something: HIPAA.
- The depth: we grade its features B, which means it covers the whole job.
What this rests on. SimplePractice’s listing: what it does, where it runs, what it plugs into and what it costs. It is a judgement about the kind of software this is. We have not built a replacement for it, and making your own means looking after it too. How we decide, and every tool’s verdict.
What is SimplePractice?
SimplePractice is a practice management and EHR system for therapists and other health and wellness practitioners in private practice. It covers scheduling, a client portal with paperless intake, progress notes, built-in telehealth, insurance claims and online payments. AI note-writing and ePrescribe are sold as add-ons, and the company says it is HIPAA compliant and HITRUST certified.
Worth knowing
- 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.
Key features
- 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.
SimplePractice pricing
As of Oct 24, 2026, SimplePractice is a paid product with a free trial, starting at $49 per month (Starter), after a first 3 months at $24.50.
- Starts at
- $49 per month (Starter), after a first 3 months at $24.50
- Free plan
- None
- Free trial
- 30-day free trial, no credit card required
| Plan | Price | What you get |
|---|---|---|
| Starter | $49per 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 | $79per 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 | $99per 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. |
Read from simplepractice.com on Oct 24, 2026. Prices change, so confirm with SimplePractice before you buy.
Ways to pay less
- Other savings50% 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.
Stated on simplepractice.com
How people rate the SimplePractice app
4.7
out of 5 for the iPhone and iPad app
- 5 stars83%
- 4 stars11%
- 3 stars3%
- 2 stars1%
- 1 star2%
33,999 ratings on the App Store in the United States, read Oct 24, 2026. It rates the app, not everything the product does. See the listing
SimplePractice alternatives
- SimplePractice vs TherapyNotes
Free trial · from $69/mo
- SimplePractice vs Jane
From $59/mo
- SimplePractice vs Carepatron
Free plan · from $31/mo
- SimplePractice vs TheraNest
Free trial · from $27/mo
- SimplePractice vs PracticeQ
Free trial · from $59.90/mo
Common questions
Does SimplePractice have a Windows app?
No Windows app was listed when its pages were read on Oct 24, 2026. SimplePractice is listed for Web, iOS and Android.
Does SimplePractice have a macOS app?
No macOS app was listed when its pages were read on Oct 24, 2026. SimplePractice is listed for Web, iOS and Android.
Is SimplePractice open source?
SimplePractice is not described as open source on its own site, as read on Oct 24, 2026.
Sources for this page
The prices, plans, platforms and features above were read from these pages on Oct 24, 2026. What people say is linked where it appears.
