SimplePractice is the best psychotherapy software for most solo therapists who bill insurance, with TheraNest and TherapyNotes close behind on entry cost and claim fees. TheraNest Essentials at $29 per therapist a month is the lowest entry price among the full EHR options here, while Carepatron offers a $0 Free plan capped at 100 appointments in total. Watch the add-ons: SimplePractice charges $0.39 per insurance claim on every plan from 1 October 2026, and its AI note tool costs $35 a month on top of the subscription.
Psychotherapy software has to hold clinical notes, run the schedule, and get claims and card payments out. The eight tools below all cover scheduling, notes, a client portal, and telehealth, but they split sharply on price shape, claim fees, and what sits behind a higher plan. A solo cash-pay therapist can run on $19 to $39 a month, while a solo therapist who files 40 claims a month can add $5.60 to $15.60 a month in claim fees. Read the plan limits first, because appointment caps, claim allowances, and telehealth add-ons change the real monthly cost more than the headline price.
On this page
Best psychotherapy software: comparison table
Swipe the table sideways on a phone to see every column.
| # | Name | Best for | Starting price | Free plan / trial | Link |
|---|---|---|---|---|---|
| 1 | SimplePractice | Solo therapists who bill insurance | $49 per month | Free trial (30 days) | Visit |
| 2 | TherapyNotes | Insurance-heavy behavioral health practices | $69 per month | Free trial (30 days) | Visit |
| 3 | TheraNest | Budget-conscious solo and small group practices | $29 per therapist/month | Free trial (21 days) | Visit |
| 4 | Jane App | Multidiscipline clinics adding practitioners | $54 per month | No | Visit |
| 5 | Carepatron | Part-time and solo practices watching cost | $0 per user/month | Yes | Visit |
| 6 | Sessions Health | Small practices that want simple pricing | $39 per month | Yes | Visit |
| 7 | TheraPlatform | Telehealth-heavy therapy practices | $39 per month | Free trial (30 days) | Visit |
| 8 | Zanda | Solo allied health and therapy practices | $19 per month | Free trial (14 days) | Visit |
The 8 best best psychotherapy software tools, in detail
SimplePractice
Best for: Solo therapists who bill insurance
SimplePractice is the default pick for a solo therapist who bills insurance and wants one system for notes, scheduling, telehealth, and claims. Starter costs $49 a month, Essential costs $79 a month, and Plus costs $99 a month for one practitioner. Essential adds appointment reminders, secure messaging, and calendar sync.
- Plus is the plan that allows extra clinicians at $74 a month each.
- From 1 October 2026, electronic claims cost $0.39 each on every plan, and the free monthly claims that used to come with Essential and Plus have ended
- A solo therapist filing 40 claims a month adds $15.60 a month.
- Card payments cost 3.15 percent plus $0.30 per transaction, and there is a $20 annual fee per clinician for CPT codes.
Pros
- Built-in insurance claims on every plan
- unlimited clients on every plan
- 30-day trial on the top plan with no card required
Cons
- Starter lacks appointment reminders except for telehealth, secure messaging, and calendar sync
- extra clinicians cost $74 a month each and need the Plus plan
TherapyNotes
Best for: Insurance-heavy behavioral health practices
TherapyNotes was built for behavioral health, so its note templates and billing workflows fit therapy work. Solo costs $69 a month, and the group plan costs $79 for the first clinician plus $50 for each added clinician, with non-clinical staff included at no extra charge. Every plan includes unlimited clients, appointments, notes, and storage, plus one-to-one telehealth.
- Electronic claims, ERAs, and eligibility checks each cost $0.14, with no separate clearinghouse subscription to open.
- A solo therapist filing 40 claims a month adds $5.60 a month, against $15.60 on SimplePractice at the same volume.
- Extras are premium telehealth at $15 a month per clinician, TherapyFuel AI notes at $40 a month per clinician, and ePrescribe at $65 a month per presc
- The group figure changes on 1 December 2026, when the first clinician rises to $89 a month and each added clinician rises to $60 a month.
Pros
- Claims, ERAs, and eligibility checks at $0.14 each
- unlimited clients, appointments, notes, and storage on every plan
- phone and email support included
Cons
- Group pricing rises on 1 December 2026 to $89 plus $60 per added clinician
- premium telehealth costs $15 a month per clinician extra
TheraNest
Best for: Budget-conscious solo and small group practices
TheraNest, from Ensora Health, charges per therapist with unlimited clients on every plan, so a busy caseload does not raise the subscription. Essentials costs $29 a month per therapist, Advanced costs $59 a month, and Premier costs $89 a month. Paying yearly lowers those figures to $27, $54, and $82 a month.
- Essentials covers scheduling, notes, the client portal, and card payments, with telehealth as a $12 a month add-on.
- Advanced is the realistic plan for most insurance-billing practices.
- It adds online booking, secure messaging, custom forms and notes, telehealth, and 50 claims and 50 eligibility checks per practice each month.
- Premier adds insurance billing automation, the Wiley Treatment Planner, and unlimited claims and eligibility checks.
Pros
- Lowest entry price in this set at $29 per therapist a month
- unlimited clients on every plan
- unlimited admin users, billers, and schedulers at no extra cost
Cons
- Telehealth costs $12 a month per therapist extra on Essentials
- insurance billing is not included on Essentials
Jane App
Best for: Multidiscipline clinics adding practitioners
Jane App serves therapists alongside chiropractic, physiotherapy, and massage clinics, and one subscription covers scheduling, charting, video sessions, and card payments. Balance costs $54 a month for one practitioner profile and up to 20 appointments a month. Practice costs $79 a month and Thrive costs $99 a month, each with one full-time practitioner included.
- Jane is at its best when a clinic adds clinicians.
- An extra full-time practitioner costs $35 a month on Practice or $40 on Thrive.
- A three-person group pays $149 a month on Practice, against $247 on SimplePractice Plus.
- The trade-off is insurance billing: it is a $20 a month add-on on Practice or Thrive, plus a separately billed Claim.MD account and its claim charges,
Pros
- Extra full-time practitioners cost $35 a month on Practice, well below SimplePractice at $74
- unlimited locations and admin staff on every plan
- one-to-one telehealth included on every plan
Cons
- No free trial and no annual billing
- Balance is capped at 20 appointments a month and cannot add practitioners
Carepatron
Best for: Part-time and solo practices watching cost
Carepatron is the cheapest way to start a psychotherapy practice, and its Free plan is a real plan. At $0 it includes unlimited clients, telehealth, a client portal, AI note-taking, and client billing, limited to 1GB of storage, 1 million AI tokens, 1,000 tasks, and 100 appointments in total. It has no appointment reminders, no SMS, and no calendar sync.
- Plus costs $39 a month per user billed monthly, or $31 a month billed yearly, and Advanced costs $49 a month billed monthly, or $39 a month billed yea
- Plus adds appointment reminders, calendar sync, insurance billing, and group workflows.
- Advanced adds roles and permissions, white labelling, and premium support.
- Electronic claims start at $0.25 each, and e-prescribing costs $39 a month per prescriber billed monthly.
Pros
- Free plan includes unlimited clients, telehealth, a client portal, and AI note-taking at $0
- Plus costs $39 a month billed monthly or $31 a month billed yearly
Cons
- Free plan is capped at 100 appointments in total and has no appointment reminders or calendar sync
- insurance billing starts on Plus
Sessions Health
Best for: Small practices that want simple pricing
Sessions Health is a mental health EHR with a free plan and one subscription plan. The free plan allows up to 3 active clients with no time limit, which suits a therapist who is just starting out. Professional costs $39 a month for the first practitioner, with unlimited clients and no cap on appointments, and each added practitioner costs $29 a month.
- Integrated video costs $10 a month per practitioner, so a solo cash-pay clinician who works online pays $49 a month in total.
- AI Assist costs $35 a month per practitioner.
- Electronic insurance claims cost $0.25 each below 200 a month, and eligibility reports cost $0.15 each.
- A solo therapist filing 40 claims a month adds $10.00 a month.
Pros
- Free plan runs indefinitely with up to 3 active clients
- Professional costs $39 a month for the first practitioner with unlimited clients
- admin users are included at no extra cost
Cons
- Telehealth costs $10 a month per practitioner extra
- AI Assist costs $35 a month per practitioner extra
TheraPlatform
Best for: Telehealth-heavy therapy practices
TheraPlatform combines an EHR, practice management, and teletherapy, and telehealth is its clearest strength. Basic costs $39 a month, Pro costs $69 a month, and Pro Plus costs $79 a month. All three plans include unlimited clients, unlimited documentation, a secure client portal, and unlimited telehealth.
- Pro is the plan to pick for insurance work.
- It adds Google Calendar sync, automatic invoicing, insurance claim filing, and appointment reminders, with each added provider costing $39 a month.
- Pro Plus costs $79 a month, with each added provider at $49 a month, and adds interactive apps and games for telehealth sessions.
- AI Notes cost $30 a month per provider, and the Wiley Treatment Planner costs $15 a month per provider.
Pros
- Unlimited telehealth included on every plan
- all plans include unlimited clients and unlimited documentation
- interactive therapy apps and games on Pro Plus
Cons
- Basic is for one provider only and lacks insurance billing
- AI Notes cost $30 a month per provider extra
Zanda
Best for: Solo allied health and therapy practices
Zanda, formerly Power Diary, is a practice management system for allied health and therapy practices, and Starter is the lowest subscription price in this set at $19 a month for one practitioner. Growth costs $49 a month and adds unlimited appointments, multiple locations, and unlimited admin users, with each added practitioner costing $19 a month. Starter allows 1,000 appointments, so a therapist seeing 20 clients a week reaches that cap in about a year and must move to Growth at $49 a month.
- Telehealth Pro costs $9 a month per practitioner for unlimited telehealth calls.
- Zanda has no US claims clearinghouse and its superbill handling is basic, so a US practice that bills insurance needs a separate revenue cycle tool.
- Choose Zanda if you are a solo or small allied health practice outside the US insurance system, or a cash-pay practice that wants low cost and strong
Pros
- Lowest subscription price in this set at $19 a month
- Growth adds unlimited appointments and multiple locations for $49 a month
- admin users are unlimited and free on Growth
Cons
- Starter is capped at 1,000 appointments
- Telehealth Pro costs $9 a month per practitioner extra
- US insurance billing is basic, with no claims clearinghouse
How we chose
We picked tools that serve psychotherapy practices directly, with scheduling, clinical notes, a client portal, and telehealth or billing, and we kept only tools with a published price. Prices and plan limits come from official vendor pricing pages checked on 12 November 2026. We did not test any tool hands-on. We ranked nothing by customer counts, awards, or review scores, and we used no rating figures. The claim-fee gap is the angle most roundups miss: at 40 claims a month, TherapyNotes adds $5.60, Sessions Health adds $10.00, and SimplePractice adds $15.60, so two tools with similar prices can differ by $120 a year on claims alone.
Which system fits your practice size and budget
| Practice shape | Best fit | Monthly cost before add-ons | Watch for |
|---|---|---|---|
| Solo, cash-pay, part-time | Carepatron Free, then Zanda Starter | $0 to $19 | Carepatron Free caps at 100 appointments in total; Zanda Starter caps at 1,000 |
| Solo, cash-pay, online | Sessions Health Professional with telehealth | $49 | Telehealth is $10 extra; AI Assist is $35 extra |
| Solo, bills insurance | SimplePractice Essential or TherapyNotes Solo | $69 to $79 | SimplePractice claims cost $0.39 each; TherapyNotes claims cost $0.14 each |
| Solo, lowest entry EHR | TheraNest Essentials | $29 | Telehealth is $12 extra; claims not included |
| Small group, 3 clinicians | Jane App Practice | $149 | Insurance billing is a $20 add-on plus a separate Claim.MD account |
Frequently asked questions
What is the best psychotherapy software for most therapists?
SimplePractice is the best psychotherapy software for most solo therapists who bill insurance, because claims are built into every plan and clients are unlimited. TheraNest is the better pick if entry cost matters most, at $29 per therapist a month, and TherapyNotes is the better pick if claim volume is high, at $0.14 per claim.
How much does psychotherapy software cost per month?
Entry prices run from $0 on Carepatron Free to $69 a month on TherapyNotes Solo, with most full EHR options at $29 to $54 a month. Add telehealth at $9 to $12 a month, AI notes at $30 to $40 a month, and claim fees of $0.14 to $0.39 each, and a solo insurance-billing practice often pays $80 to $115 a month in total.
Which psychotherapy software is cheapest for a solo practice?
Carepatron Free at $0 is cheapest to start, but it caps at 100 appointments in total, so it suits a very small caseload only. Zanda Starter at $19 a month is the cheapest subscription plan, followed by TheraNest Essentials at $29 a month. TheraNest Advanced at $59 a month includes 50 claims a month, which can beat a cheaper plan with per-claim fees.
Which is best for a group practice?
Jane App Practice is best for a growing multidisciplinary group, because a three-person group pays $149 a month and extra full-time practitioners cost $35 a month each. TheraPlatform Pro is best for a telehealth-heavy group, at $69 plus $39 per added provider.
Does psychotherapy software include telehealth?
Most tools here include some form of telehealth, but not always in the base price. TheraPlatform includes unlimited telehealth on every plan and Jane App includes one-to-one telehealth on every plan. Sessions Health charges $10 a month, TheraNest Essentials charges $12 a month, and Zanda charges $9 a month for Telehealth Pro.
Do I need a separate tool for insurance billing?
It depends on the tool. SimplePractice, TherapyNotes, and TheraNest Advanced and Premier include claim filing, with per-claim fees of $0.39, $0.14, and $0.23 after the first 50 claims on Advanced. Jane App needs a $20 a month add-on plus a separate Claim.MD account, and Zanda has no US claims clearinghouse.
Sources
- https://www.simplepractice.com/
- https://www.simplepractice.com/pricing/
- https://www.therapynotes.com/
- https://www.therapynotes.com/pricing/
- https://www.theranest.com/
- https://www.theranest.com/pricing/
- https://jane.app/
- https://jane.app/pricing
- https://www.carepatron.com/
- https://www.carepatron.com/pricing
- https://www.sessionshealth.com/
- https://www.sessionshealth.com/pricing
- https://www.theraplatform.com/
- https://www.theraplatform.com/pricing
- https://www.zandahealth.com/
- https://www.zandahealth.com/pricing
Prices and features were read on each company’s own website in November 2026. They change often, so confirm the current offer on the official site before you sign up or buy.