The right EHR saves hours of admin a week; the wrong one charges you for every claim, clinician and add-on. We compared 15 EHRs for therapists and picked the 10 best for solo practices and group practices, on price per clinician, claim fees, telehealth and AI notes.
How we chose: we compared 15 EHRs on what each company publishes on its own website, checked November 1, 2026: pricing, who it is built for, and what is included. We ranked them on those facts for a therapy practice. We have not used every one, so we do not claim to have tested them. No company paid to be listed or for its place, and any partner link is marked as one.
Our top picks at a glance
- Best overall: SimplePractice. Starter $49, Essential $79, Plus $99 a month. Groups use Plus: $99 plus $74 per extra clinician.
- Best for insurance-based practices: TherapyNotes. Solo $69 a month. Group $79 plus $50 per extra clinician.
- Best budget EHR: Sessions Health. Professional $39 a month plus $29 per extra practitioner. Free for up to 3 clients.
- Best for new practices: TherapyAppointment. Solo from $10, rising to $39 and $59 with sessions booked. Group $59 plus $39 per clinician.
- Best for telehealth: TheraPlatform. Basic $39 (solo), Pro $69 plus $39 per clinician, Pro Plus $79 plus $49.
- Best low-cost plans: Ensora Health (TheraNest). Essentials $29, Advanced $59, Premier $89 per therapist a month. Group pricing by quote.
- Best for cash-pay clinics: Jane. Balance $59 (1 practitioner, 20 appointments a month), Practice $79 plus $35 per practitioner, Thrive $99 plus $40.
- Best for AI notes: Upheal. EHR $1 per session, or EHR Pro $99 a month.
- Best for intake forms: IntakeQ. $84.90 a month plus $30 per practitioner, or $59.90 plus $25 for low volume.
- Best for psychiatry: ICANotes. Notes only $55, non-prescribing $75, prescribing $213 per full-time user a month. $99 activation.
| # | Company | Award | Published pricing | Best for |
|---|---|---|---|---|
| 1 | SimplePractice | Best overall | Starter $49, Essential $79, Plus $99 a month. Groups use Plus: $99 plus $74 per extra clinician | Solo practices and groups up to 5 clinicians (custom pricing from 6) |
| 2 | TherapyNotes | Best for insurance-based practices | Solo $69 a month. Group $79 plus $50 per extra clinician | Insurance-based solo practices and groups |
| 3 | Sessions Health | Best budget EHR | Professional $39 a month plus $29 per extra practitioner. Free for up to 3 clients | Budget insurance-based solo practices and groups |
| 4 | TherapyAppointment | Best for new practices | Solo from $10, rising to $39 and $59 with sessions booked. Group $59 plus $39 per clinician | Budget insurance-based practices |
| 5 | TheraPlatform | Best for telehealth | Basic $39 (solo), Pro $69 plus $39 per clinician, Pro Plus $79 plus $49 | Telehealth-heavy practices |
| 6 | Ensora Health (TheraNest) | Best low-cost plans | Essentials $29, Advanced $59, Premier $89 per therapist a month. Group pricing by quote | Budget insurance-based groups |
| 7 | Jane | Best for cash-pay clinics | Balance $59 (1 practitioner, 20 appointments a month), Practice $79 plus $35 per practitioner, Thrive $99 plus $40 | Cash-pay and multi-discipline clinics |
| 8 | Upheal | Best for AI notes | EHR $1 per session, or EHR Pro $99 a month | Solo therapists with light or uneven caseloads |
| 9 | IntakeQ | Best for intake forms | $84.90 a month plus $30 per practitioner, or $59.90 plus $25 for low volume | Cash-pay practices that run on forms |
| 10 | ICANotes | Best for psychiatry | Notes only $55, non-prescribing $75, prescribing $213 per full-time user a month. $99 activation | Psychiatry and practices with prescribers |
What a 5-clinician group pays each month
Published group prices, before claim fees and add-ons.
| EHR | How it adds up | Per month |
|---|---|---|
| Sessions Health | $39 + 4 × $29 | $155 |
| TherapyAppointment | $59 + 4 × $39 | $215 |
| TheraPlatform Pro | $69 + 4 × $39 | $225 |
| TherapyNotes | $79 + 4 × $50 | $279 |
| SimplePractice Plus | $99 + 4 × $74 | $395 |
The 10 best EHRs for therapists, reviewed
1. SimplePractice: Best overall
The most complete package, with claims and telehealth on every plan. You pay for it: the highest group price here, and claims now cost $0.39 each.
- Pricing: Starter $49, Essential $79, Plus $99 a month. Groups use Plus: $99 plus $74 per extra clinician
- Built for: Therapists and wellness practices
- Best for: Solo practices and groups up to 5 clinicians (custom pricing from 6)
- Insurance claims: All plans, $0.39 per claim
- Telehealth: All plans
- AI notes: Note Taker, $35 a month
- Free trial: 30 days
Pros
- Claims and telehealth on every plan
- Supervisor review and sign-off
- 30-day free trial
Cons
- Highest group price here: $99 plus $74 per clinician
- Claims cost $0.39 each
- Custom pricing from 6 clinicians
2. TherapyNotes: Best for insurance-based practices
Built for practices that bill insurance: cheap claims and free accounts for billers and front desk.
- Pricing: Solo $69 a month. Group $79 plus $50 per extra clinician
- Built for: Behavioral health practices
- Best for: Insurance-based solo practices and groups
- Insurance claims: 14 cents per claim
- Telehealth: Basic included, premium $15 per clinician
- AI notes: TherapyFuel, $40 per clinician
- Free trial: 30 days
Pros
- Claims at 14 cents each
- Free accounts for non-clinical staff
- $50 per extra clinician
Cons
- A group price rise is being prepared, so check before you sign
- Premium telehealth costs $15 more per clinician
3. Sessions Health: Best budget EHR
The lowest published group price with claims built in.
- Pricing: Professional $39 a month plus $29 per extra practitioner. Free for up to 3 clients
- Built for: Therapists
- Best for: Budget insurance-based solo practices and groups
- Insurance claims: $0.25 to $0.19 per claim by volume
- Telehealth: Add-on, $10 per practitioner
- AI notes: AI Assist, $35 per practitioner
- Free trial: 30 days
Pros
- Lowest group price with claims: $39 plus $29
- Free plan for up to 3 clients
- Claims from $0.19
Cons
- Telehealth is a $10 add-on
- AI notes cost $35 more
4. TherapyAppointment: Best for new practices
Pay as you grow, month to month, with cheap claims.
- Pricing: Solo from $10, rising to $39 and $59 with sessions booked. Group $59 plus $39 per clinician
- Built for: Therapists
- Best for: Budget insurance-based practices
- Insurance claims: $0.15 per claim
- Telehealth: Add-on, $15 per provider
- AI notes: $0.59 per AI note
- Free trial: 30 days
Pros
- Solo plans start at $10
- Month to month
- Claims at $0.15
Cons
- Telehealth is a $15 add-on
- Price rises as you book more sessions
5. TheraPlatform: Best for telehealth
Unlimited telehealth included on every plan.
- Pricing: Basic $39 (solo), Pro $69 plus $39 per clinician, Pro Plus $79 plus $49
- Built for: Therapists, speech and occupational therapists
- Best for: Telehealth-heavy practices
- Insurance claims: $0.25 per claim
- Telehealth: Unlimited, included
- AI notes: AI Notes, $30 per provider
- Free trial: 30 days
Pros
- Unlimited telehealth included
- Free biller and scheduler accounts
- 30-day free trial
Cons
- Basic plan is solo only
- Claims cost $0.25
6. Ensora Health (TheraNest): Best low-cost plans
Low per-therapist prices, though claims start on Advanced and are unlimited only on Premier.
- Pricing: Essentials $29, Advanced $59, Premier $89 per therapist a month. Group pricing by quote
- Built for: Mental health practices
- Best for: Budget insurance-based groups
- Insurance claims: Advanced: 50 free a month, then $0.23. Premier: unlimited
- Telehealth: Advanced and Premier, $12 on Essentials
- AI notes: Ensai scribe, $35 per provider
- Free trial: 21 days
Pros
- From $29 per therapist
- Free billers, schedulers and admins
- Unlimited claims on Premier
Cons
- No claims on Essentials
- Group pricing by quote
Visit Ensora Health (TheraNest)
7. Jane: Best for cash-pay clinics
Polished online booking for clients. Insurance billing is an add-on.
- Pricing: Balance $59 (1 practitioner, 20 appointments a month), Practice $79 plus $35 per practitioner, Thrive $99 plus $40
- Built for: Multi-discipline clinics, US and Canada
- Best for: Cash-pay and multi-discipline clinics
- Insurance claims: Add-on on Practice and Thrive, $20 a month plus $5 per practitioner
- Telehealth: Included, group video $15
- AI notes: AI Scribe, 5 free notes then $15
- Free trial: None, demo only
Pros
- Polished client booking
- Supervision sign-off
- Works in the US and Canada
Cons
- No free trial
- Insurance billing is an add-on, with the clearinghouse billed separately
8. Upheal: Best for AI notes
AI notes included in the EHR price.
- Pricing: EHR $1 per session, or EHR Pro $99 a month
- Built for: Therapists
- Best for: Solo therapists with light or uneven caseloads
- Insurance claims: $0.30 per claim
- Telehealth: Built in
- AI notes: Included
- Free trial: Yes, plus a 30-day money-back guarantee
Pros
- AI notes included
- $1 per session option
- 30-day money-back guarantee
Cons
- Says it changed its pricing recently
- Supervisor co-sign not confirmed on its site
9. IntakeQ: Best for intake forms
Strong intake forms, with claims built in through a separately billed clearinghouse.
- Pricing: $84.90 a month plus $30 per practitioner, or $59.90 plus $25 for low volume
- Built for: Health and wellness practices
- Best for: Cash-pay practices that run on forms
- Insurance claims: Built in, clearinghouse billed separately
- Telehealth: Included
- AI notes: Through Heidi, extra cost
- Free trial: 14 days
Pros
- Strong intake forms
- No IntakeQ fee per claim
- Free assistant accounts
Cons
- Clearinghouse (Office Ally) billed separately
- AI notes through Heidi cost extra
10. ICANotes: Best for psychiatry
Built for psychiatric documentation, with prescribing plans.
- Pricing: Notes only $55, non-prescribing $75, prescribing $213 per full-time user a month. $99 activation
- Built for: Behavioral health, including prescribers
- Best for: Psychiatry and practices with prescribers
- Insurance claims: Yes, price from sales
- Telehealth: $20 per user
- AI notes: AI Scribe, $49 per user
- Free trial: 30 days, without claims
Pros
- Prescribing plans for psychiatry
- Co-signature requests
- 30-day free trial
Cons
- $99 activation fee and a 3-month commitment
- Claims pricing only from sales
Other EHRs we compared
- Healthie (Integrative and virtual-first care). Flexible, but not built for mental health. Claims run through ClaimMD, from $30 a month. Pricing: Core $19 (10 clients), Essentials $49.99, Plus $129.99, Group $149.99 plus $50 per clinician. Visit Healthie
- CounSol (Counselors). Claims only on the Plus tiers, with your own clearinghouse. Video only on Premium. Pricing: $49.95 to $69.95 a month, plus $35 to $45 per extra clinician. Visit CounSol
- Practice Better (Wellness and integrative practices). Built for coaching and wellness programs more than insurance billing. Pricing: Starter $35, Professional $69, Plus $99, Team $155 for 2 practitioners plus $50 each. Visit Practice Better
- Valant (Behavioral health, including psychiatry). Built for bigger behavioral health organizations, priced by quote. Pricing: Not published. Quote only. Visit Valant
- Owl Practice (Therapists in Canada). Data stored in Canada, in English and French. The US version has no public pricing. Pricing: CAD $60 to $100 a month in Canada. US pricing not published. Visit Owl Practice
How to choose an EHR
- What does each claim, eligibility check and remittance cost, and is the clearinghouse included?
- What does each extra clinician cost, and are billers and front desk free?
- Can supervisors co-sign notes for pre-licensed clinicians?
- Is telehealth included, and does it cover group sessions?
- Can you export every note and document if you leave?
- Will they sign a business associate agreement (BAA)?
Our verdict
SimplePractice is the best EHR overall if you want everything on every plan and can pay for it. For an insurance-based group, TherapyNotes costs far less per clinician and per claim, and Sessions Health is the cheapest group option with claims built in. Want someone else to run the claims? See the best mental health billing services.
Frequently asked questions
What is the best EHR for therapists?
SimplePractice is the most complete. TherapyNotes is the best for insurance-based practices, and Sessions Health is the best budget option. The right one depends on whether you bill insurance and how many clinicians you have.
Which EHRs include insurance billing?
SimplePractice, TherapyNotes, Sessions Health, Ensora Health, TherapyAppointment, TheraPlatform, Upheal and ICANotes build claims in, at 14 to 39 cents per claim where published. Jane, IntakeQ, Healthie, CounSol and Practice Better send claims through a clearinghouse you pay separately.
What does an EHR cost for a group practice?
For five clinicians, about $155 to $395 a month among the EHRs that publish group prices, before claim fees and add-ons.
Do I need to pay extra for AI notes?
Usually. Most charge $30 to $49 per clinician a month for an AI scribe. Upheal includes AI notes in its EHR price.
Billing some sessions yourself? Our free CPT code picker gives the code, units and telehealth modifier for a session, and the superbill generator makes a printable superbill for out-of-network clients. More free tools are on our therapist resources page.
Rather just see clients? Crown Counseling is hiring in New York.
