Updated October 2026

SimplePractice alternatives worth a look

SimplePractice raised Starter from $29 to $49 a month in 2025. If you’re reconsidering, here are six alternatives with current prices, what each does well and where each falls short.

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The short answer

For the lowest cost: PracticeLite (free for up to 5 clients, $19/month unlimited) or TheraNest Essentials ($29 per therapist). For heavy insurance billing in a therapy practice: TherapyNotes. For multi-discipline clinics: Jane. For dietitians and wellness programs: Healthie or Practice Better.

SimplePractice itself is still a strong product, with a large ecosystem and a client-facing directory. If you rely on features it has and others don’t, the price may be worth it.

At a glance

SoftwareBest forStarting priceInsurance billing
PracticeLiteSolo practitioners and small groups who want the essentials at a low, flat priceFree; $19/mo unlimited$19/mo add-on, 50 claims and 50 eligibility checks included
TherapyNotesTherapy practices that bill insurance heavily$69/moBuilt in; 14¢ per claim, ERA and eligibility request
TheraNest (Ensora Health)Mental health practices wanting low per-therapist pricing$29/therapist/moFrom Advanced (50 claims a month included); unlimited on Premier
JaneMulti-discipline clinics with rooms, equipment and memberships$59/mo (20 appointments)$20/mo add-on + $5 per full-time practitioner
HealthieDietitians, nutrition practices and virtual-care companies$19/mo (10 clients)CMS-1500s from Essentials; e-claims through Claim.MD (from $30/mo)
Practice BetterNutrition, wellness and functional medicine practitioners$35/mo (10 clients)Through a Claim.MD integration

Competitor prices are published list prices from simplepractice.com/pricing, therapynotes.com/pricing, ensorahealth.com/pricing/theranest-mental-health, jane.app/pricing, gethealthie.com/pricing, practicebetter.io/pricing, checked October 5, 2026, before promotions, taxes and paid add-ons unless noted. Vendors change prices; check their pricing page before you decide. Plans don’t match feature for feature, so check that the plan you pick covers what you use.

How we compared

We make PracticeLite, so read this list knowing that. We’ve tried to be useful anyway: every tool below is a reasonable choice for someone, prices come from each vendor’s own pricing page, and each entry lists real strengths and real drawbacks, ours included. We looked at:

  • Monthly cost for a solo clinician, and for a group of three.
  • Whether you can bill insurance from inside the app, and what it costs.
  • Everyday essentials: scheduling, reminders, notes, intake, a client portal and telehealth.
  • How easy it is to move your client list over from SimplePractice.

1. PracticeLite

Best for solo practitioners and small groups who want the essentials at a low, flat price

Pricing: Free for 1 practitioner and up to 5 active clients. Practice is $19/month (unlimited clients, SMS reminders). Practice Pro is $39/month with $29/month per extra practitioner. Insurance billing is a $19/month add-on.

Strengths

  • The lowest price on this list for unlimited clients.
  • Imports SimplePractice’s client export as is.
  • Medi-Cal and Kaiser billing for doulas, with doula rules checked before you send.
  • Group tools: care teams, client privacy, a shared request page, coverage and practitioner earnings.

Watch out for

  • A younger product with a smaller feature set than SimplePractice: no AI note-taker, ePrescribing or group sessions yet.
  • The mobile app is iPhone only for now.
  • No client-facing therapist directory.

PracticeLite vs SimplePractice, in detail →

2. TherapyNotes

Best for therapy practices that bill insurance heavily

Pricing: Solo is $69/month. Group is $79/month for the first clinician and $50 per additional clinician; non-clinical staff are free. 30-day free trial.

Strengths

  • Mature, therapy-specific notes and treatment plans.
  • Integrated electronic billing, ERAs and eligibility, paid per use.
  • Free data import and 24/7 phone and email support.
  • Very highly rated by therapists.

Watch out for

  • Built for mental health; less suited to other practice types.
  • Text reminders, premium telehealth and ePrescribing cost extra.

PracticeLite vs TherapyNotes, in detail →

3. TheraNest (Ensora Health)

Best for mental health practices wanting low per-therapist pricing

Pricing: Essentials $29, Advanced $59 and Premier $89 per therapist per month, unlimited clients on every plan. Billers and schedulers are free.

Strengths

  • Low entry price for a mental health EHR.
  • Advanced and Premier include claims, eligibility checks and reminders.
  • Free credentialing help when you sign up.

Watch out for

  • Every price is per therapist, so groups add up.
  • Essentials has basic forms and notes only, and telehealth is an add-on.

PracticeLite vs TheraNest (Ensora Health), in detail →

4. Jane

Best for multi-discipline clinics with rooms, equipment and memberships

Pricing: Balance $59/month (20 appointments), Practice $79 and Thrive $99, each including one full-time practitioner. Extra full-time practitioners are $35–$40/month.

Strengths

  • A polished booking experience and deep scheduling.
  • AI scribe and group telehealth add-ons.
  • Free data imports and onboarding calls.

Watch out for

  • No free plan or free trial.
  • Balance caps you at 20 appointments a month.

PracticeLite vs Jane, in detail →

5. Healthie

Best for dietitians, nutrition practices and virtual-care companies

Pricing: Core $19 (10 clients), Essentials $49 (250 clients), Plus $129 (unlimited) and Group from $149 with $50 per clinician. 14-day trial.

Strengths

  • Programs, courses and group telehealth.
  • API access, labs and ePrescribing for larger or virtual practices.

Watch out for

  • Unlimited clients start at $129/month.
  • Insurance claims need a separate Claim.MD account.

PracticeLite vs Healthie, in detail →

6. Practice Better

Best for nutrition, wellness and functional medicine practitioners

Pricing: Starter $35 (10 clients), Professional $69 (300 clients), Plus $99 (unlimited), Team $155 for 2 practitioners. About $10/month less billed annually.

Strengths

  • Programs, courses, journals and Fullscript integration.
  • Free Sprout plan for students and recent grads.

Watch out for

  • Client caps on Starter and Professional.
  • Text reminders are billed per text on lower plans.

PracticeLite vs Practice Better, in detail →

Questions

What is the cheapest alternative to SimplePractice?

PracticeLite is free for up to 5 active clients and $19/month for unlimited clients. TheraNest Essentials is $29 per therapist per month. SimplePractice Starter is $49/month.

Which SimplePractice alternative is best for insurance billing?

For a therapy practice that bills insurance for most sessions, TherapyNotes has the most mature built-in billing. PracticeLite’s $19/month add-on covers eligibility, electronic and paper claims and payments, and handles Medi-Cal doula claims. TheraNest includes claims from its Advanced plan.

Which alternative is best for a group practice?

Compare the cost for your headcount. For three clinicians: SimplePractice Plus is $247/month, TherapyNotes Group $179, Jane Practice $149 and PracticeLite Practice Pro $97. See our guide to group practice software for more.

How do I export my clients from SimplePractice?

In SimplePractice, open Analytics, then Reports, choose the Client details report and export it as CSV. Most alternatives, including PracticeLite, can import that file.

More comparisons

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