Cloud-Based Therapy Practice Management Software Pricing: My Best Practice vs. SimplePractice vs. TherapyNotes
Updated February 2026
If you've been searching for a therapist client record system, pricing is probably one of the first questions on your mind. And it should be; the monthly cost of your EHR software adds up year over year, and hidden fees can quietly erode the revenue you've worked so hard to build.
It’s not all apples to apples: let’s break down the real cost of three leading cloud-based therapy practice management platforms: My Best Practice, SimplePractice, and TherapyNotes. Whether you're a solo practitioner just starting out or a growing group practice, this comparison will help you make a confident, informed decision.
What to Look for in a Cloud-Based Therapy Practice Management System
Before diving into pricing, it's worth defining what a complete therapy practice management platform should include. The best systems cover:
Clinical documentation: session notes, treatment plans, and progress monitoring
Scheduling and appointment reminders: automated client notifications via text and email
Client portal: secure messaging, intake forms, and document sharing
Billing and payment processing: invoicing, insurance claims, and credit card payments with clear price points
Telehealth: HIPAA-compliant video sessions
Routine Outcome Measures (ROMs): standardized tools to track client progress over time
Mobile access: so you can manage your practice on the go; even better if there is both therapist and client app functionality
Clinician looking at a dashboard on a laptop.
With those benchmarks in mind, here's how three of the top platforms compare on pricing, features, and overall value.
My Best Practice: The Best Value for Behavioral Health Clinicians
Starting price: $39/month for the first provider, $19/month per additional provider, Unlimited free admins
My Best Practice is a behavioral health EHR built specifically for psychologists, therapists, and mental health clinicians and its pricing reflects that focus. At $39/month for the first professional and just $19/month for each additional clinician, it's one of the most competitively priced complete EHR systems on the market for practices of any size.
Importantly, My Best Practice includes 20 free monthly claims (.35 for each additional) for both in-network and out-of-network insurance billing, with optional unlimited upgrade for $99 per month. This structure is something competitors either charge extra for without flexibility, or bury in higher-tier plans. Unlimited schedulers, billers, and bookkeepers are also included at no additional cost - a meaningful advantage for group practices that rely on non-clinical administrative staff.
What's included in the base price:
Clinical notes and treatment plans - all customizable
HIPAA-compliant client portal and secure messaging
Appointment scheduling and automated reminders
Intake forms and custom surveys
Online payments and billing
Mobile apps for therapists and clients
Routine Outcome Measures (ROMs) - automated
Free insurance billing up to 20 claims (in-network and out-of-network)
Notable add-on costs for My Best Practice:
AI notes and AI Assist (optional): $2 per note, or unlimited notes and assist for $60/month per professional. Telehealth is required.
Telehealth (optional): +$20/month per professional
E-Prescribe (optional): +$99/month per professional
Insurance claims (over 20 per month): $0.35 each, or $99/month for unlimited per practice
Credit card processing: 2.94% + $0.37 per transaction
Why clinicians choose My Best Practice:
My Best Practice was designed with evidence-based treatment in mind. Its clinical note templates, questionnaire automation, and routine outcome measures are developed in collaboration with clinical experts not just designed to check regulatory boxes. The interface is intentionally streamlined, which means less time navigating menus and more time doing the work that matters.
Clinicians who switch to My Best Practice from larger platforms frequently highlight three main advantages:
How straightforward the migration process is,
How responsive the support team is,
And how uncluttered the interface feels compared to systems that layer on features few practitioners ever use.
For a solo therapist managing their own calendar, notes, and billing, the total monthly cost can be as low as $39 or $59 with telehealth included. For a 5-clinician group practice, you'd pay $115/month for the entire team (plus any add-ons), compared to significantly more with competing platforms.
Two team mates looking over pricing table in front of one computer.
SimplePractice: Feature-Rich, But Costs Add Up Quickly
Starting price: $49/month (Starter) | $79/month (Essential) | $99/month (Plus)
SimplePractice is one of the most widely recognized names in therapy practice management. It offers a classically designed interface and a broad feature set. Access to features and functionality is highly dependent upon pricing tiers and practice size.
SimplePractice's three pricing tiers:
Starter - $49/month The entry-level plan covers the basics: client portal, paperless intake, and scheduling. However, telehealth, appointment reminders, and insurance billing are not included at this tier - you'll need to upgrade or pay add-on fees to access them.
Essential - $79/month This tier adds telehealth, appointment reminders, secure client messaging, online appointment requests, a professional website, and up to 10 free insurance claim submissions per month before additional fees begin. For most solo therapists actively billing insurance, this is the minimum functional tier - and it costs $30 more per month than the Starter plan.
Plus - $99/month The full-featured plan adds group appointment support, calendar sync, insurance auto-verification, 35 free insurance claims per month, and client waitlist management. Important to note: group practices can only add team members at this tier. Each additional clinician is priced separately based on role, and practice managers cost an additional $39/month each.
Notable add-on costs at SimplePractice:
AI notes (TherapyAI): ~$35/month
E-Prescribe: $49/month
Electronic insurance claims: billed per submission beyond plan limits
Credit card processing: 3.15% + $0.30 per transaction
For a solo practitioner who needs telehealth and insurance billing, SimplePractice's functional starting point is $79–$99/month. Add AI notes and e-prescribing, and monthly costs can exceed $150–$180 before processing fees. Group practices will face steeper costs as team members are added.
Person holding a hot beverage mug while sitting in front of a notepad.
TherapyNotes: Solid Documentation, Transparent Structure - With a Recent Price Hike
Starting price: $69/month (Solo) | $79/month + $50/month per additional clinician (Group)
TherapyNotes is a behavioral health EHR with a strong reputation for clinical documentation and 24/7 live phone support. Its pricing model is straightforward - a flat monthly rate based on practice size - which many users appreciate. However, the platform raised its rates in December 2025, and a number of features that are bundled into other platforms cost extra here.
TherapyNotes pricing breakdown:
Solo - $69/month Covers one provider with access to all core features: scheduling, documentation, client portal, basic telehealth, mobile therapist app, and billing tools. This is a reasonable all-in cost for a solo practitioner who doesn't need AI documentation or premium video quality.
Group - $79/month for the first clinician + $50/month per additional clinician Non-clinical staff (schedulers, billers, practice administrators) are included at no additional cost, which is a genuine value. A 5-clinician group practice would pay $279/month in base fees - significantly more than comparable group pricing on My Best Practice.
Enterprise (30+ users) - Same per-user rates as Group, with a dedicated account manager
Notable add-on costs at TherapyNotes:
TherapyFuel AI documentation: ~$40/month per provider
Premium Telehealth (HD video + screen sharing): $15/month per clinician
Electronic insurance claims: $0.14 per claim
Text/phone reminders: $0.14 per reminder
E-prescribe: $65 per month per subscriber
For a solo clinician who bills insurance regularly, sends appointment reminders, and uses AI documentation, the real monthly cost of TherapyNotes can climb from $69 to well over $120–$130/month. TherapyNotes does not include insurance claim submissions in its base price - each claim costs $0.14, which adds up meaningfully for high-volume practices.
That said, TherapyNotes is widely praised for its 24/7 live phone support and its highly structured workflows. For practices that prioritize immediate human support and appreciate guardrails in their documentation process, it remains a respected choice.
Side-by-Side Pricing Comparison
Feature comparison table between My Best Practice, SimplePractice and TherapyNotes
How All Three Platforms Compare
AI Notes & AI Assist
My Best Practice offers two distinct AI tools: HIPAA-compliant AI Notes that generate session documentation automatically after telehealth visits, and AI Assist, an add-on that lets clinicians search and apply customized Evidence-Based techniques within client records, eliminating the compliance risk of using external tools. SimplePractice's Note Taker and TherapyNotes' TherapyFuel add-on both take a narrower approach, generating draft progress notes in standard formats (SOAP, DAP, BIRP) and offering ambient session transcription. This feature can be useful for reducing documentation time, but is limited to note drafting. Neither matches the clinical depth of AI Assist's evidence-based search and application functionality built directly into the EHR workflow.
Mobile App
My Best Practice offers a full-featured mobile app for iOS and Android that gives clinicians on-the-go access to scheduling, clinical notes, client messaging, billing, payments, and the client portal; a subscription gets you core practice management tools in a clean, mobile-optimized interface.
SimplePractice's clinician app covers similar ground, with scheduling, note writing, document sharing, secure messaging, and payment processing available on both iPhone and Android, with an iPad-optimized experience that supports touch and Apple Pencil input.
TherapyNotes Mobile is a newer entry. Its current release focuses on schedule viewing, session reminders, offline client access, secure messaging, and telehealth access, with additional features actively in development.
Clinicians who rely heavily on mobile note-writing will find My Best Practice and SimplePractice the more complete options today, while TherapyNotes Mobile is a promising but still-maturing companion app.
Frequently Asked Questions:
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For solo practitioners, monthly costs typically range from $39 to $99/month depending on the platform and the features included. Group practices should expect to pay more per clinician, with total costs varying based on practice size and add-on needs.
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It varies significantly by platform. My Best Practice includes limited free in-network and out-of-network insurance billing with a clear pricing structure for claims above 20 per month. SimplePractice starts at $0.50 per claim, but offers a limited number of free claim submissions per month depending on your plan tier. TherapyNotes charges $0.14 per claim submission.
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An EHR (Electronic Health Record) system focuses on clinical documentation - notes, treatment plans, diagnoses, and progress notes. Practice management software handles scheduling, billing, and administrative workflows. Modern platforms like My Best Practice, SimplePractice, and TherapyNotes combine both into a single integrated system.
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Most leading platforms, including My Best Practice, SimplePractice, and TherapyNotes, operate on month-to-month subscriptions with no long-term contracts required.
Ready to See My Best Practice in Action?
Pricing tables only tell part of the story. The best way to evaluate whether a platform is right for your practice is to see it live - and ask the questions that matter most to how you actually work.
Book a free demo with the My Best Practice team. You'll get a real-time walkthrough of the interface, have the chance to ask about features specific to your practice type, and walk away with a clear picture of what your monthly investment would look like - with no pressure and no surprises.
No long-term contracts. Transparent pricing. Built for behavioral health clinicians, by people who understand what you need.
Pricing information current as of February 2026. Rates are subject to change; always verify current pricing directly with each vendor before making a purchasing decision.
Sources
My Best Practice. "Behavioral Health EHR Software for Therapists & Psychologists." My Best Practice, mbpractice.com. Accessed February 2026.
SimplePractice. "Pricing." SimplePractice, simplepractice.com. Accessed February 2026.
TherapyNotes. "Pricing." TherapyNotes, therapynotes.com. Accessed February 2026.
