1v1 Pricing Showdown
Sessions Health vs TheraNest
Side-by-side pricing breakdown for Mental Health & Therapy Practice Management decision-makers
Prices in USD, verified from the United States. Regional pricing may vary.
When choosing between Sessions Health and TheraNest for your mental health & therapy practice management stack, the right answer depends on three things: your budget, the specific features you actually use day-to-day, and your tolerance for renewal-price increases. Below we lay out the prices each vendor advertises today (verified against their live pricing pages), the plan limits that decide whether they'll fit your team, and the features that differ between them.
Sessions Health starts at $10/mo; TheraNest starts at $39/mo. The cheaper headline price isn't always the cheaper total cost — renewal pricing, per-user fees, and overage charges can shift the math. Use the plan-by-plan tables below to model your actual spend.
Feature Comparison
| Feature | | |
|---|---|---|
| freemium 3 clients | UNIQUE freemium tier — HIPAA-compliant EHR at $0/month for up to 3 active clients | — |
| transparent per practitioner pricing | $39 first + $29/additional — predictable scaling | — |
| hipaa compliant ehr | All plans including Freemium | — |
| unlimited administrators | Professional tier | — |
| unlimited document storage | All plans | — |
| secure messaging | Professional | Client + clinician communication |
| assessments | Professional — outcome measures + intake forms | Standard outcome measures |
| unlimited reporting | Professional | — |
| stripe integrated payments | Standard 2.9%+$0.30 transparent rates (not proprietary processor markup) | — |
| electronic claims per claim | $0.19-0.25/claim transparent per-transaction pricing | — |
| real time eligibility 015 | $0.15/report insurance eligibility verification | — |
| 30 day free trial | Professional trial no credit card | — |
| no long term contracts | Explicit month-to-month flexibility | — |
| transparent pricing differentiator | Most transparent pricing in mental health EHR category | — |
| founded 2020 newer entrant | Newer entrant with modern architecture | — |
| site connectivity issues audit | — | ECONNREFUSED in 2026-04-20 audit — verify active vendor support status |
| growers marketing parent | — | Owned by Growers Marketing (previously Therapy Brands portfolio) |
| core ehr functionality | — | Standard mental health EHR capabilities |
| telehealth integrated | — | HIPAA-compliant video |
| insurance billing | — | Claims submission + eligibility |
| client portal | — | Patient engagement |
| established mental health category | — | Long-standing mental health EHR vendor |
| pricing unverified site down | — | Historical pricing $39-79/clinician; current status unclear |
Affiliate links — you pay the same price
Dive Deeper
Sessions Health
About the mental health & therapy practice management category
Mental Health & Therapy Practice Management Software in 2026 is among the most transparent-pricing healthcare software verticals — Sessions Health + Jane App publish rates, SimplePractice + TherapyNotes have tier structures accessible via demo, TheraNest historically publishes. Published rates: Sessions Health Freemium $0/month (up to 3 active clients, 1 practitioner, HIPAA EHR) + Professional $39/month (first practitioner, unlimited clients) + $29/month per additional practitioner + add-ons (Telehealth $10/practitioner/month, Electronic Claims $0.19-0.25/claim, Eligibility Reports $0.15/report, Stripe Payments 2.9%+$0.30). Jane App: Balance CAD $54/month (1 practitioner + 20 appointments/month + 5 free AI Scribe notes), Practice CAD $79/month (1 full-time practitioner + unlimited appointments + unlimited email/SMS reminders), Thrive CAD $99/month (advanced scheduling + rooms/equipment + patient self-check-in + return visit reminders + memberships). Jane App add-ons: AI Scribe Unlimited CAD $15/practitioner/month, Group Telehealth CAD $15/practitioner/month, Insurance Billing CAD $20/month + per-license fees, Jane Websites CAD $59/month per clinic. Custom-quote or partial: SimplePractice (3-tier structure Essential + Plus + new tier, industry estimates $39-99/month), TherapyNotes (industry estimates $59/month + $30/additional user), TheraNest (site ECONNREFUSED in audit, industry estimates $39-79/month). Major category developments 2024-2026: SimplePractice acquired by Private Equity multiple times, continues as category leader with 200,000+ therapists. TherapyNotes independent mental-health-focused platform. TheraNest owned by Growers Marketing parent (previously Therapy Brands portfolio). Jane App expanding from Canadian origin to US + global markets. Sessions Health newer entrant (2020-2022 founded) with freemium + transparent pricing positioning. AI integration 2024-2025: Jane App AI Scribe (5 free notes on Balance tier, $15/practitioner/month unlimited), Sessions Health AI features growing, SimplePractice AI roadmap, TherapyNotes expanding AI documentation. Typical therapy practice management includes: scheduling + appointment reminders, HIPAA-compliant client records + progress notes, secure client portal + messaging, telehealth video sessions (HIPAA-compliant), billing + insurance claims submission + copay collection, payment processing, outcome measures + assessments (PHQ-9, GAD-7, PCL-5, etc.), client homework + psychoeducational resources, supervision + group documentation, treatment planning + goal tracking. Target users: solo private practice therapists, group practices (3-20 clinicians), large behavioral health organizations (20-500+ clinicians), university counseling centers, addiction treatment centers, multi-disciplinary practices (therapy + psychiatry + nutritionists + physical therapy).
How to choose between mental health & therapy practice management options
First: practice size + clinician count? Solo therapists: Sessions Health Freemium $0 (up to 3 clients) or Sessions Health Professional $39/month (unlimited clients). Most cost-effective entry. Alternative: SimplePractice Essential $39/month or TherapyNotes $59/month. Small group practices (2-5 clinicians): Sessions Health $39 + 4 × $29 = $155/month OR SimplePractice Plus $69/month per practitioner OR TherapyNotes $59 + 4 × $30 = $179/month. Medium practices (5-20 clinicians): per-clinician pricing scales materially — Sessions Health ~$300-500/month for 10-15 practitioners vs SimplePractice ~$900-1,500/month at Plus tier. Large group practices (20+ clinicians): consider enterprise pricing negotiations with SimplePractice + TherapyNotes. Second: multi-disciplinary practice (therapy + physical therapy + nutritionists + other)? Jane App is category-leading for multi-disciplinary practices — single platform supports PT + OT + SLP + chiropractic + mental health + medical. For clinics with mixed clinical services, Jane eliminates multi-vendor sprawl. SimplePractice + TherapyNotes + TheraNest + Sessions Health more purely mental-health-focused. Third: transparent vs custom pricing? Sessions Health + Jane App most transparent. SimplePractice + TherapyNotes + TheraNest semi-transparent (tier structure visible, rates require account creation). Fourth: AI documentation priority? Jane App AI Scribe CAD $15/practitioner/month unlimited (5 free notes on Balance tier) — transparent AI scribe pricing category-leading. Sessions Health AI growing. SimplePractice AI roadmap. Industry estimates for standalone AI scribe tools (Upheal, Eleos) $50-150/practitioner/month — Jane App $11 USD equivalent materially cheaper. Fifth: insurance billing complexity? TherapyNotes category-leading for insurance claims workflow (25+ years mental health billing specialization). SimplePractice deep insurance billing. TheraNest solid. Sessions Health electronic claims $0.19-0.25/claim + real-time eligibility $0.15/report (transparent per-transaction pricing). Jane App insurance billing CAD $20/month + per-license fees. For insurance-heavy practices: TherapyNotes or SimplePractice mature; Sessions Health economical per-claim; Jane App primarily Canadian billing focus. Sixth: telehealth integration? All vendors include HIPAA-compliant telehealth. Sessions Health integrated telehealth $10/practitioner/month. Jane App telehealth included base (group telehealth CAD $15 add-on). SimplePractice telehealth integrated. TherapyNotes telehealth integrated. For telehealth-primary practices: all major vendors comparable. Seventh: client portal + engagement priority? SimplePractice strongest client portal + patient engagement features. Jane App robust multi-disciplinary client portal. TherapyNotes solid. TheraNest solid. Sessions Health growing client portal. For patient-engagement-focused practices: SimplePractice category-leading.
Building Your Business Stack?
Decision-makers comparing tools often need more than one category. Here are related comparisons:
Frequently Asked Questions
- Is Sessions Health cheaper than TheraNest?
- Sessions Health is cheaper starting at $10/mo. Sessions Health starts at $10/mo and TheraNest at $39/mo.
- Does Sessions Health or TheraNest offer a free plan?
- Sessions Health offers a free plan.
- Which is better, Sessions Health or TheraNest?
- Sessions Health scores 9/10 compared to TheraNest's 7.8/10 in our analysis. Sessions Health ranks higher on features and value, but TheraNest may suit specific use cases — see the feature comparison above.
- Is Sessions Health cheaper than TheraNest for a team of 5?
- For a team of 5, Sessions Health costs $10/mo (flat rate) and TheraNest costs $39/mo (flat rate). Sessions Health is the cheaper option at this team size.
- Are there other mental health & therapy practice management alternatives besides Sessions Health and TheraNest?
- Yes. Our [Mental Health & Therapy Practice Management pricing comparison](/pricing/mental-health-practice-management/) page covers all major providers with daily-verified prices. You can also see the [cheapest mental health & therapy practice management](/pricing/mental-health-practice-management/cheapest/) for budget-focused options.