SimplePractice vs TherapyNotes (2026): Which Fits — and When Neither Does

SimplePractice publishes three plans: Starter at $49, Essential at $79, and Plus at $99 per month (published vendor prices, July 2026). A solo therapist can start at $49, which is the lower entry point of the two platforms — with the caveat that the feature set grows with the tier, and add-ons are billed separately on top of any plan.

TherapyNotes publishes a single solo rate: $69 per month. There is no tier ladder to decode; documentation, scheduling, the patient portal, and telehealth are part of the subscription, with electronic claims metered at $0.14 per claim and $0.14 per ERA through the integrated clearinghouse.

For a solo practice, the two land closer than the sticker prices suggest. SimplePractice at the Essential tier ($79) and TherapyNotes at $69 are within ten dollars of each other, and the choice usually turns on preference: the client-facing polish of SimplePractice against the documentation-and-billing structure of TherapyNotes.

Add-ons follow the same pattern on both sides. AI documentation is a per-clinician add-on on each platform — documented at $35 per month on SimplePractice and $40 per month on TherapyNotes — and both offer e-prescribing for an additional fee. A realistic solo budget for either platform sits in the $69 to $119 range once one add-on is in play, which is worth knowing before comparing either platform against cheaper entry tiers elsewhere in the market.

This is the question existing comparisons skip: nearly every SimplePractice-vs-TherapyNotes article prices the two platforms for a solo therapist. Group practices are billed differently on both, and the difference compounds monthly.

The structural facts, from each vendor's published pricing: SimplePractice requires its Plus plan ($99 per month) for team accounts and bills $74 per month for each additional clinician at practices of two to five (dropping to $72 at six to fifteen). TherapyNotes bills $79 per month for the first clinician and $50 per month for each additional clinician, with non-clinical staff included at no charge.

Two things follow from the arithmetic. First, TherapyNotes is meaningfully cheaper at group scale — $1,392 per year cheaper at five clinicians before add-ons — largely because its additional-clinician rate is $50 instead of $74 and its billers and schedulers ride along at no charge. Second, both bills keep climbing with headcount: at ten clinicians the base subscriptions reach $747 per month on SimplePractice and $529 on TherapyNotes.

The quotable version: TherapyNotes adds $50 per month for every additional clinician; SimplePractice requires its top plan for teams and adds $74 per month per clinician. Neither platform has a price that ever stops scaling with hiring.

Staffing shape moves the totals further apart. A group with two front-desk staff and a biller pays nothing extra for those seats on TherapyNotes, where non-clinical users are unlimited and included; on SimplePractice, practice managers are separately billed seats. The more a group looks like an actual business — clinicians plus operations staff — the wider the real-world gap between the two bills grows.

Both platforms were designed around the solo practitioner and priced per clinician. That model is fair at one clinician and increasingly expensive at five, eight, or ten — every hire adds a permanent monthly fee, and per-clinician add-ons like AI notes multiply the same way. For a group practice, software cost becomes a variable cost tied to headcount, which is exactly the wrong shape for a business trying to grow.

Disclosure, before the numbers: ClinicPro360 publishes this page. It is priced per practice rather than per clinician — $59, $149, or $299 per month flat — and its Professional plan covers up to 10 clinicians and 3 locations with insurance billing, telehealth, intake forms, and the patient portal included. The comparison below uses the same published-price standard applied to both competitors above.

What flat pricing buys a group is budget stability more than any single month's savings: the software line item stops being a function of hiring decisions, per-clinician add-on math stops multiplying with headcount, and the cost conversation shifts from what each clinician costs to what the practice costs to run.

The honest boundaries of that comparison: ClinicPro360 is built for group practices, not solo ones — at one or two clinicians, per-clinician platforms can cost less. It has no e-prescribing today, and onboarding is by request rather than self-serve signup. But for the group in the table, the arithmetic is one flat $149 against bills of $279 and $395 that grow with every offer letter.

If the pricing-model question is the one you are weighing, the full argument — including when per-clinician pricing is actually the better deal — is laid out in per-clinician vs flat-rate pricing. Plan details and limits are on the ClinicPro360 pricing page, and the group workflows behind the flat price are described under solutions for group practices. For the wider field beyond these two platforms, see the seven SimplePractice alternatives compared.