TheraNest vs SimplePractice, compared
October 16, 2026
If you are comparing TheraNest and SimplePractice for a therapy practice, the two overlap on paper but differ in where the money goes once you add telehealth, e-prescribing or claims. This compares what each company's own pricing page listed when we checked on October 16, 2026, plus a lower-cost option many practices weigh alongside them.
Prices at a glance
| Tool | Entry price | What the price page says |
|---|---|---|
| TheraNest | Essentials is $29 a month per therapist | Advanced is $59 and Premier is $89 (annual billing brings these to $27, $54 and $82). Telehealth is a $12 a month add-on on Essentials, included on Advanced and Premier. The Ensai Session Assistant note writer is $35 a month per provider. Every plan allows unlimited clients, and a 21-day free trial on the Premier plan needs no card. |
| SimplePractice | Starter is $49 a month | Essential is $79 and Plus is $99. Note Taker is a $35 a month add-on, and ePrescribe is $49 a month plus a one-time $89 setup fee. They are currently running 50 percent off the first three months. |
| RafaNest | Starter is free for up to 25 active patients | Professional is $29 a month with telehealth, card payments, SOAP notes, superbills and unlimited patients. Premium is $59 a month and adds insurance eligibility checks, claims submission, visit recording, transcription and AI visit summaries. |
Prices and promotions change, so confirm on each pricing page before you decide. Payment processing fees are usually separate from the plan price.
What changes the real price
- Claims and eligibility checks. TheraNest's Advanced plan includes 50 free claims and 50 free eligibility checks a month, then $0.23 and $0.25 each. SimplePractice does not cap claims the same way on its base plans, but its newer Insurance Navigator add-on, listed as coming soon when we checked, is priced per claim too.
- E-prescribing. TheraNest charges a $135 one-time setup plus $45 a month per therapist for eRx and PDMP. SimplePractice charges $49 a month plus an $89 one-time setup. Neither is cheap, so check whether you actually prescribe before adding it.
- AI notes. TheraNest's Ensai add-on is $35 a month per provider, discounted to $17.50 for a promotional period when we checked. SimplePractice's Note Taker is also $35 a month, now bundled with the newer Care Aide add-on at $59 a month for the account owner.
- Annual fees. TheraNest lists a $19.50 per therapist annual CPT license fee, billed every December, on top of the monthly plan.
- Credentialing. TheraNest includes free credentialing for one to three payers depending on plan and billing cycle. SimplePractice's pricing page does not list a credentialing feature.
Where TheraNest tends to fit
TheraNest, now sold under the Ensora Health brand, leans toward practices that want claims, eligibility checks and e-prescribing bundled into the same subscription, and that are willing to pay for the Advanced or Premier tier to get them unmetered.
Where SimplePractice tends to fit
SimplePractice is the more established name for solo and group practices that bill insurance panels directly, with a bigger user community and integrations to match. Its add-ons are priced close to TheraNest's, so the real difference between the two is usually which workflow and support ecosystem your practice already knows.
Where RafaNest fits
RafaNest starts free for up to 25 active patients, and its $29 Professional plan already includes telehealth, card payments, clinical notes and superbills that clients submit for out-of-network reimbursement, without TheraNest's per-claim caps or SimplePractice's per-add-on pricing. The $59 Premium plan adds insurance eligibility checks and claims submission, plus visit recording and AI summaries, at the same monthly price. It does not yet match TheraNest or SimplePractice's years in the market or their size, so weigh that against the price difference for your practice.
For a wider comparison that also covers TherapyNotes, Sessions Health and Jane, see our comparison of SimplePractice alternatives for solo therapists. If you are specifically moving off SimplePractice, our guide to switching from SimplePractice walks through what the move looks like. New beta practices on RafaNest get a free personal setup call while places last, on the start page.
Sources are the pricing pages of TheraNest by Ensora Health and SimplePractice, and RafaNest's own pricing page. Product names are trademarks of their owners, and RafaNest is not affiliated with TheraNest, Ensora Health or SimplePractice. Details were checked on October 16, 2026 and may change, so confirm current prices before you decide.