Who SimplePractice is for
If you're a licensed therapist, counselor, social worker, or psychiatrist in U.S. private practice — solo or small group — SimplePractice is built for you. The pricing, the workflows, the documentation, and the insurance handling are all calibrated around mental-health practitioners who bill insurance.
Who should look elsewhere: registered dietitians (Healthie is stronger), nutrition or functional-medicine practitioners (Practice Better is stronger), physical therapy or massage practices (Jane App is stronger), and any practice that doesn't bill insurance at all (Carepatron's free tier is hard to beat).
Pricing — what you actually pay in 2026
SimplePractice raised prices in early 2026. Current solo-practitioner tiers:
- Starter — $39/mo: scheduling, notes, basic payments. No telehealth, no insurance claim filing, no automated reminders. Most practices outgrow this in week 1.
- Essential — $69/mo: adds telehealth, insurance claim filing, automated reminders, secure messaging. This is the practical entry point.
- Plus — $99/mo: adds multiple clinicians, advanced calendar, custom forms.
Insurance claim submission has a per-claim fee at the Essential tier ($0.25/claim). Yearly billing saves about 12%.
The 90-day test
We ran SimplePractice as a fresh solo-therapy practice from mid-March through mid-June 2026. Workflows tested daily: scheduling, intake, telehealth, progress note, insurance claim submission, refunds, no-show handling, and the supervisor sign-off path for an associate clinician.
The standout: insurance claim posting genuinely works. ERA auto-posting, secondary claims, and patient-responsibility calculation all functioned without manual intervention in 91% of our test sessions. That's the highest reliability we measured across the four platforms in our test panel.
The disappointment: customer support. We filed 4 tickets across the 90 days. Average first response was 18 hours; resolution averaged 2.5 business days. Not catastrophic, but noticeably slower than Practice Better or Jane App.
SimplePractice vs Practice Better vs Jane App
| Feature | SimplePractice | Practice Better | Jane App |
|---|---|---|---|
| Starting price | $39/mo | $29/mo | $79/mo |
| Insurance billing (US) | ★ Best-in-class | 3rd-party only | US-limited |
| Therapy note templates | ★ DAP/SOAP/BIRP | Customizable | SOAP only |
| Measurement-based care | ★ PHQ-9, GAD-7 | Custom forms only | Limited |
| Supervisor sign-off | ★ Native | Workaround | Native |
| Telehealth (HIPAA) | Yes | Yes | Yes |
| Best for | Therapy, counseling, in-network US practices | Nutrition, functional medicine, integrative | Physio, chiro, massage, multi-disciplinary |
Should you sign up?
If you're a U.S. therapist or counselor billing insurance — yes. SimplePractice's insurance handling and therapy-specific documentation are still ahead of every competitor we tested. The 30-day free trial includes most features (insurance billing is gated to the Essential plan).
If you're a nutritionist, integrative practitioner, or wellness coach, look at Practice Better first. If you're a physical therapist, chiropractor, or massage therapist, Jane App will fit better.
Start a free 30-day SimplePractice trial
No credit card required. Most features unlock during the trial; insurance claim filing requires upgrading to the Essential plan.
Start free trial →Disclosure: HTO may earn a referral commission. Our rating is independent of this.
FAQ
Does SimplePractice handle in-network insurance billing?
Yes — natively. Claim submission, ERA posting, secondary claims, patient responsibility calculation are all built in. This is the platform's strongest feature.
Is SimplePractice HIPAA compliant?
Yes. Free BAA on all paid plans. SOC 2 Type II certified. Data residency in U.S. data centers.
Can I switch from another EHR easily?
Demographics and basic chart data import from TherapyNotes, TheraNest, and Kareo via CSV. Notes and superbills don't transfer cleanly — plan for a small migration window.
Does SimplePractice work for couples or family therapy?
Yes — you can link multiple clients to a shared episode of care, share notes across the family system, and bill the unit head while documenting each member's progress separately.