Therapy Companion vs SimplePractice

One system for the whole practice, at one price.

SimplePractice is an EHR. Therapy Companion is the EHR plus client engagement, the whole revenue cycle, and practice operations, in one subscription. The comparison below prices both line by line, using their published rates and the tier their AI actually requires.

Compare the full monthly cost of your practice software.

SimplePractice on the left, Therapy Companion on the right, both totals and the difference between them. Change the roster, the volume or any cost below and every figure on this page recomputes.

SimplePracticePlus plan
  • SimplePractice Plus plan$99.00
  • AI Note Taker add-on$35.00
  • Electronic claims past the plan allowance(50 - 35 included) x $0.25$3.75
  • Tools bought alongside it3 example rows, editable below$79.99
Their monthly total$217.74$2,613 a year
Therapy CompanionIndividual practice plan
  • One plan, one priceEverything in the inventory below$199.00
  • Tools bought alongside itNone: the capabilities are in the price$0.00
Therapy Companion monthly total$199.00$2,388 a year

This compares one solo practice. A group buys on oversight rather than per-seat arithmetic: supervision hours, co-signatures owed, licensure and CE deadlines, caseload and revenue across the roster. See the practice command center, or the group and enterprise pricing path.

Therapy Companion billing

Cost calculator

Everything behind those two totals.

The stacks at the top of this page are built from the rows below. Change any of them and both totals, the difference and the capability table further down all recompute. Every row is tagged with where its number came from.

SimplePractice: Plus plan

The AI Note Taker cannot be enabled on the entry Starter plan, so the lowest SimplePractice tier that can run this workflow is Plus at $99 per clinician.

  • SimplePractice Plus planPublished ratePer clinician, per month. The lowest tier that can enable AI notes.$99.00
  • AI Note Taker add-onPublished ratePer clinician, per month, on top of the plan.$35.00
  • Electronic claims past the plan allowanceFrom your volumePlus includes 35 electronic claims a month per clinician, then charges $0.25 each.$3.75(50 - 35 included) x $0.25

SimplePractice plan and usage$137.75 a month

Bought alongside it

Capability the SimplePractice plan above does not cover, and the one Therapy Companion price does. These are example figures from public pricing pages verified in July 2026, not your bill. Set each one to what you actually pay, or to zero. They are counted once for the practice, so a group scenario understates them.

  • Inquiry and referral trackingExample, editableNot part of the referenced plan. Standard, non-promotional rate.
  • Between-session client toolingExample, editableSeparate tooling for homework, reflections and check-ins.
  • Document and file handlingExample, editableMonthly billing for practice document storage and handling.

Tools alongside the plan$79.99 a month

Manual work you want back

Hours a month across the practice that you would rather not spend. These are your target, not a measured Therapy Companion result; none has been measured. The capability table further down prices several rows directly from these hours.

  • Documentation and retypingExample, editableNotes finished after hours, and the same information entered twice.
  • Billing and denial follow-upExample, editableClaim corrections, resubmissions, appeals and payer phone calls.
  • Intake, forms and administrationExample, editablePaperwork, agreements, scheduling changes and chasing signatures.
  • Owner and practice reportingExample, editablePulling numbers out of separate systems into a spreadsheet.
  • Supervision and licensure trackingExample, editableSupervision hours, co-signature chasing, CE and renewal deadlines.

18 hours a month at $75$1,350.00 a month

SimplePractice Plus plan and usage
$1,653 / yr
Tools bought alongside it
$960 / yr
Manual work, 18 hrs a month at $75
$16,200 / yr
Total current burden
$18,813 / yr
Therapy Companion
$2,388 / yr
At your numbers, Therapy Companion costs less

Your inputs show $16,425 a year between what you pay and do today and one Therapy Companion price. Every part of that figure is a number you can see and change above.

The inputs behind these numbers. Every one is editable in the panels beside this, and none of them is a measured Therapy Companion result.

Clinicians
1
Sessions billed to insurance each month
50
Manual work you want back
18 hrs a month
Value of an hour of that time
$75half the $150 session rate
Tools bought alongside SimplePractice
$79.99 a month

On top of the software cost

What the same 50 sessions a month look like once payers get them.

This is a separate calculation from the one above and it is never added into it. It models what the market does to claims at your volume, using dated CMS years from the Therapy Companion analysis.

Denial scenario
Left on the table each year, average market$5,487$457 a month, out of $16,830 denied. CMS Transparency in Coverage, 2024: 18.7% in-network denial, 32.6% overturned.

This behaves like margin, not new revenue. The sessions behind these claims already happened: the hour was worked, the note was written, the claim was filed. Recovering the payment costs no further delivery, which is why it sits closer to profit than to turnover. It is still money at risk in the market, not money Therapy Companion has measured itself recovering.

Sessions billed a year
60050 a month × 12
Denied
112 sessions600 × 18.7%
Potentially recoverable on appeal
$5,487$16,830 × 32.6% overturned
Admin time to appeal all of it
94 hrs112 × 50 min

Read separately, not summed. The direct difference above is arithmetic on published prices. The $5,487 here is modeled revenue at risk, not money Therapy Companion recovers.

The denial rates, overturn rates and appeal-time estimate come from the Therapy Companion analysis of 1.25 billion CMS claims. They describe the market, not a Therapy Companion outcome; none has been measured and none is claimed. Insurance Intelligence helps a practice identify and prepare this work in one place; it is not payer approval, not full-service billing, and it does not guarantee that any claim is paid.

Line by line

What each capability costs on the other side.

Every row is something the one Therapy Companion price includes. Beside it is what the same capability costs with SimplePractice: a published price where they sell it, and the time the calculator above already prices where they do not. Metered rows are computed at 50 claims a month.

Capability-by-capability monthly cost, Therapy Companion against SimplePractice, July 2026 sources. Rows marked * are not included in the SimplePractice price.
CapabilityTherapy CompanionSimplePractice
Practice foundation: records, scheduling, online booking, billingSimplePractice Plus, per clinician. The lowest tier that can enable AI notes, so it is the tier this scenario runs on. simplepractice.com/pricing, verified July 17 2026, re-checked July 21 2026.Included$99.00Published price
AI-assisted documentationAI Note Taker add-on, per clinician, on top of the plan. simplepractice.com/pricing, verified July 17 2026, re-checked July 21 2026.Included+$35.00Published price
Claims workflow and electronic filingPlus includes 35 electronic claims a month per clinician, then $0.25 each. Computed for one clinician at 50 claims: (50 − 35) × $0.25. SimplePractice support, subscription plan and pricing FAQs, verified July 21 2026.Included+$3.75Metered
Appointment remindersText reminders are included from the Essential plan upward, so they cost nothing extra on Plus. Therapy Companion does not offer SMS reminders and makes no parity claim.Included (email and in-app; no SMS today)IncludedIncluded in plan
Client portal and between-session care, not included in the SimplePractice priceHomework, reflections and check-ins are not part of the referenced plan, so this is separate tooling. Public pricing page for that tool, checked July 2026. A real price for a real product, not an estimate of what the vendor would charge.Included+$50.00Separate tool
Inquiry, consultation and referral pipeline, not included in the SimplePractice priceNot part of the referenced plan. Standard, non-promotional rate. Public pricing page for that tool, checked July 2026. A real price for a real product, not an estimate of what the vendor would charge.Included+$20.00Separate tool
Document and file handling, not included in the SimplePractice priceNot part of the referenced plan. Public pricing page for that tool, checked July 2026. A real price for a real product, not an estimate of what the vendor would charge.Included+$9.99Separate tool
Built-in HIPAA telehealth, not included in the SimplePractice priceIncluded in the Therapy Companion price. What it costs otherwise is not something the dated sources behind this table settle; see the note below.IncludedNot listed
Insurance intelligence, not included in the SimplePractice priceNot sold as a plan feature by any of the three, so the requirements, follow-ups and appeal preparation are done by hand. Priced at the billing and denial follow-up hours you set above.Included$300.00 (4 hours) of your timeCalculated from the calculator above
Supervision, co-signature, licensure hours and CE tracking, not included in the SimplePractice priceNot part of the referenced plan, so supervision sign-off and licensure or CE deadlines are tracked by hand. Priced at the supervision and licensure hours you set above.Included$75.00 (1 hour) of your timeCalculated from the calculator above
Couples and group therapy workflows, not included in the SimplePractice priceIncluded in the Therapy Companion price. What it costs otherwise is not something the dated sources behind this table settle; see the note below.IncludedNot listed
Practice operations, reporting and insights, not included in the SimplePractice priceOwner reporting that has to be pulled out of separate systems into a spreadsheet. Priced at the owner and practice reporting hours you set above.Included$150.00 (2 hours) of your timeCalculated from the calculator above
Secure intake, forms and agreements, not included in the SimplePractice pricePaperwork, agreements and chasing signatures that the referenced plan does not cover end to end. Priced at the intake and administration hours you set above.Included$225.00 (3 hours) of your timeCalculated from the calculator above
Migration, data ownership and export, not included in the SimplePractice priceIncluded in the Therapy Companion price. What it costs otherwise is not something the dated sources behind this table settle; see the note below.White-glove, includedNot listed
Attributable monthly costPublished prices, separate tools, metered charges and the value of the time the calculator above prices. Rows the sources cannot settle are excluded, which makes this total smaller than SimplePractice’s real bill rather than larger.$199$967.74
More per month with SimplePractice, on attributable rows alone$768.74$967.74 against $199, or $11,613 against $2,388 a year.

These 10 capabilities are not included in the SimplePractice price. For each one the clinician either buys a separate tool and pays for it on top, or does the work themselves and spends their own time on it, which is what this table is pricing. Where they buy a tool, the figure is that tool’s real published price. Where they do the work, 4 rows are priced at the hours and hourly value you set in the calculator above, currently $750.00 a month of your own time. The 3 rows left blank are ones that can be priced neither way from the dated sources behind this table, so nothing is counted for them at all and the total below is smaller than the real one rather than larger.

How this total was kept honest. 6 rows carry a published or metered price. 3 could not be settled from the dated sources behind this table and are excluded. That is not a claim SimplePractice lacks them, and every exclusion makes the figure above smaller. Separate-tool figures are real prices from public pricing pages checked in July 2026, not estimates of what SimplePractice would charge.

Prices change. Every source and the day it was checked is listed with the dated receipt below. This compares published cost, and makes no claim that one product is the right choice for every practice.

Same scenario on all three pagesOne solo practice50 electronic claims50 SMS appointment reminders

What the one price covers

Everything in the Therapy Companion column.

SimplePractice bills several of these as separate lines, and does not sell some of them at all. The table above prices each one.

Therapy CompanionOne plan, one price$199 / month

Clinical work

  • Session preparation and AI-assisted documentationIncluded
  • Treatment plans, assessments and risk screeningIncluded
  • Supervision and co-signature workflowIncluded
  • Licensure hours, CE and renewal trackingIncluded

Clients

  • Scheduling, online booking and the client portalIncluded
  • Secure intake, forms and agreementsIncluded
  • Between-session homework, reflections and check-insIncluded
  • Couples and group therapy workflowsIncluded

Revenue

  • Claims workflow and superbillsIncluded
  • Insurance intelligenceIncluded
  • Billing, invoices and practice revenueIncluded

The practice around it

  • Built-in HIPAA telehealthIncluded
  • Practice operations, reporting and insightsIncluded
  • Therapist and client phone appsIncluded
  • Data ownership, export and white-glove migrationIncluded

* Figures above are calculated from SimplePractice's published pricing pages, checked on the dates below, for one solo practice. Payment-processing fees excluded for both products. Standard, non-promotional rates are used.

Dated sources
Migration boundaryWhat transfers, and what still needs review
CostMigration is freeMigration from SimplePractice is free.
IncludedGuided migration support during founding onboardingWhat that support covers is agreed on the call rather than promised here.
ControlledImported clients arrive inactiveThe therapist chooses which active clients are invited. No client is contacted until the practice decides.
ReversiblePractice-record export on demandStandard formats, before, during, and after. No lock-in.

Not claimed: No migration duration or speed is stated. No claim of zero data loss. No claim that support is equal across every source system.

Before deciding

Questions to verify before you switch.

Competitor figures were verified on the dates shown; plans change, so check each source. Therapy Companion pricing comes from its own pricing page.

Does SimplePractice include AI notes?

Yes, as a paid add-on, and not on every plan. SimplePractice lists AI Note Taker at $35 per clinician per month on top of the plan price, and it cannot be enabled on the entry Starter plan, so an AI-enabled practice is on Plus at $99 before the add-on. Therapy Companion keeps session preparation and documentation in the connected individual-plan workflow.

How does the price compare?

For an AI-enabled practice, SimplePractice is $99 per month for Plus plus $35 per clinician for AI notes, then $0.25 for each electronic claim past the 35 included. Therapy Companion publishes a $199 monthly individual plan, or $1,999 a year. The calculator above prices both sides at your own volume.

What actually transfers in a move?

Clients, notes, appointments, and documents import from a SimplePractice export. Historical clients arrive as a roster, and the therapist chooses which active clients are invited. No duration is promised.