SimplePractice alternatives
8 SimplePractice alternatives from our directory, ranked by AIOP Score, with published pricing, HIPAA BAA status, best fit and when to switch. Admin and operations only.
SimplePractice listingFacts last checked up to 2026-10-21 · ranked by AIOP Score
About SimplePractice
Full listing →9.7/10From $49/moBAA available
- Pricing
- Starter $49/mo, Essential $79/mo, Plus $99/mo; team members only on Plus ($74/clinician/mo for 2–5 clinicians); eligible new customers 50% off for 3 months if they subscribe in the first 7 days of the 30-day trial (vendor site)
- HIPAA BAA
- Yes – BAA accepted automatically at signup on all plans; HIPAA compliant and HITRUST certified (vendor support)
- Best fit
- Therapy-heavy practices that want a polished plug-and-play EHR; prescribers via the ePrescribe add-on
- Last checked
- 2026-10-21 · support.simplepractice.com · BAA: support.simplepractice.com
Why practices look for SimplePractice alternatives
- Add-ons stack up: ePrescribe is $49/mo per clinician plus an $89 one-time setup fee, Note Taker AI notes are $35/mo and Care Aide is $59/mo.
- Team members are available only on Plus ($74/clinician/mo for 2–5 clinicians).
- Claims run $0.39 each on Insurance Essentials ($0.50 on Starter), and card processing is 3.15% + $0.30.
Stay with SimplePractice if…
You run a therapy-heavy practice and want a polished plug-and-play EHR with telehealth on all plans and a BAA accepted at signup.
Quick picks
- Highest AIOP Score: PracticeQ (IntakeQ) (10.0/10). Starter $59.90/mo (25 appointments, 50 SMS, 25 form submissions per practitioner/mo).
- Vendor states a BAA on every plan or account: PracticeQ (IntakeQ), Carepatron, Practice Better, Sessions Health and TherapyNotes.
- Free plan, tier or free use: Carepatron, Practice Better and Sessions Health. A free tier isn't always covered by the BAA, so read the BAA line for each.
8 alternatives, ranked
All EHR & Practice Management tools →- From $59.90/moBAA available
- Pricing
- Starter $59.90/mo (25 appointments, 50 SMS, 25 form submissions per practitioner/mo); Pro $84.90/mo (500 appointments, 300 SMS, 500 form submissions); 1 practitioner + up to 10 free assistant accounts; extra practitioner $25/mo (Starter) or $30/mo (Pro); Engage add-on from $99.90/mo; 2-week free trial (vendor site)
- HIPAA BAA
- Yes – HIPAA compliant with BAA, listed in every plan (vendor site)
- Best for
- Solo and small practices that want heavy intake automation and forms; prescribers who want flat-price eRx with EPCS
- Last checked
- · www.practiceq.com
- Free plan · from $0BAA available
- Pricing
- Free plan $0 (unlimited clients, AI scribe, telehealth, 1GB storage); Plus $31/user/mo, Advanced $39/user/mo billed monthly, 20% off yearly; intro discounts often shown (vendor site)
- HIPAA BAA
- Yes – BAA accepted automatically at signup on all plans, including Free; HIPAA compliant, SOC 2 Type II (vendor help center)
- Best for
- Solo and small therapy practices wanting a low-cost start; PMHNPs via the eRx add-on
- Last checked
- · www.carepatron.com · BAA: help.carepatron.com
- Free plan · from $35/moBAA available
- Pricing
- Free Sprout plan; Starter $35/mo, Professional $69/mo, Plus $99/mo, Team $155/mo billed monthly (about 10% less annually) (vendor site)
- HIPAA BAA
- Yes – HIPAA BAA signed in-app on all plans, including the free Sprout plan (vendor help center)
- Best for
- Cash-pay wellness, nutrition and integrative practices
- Last checked
- · practicebetter.io · BAA: help.practicebetter.io
- Free plan · from $0BAA available
- Pricing
- Freemium $0 (up to 3 clients); Professional $39/mo, +$29/mo per additional practitioner; 30-day free trial (vendor site)
- HIPAA BAA
- Yes – BAA accepted automatically at signup, including trial accounts, and covers all features (vendor help center)
- Best for
- Solo and small therapy practices that bill insurance
- Last checked
- · www.sessionshealth.com · BAA: support.sessionshealth.com
- From $75/moBAA available
- Pricing
- Non-Prescribing $75/mo; Part-Time Prescribing $138/mo; Full-Time Prescribing $213/mo (vendor blog); 30-day free trial
- HIPAA BAA
- Yes – BAA offered to customers; published BAA PDF (vendor site)
- Best for
- Psychiatrists and PMHNPs, solo to group
- Last checked
- · www.icanotes.com · BAA: www.icanotes.com
- From $29BAA available
- Pricing
- Essentials $29, Advanced $59, Premier $89 per therapist/mo (one month free on annual); 21-day free trial; $19.50/yr AMA CPT fee (vendor site)
- HIPAA BAA
- Yes – BAA provided to customers, including during trials; HIPAA compliant and HITRUST certified (vendor)
- Best for
- Solo to group therapy practices that bill insurance
- Last checked
- · ensorahealth.com · BAA: experience.ensorahealth.com
- From $69/moBAA available
- Pricing
- Solo $69/mo; Group $79/mo first clinician + $50 each additional; non-clinical users free (vendor)
- HIPAA BAA
- Yes – BAA built into Terms of Service for covered entities (vendor support FAQ)
- Best for
- Therapists and behavioral health groups up to roughly 10–15 clinicians
- Last checked
- · support.therapynotes.com · BAA: support.therapynotes.com
- From $59/moBAA available
- Pricing
- Balance $59/mo (20 appointments/mo), Practice $79/mo, Thrive $99/mo per full-time practitioner (vendor site)
- HIPAA BAA
- Yes – BAA available on request for US subscribers subject to HIPAA (vendor)
- Best for
- Therapy and allied health clinics that want strong online booking
- Last checked
- · jane.app · BAA: jane.app
SimplePractice vs the top 3 at a glance
 SimplePractice |  PracticeQ (IntakeQ) |  Carepatron |  Practice Better | |
|---|---|---|---|---|
| Pricing | Starter $49/mo, Essential $79/mo, Plus $99/mo; team members only on Plus ($74/clinician/mo for 2–5 clinicians); eligible new customers 50% off for 3 months if they subscribe in the first 7 days of the 30-day trial (vendor site) | Starter $59.90/mo (25 appointments, 50 SMS, 25 form submissions per practitioner/mo); Pro $84.90/mo (500 appointments, 300 SMS, 500 form submissions); 1 practitioner + up to 10 free assistant accounts; extra practitioner $25/mo (Starter) or $30/mo (Pro); Engage add-on from $99.90/mo; 2-week free trial (vendor site) | Free plan $0 (unlimited clients, AI scribe, telehealth, 1GB storage); Plus $31/user/mo, Advanced $39/user/mo billed monthly, 20% off yearly; intro discounts often shown (vendor site) | Free Sprout plan; Starter $35/mo, Professional $69/mo, Plus $99/mo, Team $155/mo billed monthly (about 10% less annually) (vendor site) |
| Built-in AI | Note Taker AI notes $35/mo per clinician; Care Aide AI suite $59/mo (vendor site) | No native AI scribe (third-party review) | AI Scribe 3.0 (transcription, SOAP/DAP/BIRP drafts, ICD-10 capture) included on all plans, including Free, at no extra cost (vendor) | AI Charting Assistant add-on from $10/mo: dictate a session and get a structured draft note (vendor site) |
| e-Prescribing / EPCS | Add-on – ePrescribe $49/mo per clinician + $89 one-time setup fee, on all plans; controlled substances (EPCS) after identity proofing and token registration (vendor support); PDMP add-on reported separately | Add-on – e-prescribe $65/mo per prescriber, same price with controlled substances (EPCS; DEA required); ID.me identity proofing included; up to 5 supporting staff free, $5/mo each after (vendor support) | Add-on – ePrescribe via DoseSpot $39/user/mo on paid plans; EPCS supported after identity proofing and two-factor setup (vendor) | Add-on – ePrescribe with EPCS $49/mo + $99 onboarding; PDMP $5/mo + $399 onboarding (vendor site) |
| Telehealth | Yes – included on all plans (vendor site); group telehealth is a $20/mo per clinician add-on on Essential, included on Plus (vendor support) | Yes – included on every plan (in-house, Zoom or Google Meet) (vendor site) | Yes – included on all plans; group telehealth on Plus and up (vendor site) | Yes – built-in HIPAA-compliant telehealth (vendor site) |
| Billing & claims | Insurance Essentials claims from $0.39/claim ($0.50/claim on Starter); card processing 3.15% + $0.30 (vendor support) | Claims & superbills with clearinghouse integrations, invoicing and payments included on every plan (vendor site) | Superbills and CMS-1500 on Free; electronic claims from $0.25/claim and eligibility checks $0.15/check on paid plans (vendor site) | Invoicing, payments and payment plans; insurance claims not a focus (vendor site) |
| HIPAA BAA | Yes – BAA accepted automatically at signup on all plans; HIPAA compliant and HITRUST certified (vendor support) | Yes – HIPAA compliant with BAA, listed in every plan (vendor site) | Yes – BAA accepted automatically at signup on all plans, including Free; HIPAA compliant, SOC 2 Type II (vendor help center) | Yes – HIPAA BAA signed in-app on all plans, including the free Sprout plan (vendor help center) |
| Best fit | Therapy-heavy practices that want a polished plug-and-play EHR; prescribers via the ePrescribe add-on | Solo and small practices that want heavy intake automation and forms; prescribers who want flat-price eRx with EPCS | Solo and small therapy practices wanting a low-cost start; PMHNPs via the eRx add-on | Cash-pay wellness, nutrition and integrative practices |
| Last checked | · source | · source | · source | · source |
| Next step | Full listing Visit site ↗ | Full listing Visit site ↗ | Full listing Visit site ↗ | Full listing Visit site ↗ |
Related comparisons
Facts come from vendor pages and third-party reviews, as labeled on each line. “Unverified” means we couldn't confirm it. Get the BAA for the exact plan you buy and confirm pricing with the vendor before you switch.
Frequently asked questions
What are the best SimplePractice alternatives for a small practice?
Ranked by AIOP Score among the 8 alternatives we track: PracticeQ (IntakeQ) (10.0), Carepatron (9.8), Practice Better (9.7) and Sessions Health (9.5). The score is editorial and calculated from published pricing, BAA status, small-practice fit, setup and features. Sponsorship never affects it.
Which SimplePractice alternatives include a BAA on every plan?
Per the vendors' own pages: PracticeQ (IntakeQ), Carepatron, Practice Better, Sessions Health and TherapyNotes. Confirm the BAA covers the exact plan you buy.
Does SimplePractice offer a HIPAA BAA?
Our data says: Yes – BAA accepted automatically at signup on all plans; HIPAA compliant and HITRUST certified (vendor support). Last checked 2026-10-21.
Is there a free alternative to SimplePractice?
Carepatron, Practice Better and Sessions Health list a free plan, tier or free use. Check whether the free option is covered by a BAA before using it with patient information.
Disclaimer: This site covers administrative and operational workflows only. It is not clinical, legal, or compliance advice. Pricing and BAA status come from vendor sites or third-party reviews as of the date shown and can change – confirm directly with each vendor and your compliance advisor before using any tool with protected health information.