SimplePractice vs TherapyNotes vs Jane App Comparison 2027

The short answer: pick by claims volume and clinician count

The SimplePractice vs TherapyNotes vs Jane App comparison comes down to three questions: how many insurance claims you file each month, how many clinicians you expect to add within a year, and whether you run a mental-health-only practice or a clinic that mixes therapy with other disciplines. A therapy practice management platform puts scheduling, clinical notes, client billing and insurance claims in one system. SimplePractice has the lowest entry price we could verify, with the Starter plan list price: $49 per month according to SimplePractice (2026). Jane App is built for multi-discipline clinics. TherapyNotes is the billing pick in one independent comparison, which was last updated June 2, 2026, according to Software Finder. We could not read TherapyNotes' own price, so it cannot be ranked on cost here.

TL;DR: Start with SimplePractice if your practice is mostly solo and you want the lowest verified entry price. Shortlist Jane App if you run a mixed-discipline clinic or need a documented API. Get a written TherapyNotes quote before you rule it in or out.

Key Takeaways

• SimplePractice has the lowest entry price we could verify, but its Insurance Navigator add-on charges per claim, so total cost rises with claim volume.

• TherapyNotes pricing is not verified in this article, because its vendor pricing page did not load in two attempts. Get a written quote that includes claims, reminder and card fees.

• Jane App publishes a developer index that lists Appointments and Webhooks resources, but webhook subscriptions are registered by an authenticated partner.

• We found no public API for SimplePractice or TherapyNotes, so any automation plan with either one starts with a confirmed export.

• Jane bought the clinic-administration startup Ginger Desk in 2026. Ownership of SimplePractice and TherapyNotes is unresolved in the sources we could open.

• SimplePractice's footer links to a business associate agreement, while Jane's security page does not say whether it signs one. Ask every vendor for a signed agreement before you load client records.

What changed: ownership and product status

None of the three products has been renamed, merged or discontinued in the sources we could open. The one 2026 corporate move we found in this set is Jane's purchase of Ginger Desk, a Vancouver startup that supplied trained virtual assistants for clinic bookings. Ginger Desk team joining Jane: 53 people according to BetaKit (2026). BetaKit frames the deal as adding clinic administration capability, and Jane has not stated its own strategy in that article, so the three products in this comparison keep their names and scope.

SimplePractice's ownership is less settled. A 2023 review says that EngageSmart owns SimplePractice and trades on the NYSE as ESMT, according to Psychotherapy Notes (2023). That page discloses that its author previously worked for SimplePractice. Vista Equity Partners completed a take-private buyout of EngageSmart in January 2024, according to Private Equity International (2024), so the NYSE listing is out of date. That page does not mention SimplePractice, so ask SimplePractice to state its owner in writing. We could not identify TherapyNotes' owner either. The same 2023 page says only that TherapyNotes is privately owned, without naming anyone.

How we evaluated these three tools

This comparison weights seven criteria by what a small therapy practice actually decides on. The weights are our judgment, not vendor data. Vendor facts come from the pricing and security pages we opened and from independent reviews. Our reasoning appears in the "Our read" lines.

Total: 100%. We did not use star ratings. Our attempts to open the G2 and Capterra comparison pages returned 403 errors, so we have no verified rating figures to report.

Feature matrix: what each product covers

Where a cell says "Not verified," we did not find the fact on a page we could open, and we did not fill it in from memory or from a search snippet. AI scribe add-on: $15 per practitioner per month according to Jane (2026).

Our read: the reviews we opened favor TherapyNotes on billing. SimplePractice's per-claim model makes cost predictable only if you know your claim volume. Jane's flat monthly billing fee is easier to budget, but it requires the Practice or Thrive plan, and the clearinghouse account is extra.

What each plan costs, and what stays unpublished

Table 3 uses figures from the vendor pricing pages we opened: SimplePractice pricing and Jane pricing.

Pricing checked November 13, 2026. SimplePractice's list prices are $49 for Starter, $79 for Essential and $99 for Plus solo, with Plus group at $99 for the first practitioner and $74 for each added one, Care Aide at $59 for the account owner and $49 for each added clinician, ePrescribe at $49 a month plus an $89 setup fee, and Insurance Navigator at $1.79 per claim filed, according to SimplePractice (2026). Jane's list prices are $59 for Balance, $79 for Practice and $99 for Thrive, with Insurance Billing at $20 a month for the account plus $5 a month for each added full-time practitioner, AI Scribe at $15 a month per opted-in practitioner, Group Telehealth at $15 a month per opted-in practitioner, and card processing at 2.85% plus $0.25 online or 2.6% plus $0.10 in person, according to Jane (2026).

Neither pricing page we opened publishes annual prices. SimplePractice does not publish payment processing rates, and Jane's extra-practitioner rate for Practice and Thrive is blank on the page. TherapyNotes figures are missing from this article for a reason: its pricing page did not load, so we took no numbers from review sites.

Worked example (hypothetical): take a solo therapist who files 40 insurance claims a month and wants AI note help, using the figures sourced to the pricing pages above. On SimplePractice, the Essential plan at $79 plus Insurance Navigator at $1.79 per claim gives $71.60 for the claims (40 × $1.79), for a total of $150.60 a month before any Care Aide add-on. On Jane, the Practice plan at $79, Insurance Billing at $20 a month and AI Scribe at $15 come to $114 a month, before the Claim.MD clearinghouse account, which the page does not price. The SimplePractice total rises by $1.79 for every extra claim. Jane's pages show no per-claim fee, but the clearinghouse cost may still scale with claim count. For an export, the identifier to check is booking_type, a field on Jane's Appointments resource that distinguishes one-on-one, group and class bookings, so a practice would need it before separating insured sessions from group sessions. Source for the identifier: Jane's developer index.

Vendor profiles

SimplePractice

Best fit: Solo practitioners and small mental-health groups that want the lowest verified entry price and built-in telehealth. Software Finder describes drag-and-drop scheduling and a 30-day trial, according to Software Finder (2026).

Limitations: Claims cost rises per claim, and the pricing page does not publish payment processing or annual pricing. The same review lists limited flexibility for expanding workflows and says switching platforms takes significant setup effort. The pricing page does not say which telehealth and billing features each solo plan includes, so confirm that in writing.

Implementation: Plan for a migration project, not a plug-in. The footer of SimplePractice's security page links to a business associate agreement, so request the signed copy. We found no public API in this check, so plan around exports.

Our read: SimplePractice is the simplest starting point on published prices. Its weak spot for a billing-heavy practice is the per-claim model.

Red flags: You need a published annual price to budget ahead. You need a public API on day one. You expect a larger group and need a price before a sales conversation, because groups of six or more are quote-based.

TherapyNotes

Best fit: Mental-health practices where billing depth matters more than a drag-and-drop calendar, if the written quote works. ChoosingTherapy rates TherapyNotes' integrations 2 out of 5 and describes "dependable insurance billing," including batch submission, CMS-1500 generation, real-time eligibility checks and audit logs, according to ChoosingTherapy (2026).

Limitations: The same review says scheduling is not drag-and-drop, bulk actions are limited and reporting is basic. It also reports a group-plan change scheduled for December 1, 2026, so confirm the current terms with the vendor. ChoosingTherapy says it may earn commissions from the companies it reviews, so we treat its ratings as one input. Support hours conflict across sources: ChoosingTherapy says 24/7 phone and email, while Software Finder says business hours. Mobile app availability conflicts too.

Implementation: We did not open a TherapyNotes security page, and we found no official API in this check. Ask the vendor for its data export format and business associate agreement before you commit.

Our read: TherapyNotes is the option to shortlist for billing depth. We cannot put a verified number on its cost from the vendor's own page in this check.

Red flags: You need a calendar where you can drag appointments. You need a written price today. You need integrations beyond calendar sync, since the reviewer rates integrations 2 out of 5.

Jane App

Best fit: Clinics that mix therapy with other disciplines, and practices that expect a partner integration. BetaKit reports that Jane's April blog says more than 240,000 practitioners across 40 disciplines use Jane, according to BetaKit (2026).

Limitations: The Balance plan has no insurance billing and caps appointments at 20 per month. Insurance Billing requires the Practice or Thrive plan. The extra-practitioner rate for those plans is not shown on the page we opened, and the Claim.MD clearinghouse is separate.

Implementation: Jane states that data import and onboarding are free, per Jane's pricing page. Its developer index lists Appointments and Webhooks resources. The webhook endpoints return subscriptions registered by the authenticated partner for the current clinic, so self-serve automation is not available on the pages we read. Its security page states SOC 2 Type 2 and PCI DSS compliance but does not say whether Jane signs business associate agreements.

Our read: Among the three, Jane has the most documented API on the pages we could open, but access is partner-level.

Red flags: You are a solo therapist who must bill insurance on the cheapest plan, which Jane does not offer. You need a per-practitioner price for a large group, since the rate is blank and quotes start at 10 practitioners. You need self-serve API keys.

Who this is for, and who should skip each product

Choose by practice shape first, then price the add-ons you actually use. The table below gives a first pick for each common shape. It is a shortlist aid, not a ranking.

Red flags: Skip SimplePractice if you need a published annual price today. Skip TherapyNotes if you need a calendar you can drag appointments on. Skip Jane App if you are a solo therapist who must bill insurance on the cheapest plan.

Where the insurance workflow breaks, and where automation fits

Claim follow-up is where small practices lose the most time, and it is where these products differ most. A proposed claim-follow-up workflow would start with a trigger: a claim still unpaid a set number of days after submission, with the threshold chosen by your billing lead. An automation would pull claim status from the vendor's export, or from Jane's API once partner access is approved, and write a task with the payer, date of service and status. The output is a review list for the billing lead, and every resubmission still goes through a person. Prerequisites: an export that includes claim status, which we did not confirm on any of the three vendors' help pages; a signed business associate agreement with every service that touches client records; and a named owner for exceptions. US Tech Automations could configure this as a proposed workflow, but it cannot run without the export, so the vendor question comes first.

A second proposed workflow handles intake. The trigger is a new appointment on the calendar. The action sends the intake link through the messaging channel the practice already pays for, and the output is an intake task in the clinician's queue. Prerequisites are appointment data from an export or, for Jane, partner-approved webhooks. Human review stays in place: a clinician reads intake responses before the first session, and the automation generates and sends no clinical content. Text messages are not free, so get the reminder cost in writing before the workflow goes live. A proposed design would set the approval step and message timing as configuration, and the practice would still own every clinical decision.

The alternative most practices try first is stitching this together in Zapier, Make or n8n. Those tools can keep run histories, retries, error branches and audit evidence when configured. The buyer still designs and owns idempotency, escalation paths, access controls and maintenance, and a flow can fail quietly when a vendor renames a field, so someone has to watch it. A proposed US Tech Automations design would put the approval gate, error routing and log retention into configuration, but it would still depend on the same export or API access, so a practice with no export has no workflow to configure either way.

Common mistakes

• Comparing base prices and skipping the add-ons that drive the bill, such as per-claim fees, AI notes and telehealth.

• Treating a third-party API directory as proof of a vendor API. We found no public API for SimplePractice or TherapyNotes, and Jane's index shows partner-level webhooks.

• Using a review site's price as the vendor's price. TherapyNotes is missing from our price table for exactly this reason.

• Forgetting extra-clinician rates. Jane's per-practitioner fee is blank on the page we opened.

• Signing before you have a written business associate agreement and a sample export.

Decision checklist

• Count insurance claims per month for the last three months, and project the next twelve.
• Count clinicians now, and the number you expect within a year.
• Get written quotes for every add-on you will use: claims, AI notes, telehealth, reminders and card processing.
• Ask for a sample export that includes appointments and claim status before you sign.
• Get a signed business associate agreement from the vendor.
• Ask how you get your records out if you leave.

Frequently asked questions

Which of the three has the lowest published entry price?

SimplePractice's Starter plan has the lowest entry price we could verify, and the full figures are in the pricing section above.

Is TherapyNotes cheaper or more expensive?

We cannot say from a vendor page in this check, because the TherapyNotes pricing page did not load, so get a written quote that includes claims, reminder and card fees.

Does Jane App work for a therapy-only practice?

Yes, but it is built for multi-discipline clinics, and Jane's own figures put it across 40 disciplines, so a therapy-only group may pay for breadth it does not use.

Do I need a business associate agreement?

Ask every vendor for a signed one before you load client records. A vendor that stores client records for your practice generally needs a business associate agreement under HIPAA, so confirm the terms with counsel. SimplePractice's footer links to one, and Jane's security page does not say whether it signs one.

Can Zapier or Make replace a dedicated automation build?

For a simple two-step flow, often yes, and those tools keep run history and error branches when configured. You still own the logic, retries and access controls, and the same export or API access limits what you can build.

Do I need an automation layer at all?

When NOT to use US Tech Automations: Probably not if you file few insured claims, run one clinician, or can handle claim follow-up inside the billing tool you already pay for. A simpler option wins in three cases. First, when the vendor's own export and reminders already cover the workflow. Second, when the practice has no export or API access, so any automation becomes a manual bridge that someone must maintain. Third, when the billing lead wants every claim reviewed by hand and volume is low. In those cases, skip US Tech Automations and use the vendor's built-in features or a plain export.

Bottom line

For most decisions in this set, the answer is a written quote plus one export test. SimplePractice is the cleanest starting point on the prices we could verify. Jane App fits mixed-discipline clinics and partner integrations. TherapyNotes earns a shortlist spot for billing depth once you have its written price. Run the checklist above on your last three months of claims before you sign anything. If you want to see how a proposed claim-follow-up workflow would be set up against your own export, see how US Tech Automations configures this.