We don't sell EHR software. We don't earn referral fees from any of the options below. SoloAgent comes before an EHR in the private practice launch sequence, so we have no stake in which one you pick. This article exists to help you pick faster, with less research paralysis, so you can get to the actual work.
One clarification that comes up regularly: Headway and Alma are insurance-network platforms, built to get an existing practice paneled and paid by insurers. Both have since added EHR-style capabilities on top of that core function. Headway now describes its own product as a free, insurance-native EHR (AI-assisted notes, scheduling, telehealth, billing) rolled out to its provider network in September 2025 (Headway, 2025). Alma charges a provider membership fee, billed monthly or at a discounted annual rate, that bundles scheduling and session notes alongside credentialing and insurance support; check its site directly for the current price and any active promotion, since both change (Alma for providers, accessed 2026-09-14). Headway and Alma combine insurance-network services with EHR capabilities. Check whether those tools meet your workflow needs before buying another system. If you're choosing your primary practice-management system rather than an insurance-network platform, the dedicated EHRs below are still built for that job first.
The four things that actually matter for a solo practice
Price. EHR pricing for a solo practice runs about $49 to $99 a month for the self-serve platforms that publish a rate. Quote-based systems don't publish a number at all, so get an actual quote before assuming what one costs. Some vendors also tack on a per-claim billing fee on top of the subscription. Know your actual monthly cost, including billing and telehealth add-ons, before you commit.
Insurance billing capability. If you're billing insurance directly, you need a system that can submit claims without hiring a biller. Not every plan tier includes this by default. Jane, for instance, only adds insurance billing as a paid add-on above its entry tier.
Telehealth. Most EHRs bundle one-on-one telehealth into the base price now. SimplePractice, Jane, and TherapyNotes all include it across every tier. A few still treat group telehealth as a separate add-on, so confirm that specifically if group sessions are part of your practice.
Support quality. When something breaks in your billing or your scheduling, you need a real answer. Read recent reviews specifically about customer support, not just the product.
The main options
The EHRs solo therapists most often compare: SimplePractice, Jane, TherapyNotes, Valant, and Ensora Health, the company that used to operate as Therapy Brands and now runs TheraNest and Fusion. Here's what each one actually costs and includes, sourced from their own pricing pages and product pages, accessed 2026-09-14, with the effective date noted separately anywhere it differs from the access date.
SimplePractice runs three tiers: Starter at $49 a month, Essential at $79, and Plus at $99, each currently discounted 50% for the first three months if you convert within a week of starting your trial (SimplePractice pricing, accessed 2026-09-14). Telehealth is included on every tier at no extra cost. Insurance claim filing is included on all three tiers too, but the fee schedule is changing: starting October 1, 2026, SimplePractice is standardizing claim fees at a flat $0.39 per submitted claim across all plans, replacing the per-tier free-claims allowance Essential and Plus currently include (SimplePractice support, What's changing with insurance pricing, accessed 2026-09-14). Check the current fee schedule before you sign up, since it changes again shortly after this piece goes live.
Jane App prices in three tiers too: Balance at $54 a month, Practice at $79, and Thrive at $99 (Jane pricing, accessed 2026-09-14). Balance caps you at 20 appointments a month and doesn't include insurance billing at all. Practice and Thrive remove the appointment cap and open up insurance billing as a $20-a-month add-on (plus $5 per additional full-time practitioner and $2.50 per additional part-time practitioner) that does not include a clearinghouse account. Jane's own FAQ specifies "clearinghouse account not included in Jane subscription," so you'd need a separate Claim.MD subscription to actually submit claims. All three tiers include one-on-one telehealth; group telehealth is a separate $15-a-month add-on. If you run group sessions or workshops alongside individual work, that's the practical reason therapists pick Jane, not a claim about how many people use it. Jane also doesn't offer a free trial; its FAQ is explicit about this and points you to a demo call or its demo account instead.
TherapyNotes prices a Solo subscription for single-user accounts at $69 a month, with Group pricing at $79 a month for the first clinician plus $50 for each additional clinician. Both took effect for billing cycles after December 1, 2025 (TherapyNotes, Pricing and Subscription Options, accessed 2026-09-14; TherapyNotes, December 2025 pricing update, accessed 2026-09-14). Electronic remittance advice (ERA) costs $0.14 per claim included on an ERA, not per ERA document, and wasn't part of that price change (TherapyNotes, What is Electronic Remittance Advice, accessed 2026-09-14). Run the subscription-plus-claims-submission math, not just the per-claim number: at a hypothetical 50 claims a month, TherapyNotes' Solo tier comes to $69 subscription plus $7 in claim-submission fees, a $76 subtotal. SimplePractice's Starter tier at the same hypothetical volume comes to $49 subscription plus $19.50 in claims once its flat per-claim rate takes effect October 1, 2026, a $68.50 subtotal. Neither figure is your actual monthly cost: both exclude ERA fees, eligibility checks, payment processing, and any other optional charges, which vary by vendor and by how you use the system. Neither number is a verdict either: TherapyNotes' rate already applies, SimplePractice's per-claim rate doesn't take effect until October 1, and your actual claim volume and add-on usage will move both totals. Run your own numbers, including the extras, against each vendor's current published rate before deciding.
Valant doesn't publish self-serve pricing anywhere on its site. You request a quote directly (Valant, accessed 2026-09-14). Valant's own product pages describe coverage from solo psychiatry and therapy practices up through multi-location groups, with clinical documentation, e-prescribing, and billing bundled together, so it's worth a look even if you're staying solo. Signing up means a sales call instead of a five-minute self-serve trial. If you want published pricing and a trial or demo, compare the three above first, and get a written quote from Valant before comparing costs.
Ensora Health, formerly Therapy Brands, runs TheraNest for mental health practices and Fusion for PT, OT, and SLP practices (Ensora Health, accessed 2026-09-14). Pricing isn't published on the site, so you request a quote directly. Get one before assuming it beats the published rates above; without a comparable dated quote there's no way to say here whether it lands cheaper.
How to pick
Skip the rankings you've seen elsewhere. Pick on the four things above instead.
If you want published pricing you can act on today: SimplePractice, Jane, and TherapyNotes all qualify. Compare their starting tiers, $49 for SimplePractice, $54 for Jane, $69 for TherapyNotes, against what each one actually includes at that price, not against a name you've heard is popular.
For insurance-heavy practices where claim volume matters more than interface polish, redo the math above with your own numbers before picking. Which vendor comes out ahead depends on your claim volume and on which side of October 1, 2026 you're signing up, not on a fixed ranking.
Planning to add clinicians later, or want one system that scales from solo to enterprise without a platform switch? Valant and Ensora Health both build for that range, at the cost of a sales call instead of a published price.
Don't let the decision take more than a week. Use each vendor's available trial or demo with mock clients, never real client data, and pick the one whose scheduling and notes workflow didn't make you stop and think twice.
Before you commit, run this checklist:
- Export terms. Read the vendor's data-export policy in their help docs or terms of service. Confirm whether pulling out your notes and billing history is a self-service download from account settings or a support ticket you'd have to file, and how long that request takes.
- Trial with mock clients. Use each vendor's available trial or demo with mock clients, never real client data, to run through actual scheduling and note-taking before you decide.
- Setup and credentialing timeline. Ask the vendor directly how long account setup and credential verification take for your situation. That varies by vendor and by what your state licensing board requires, so don't assume a number without checking.
None of this guarantees an easy exit if you switch systems later. It just means you find out the terms now, on your own schedule, instead of mid-caseload.
A note on timing
You don't need an EHR on day one of your launch preparation. You need it before your first client session. Setup and credential-verification time both vary by vendor, so confirm the actual timeline for your account when you sign up, and build in buffer room rather than assuming a fixed number of days.
For the rest of the launch sequence, see our first-30-days guide.