TherapyNotes is $69 a month for a solo practice, per its published pricing, or $79 for the first clinician and $50 for each additional clinician in a group, with unlimited non-clinical users free. The number to watch isn’t that headline. It’s the add-ons: TherapyFuel AI at $40 per clinician, e-prescribing near $65 per prescriber, and roughly 14 cents per claim. This page adds them up honestly.
If you’re comparing tools rather than just checking the bill, we did the head-to-head in our TherapyNotes alternatives guide. This page is the calculator.
Key takeaways
- TherapyNotes base: $69/mo solo, or $79 first clinician plus $50 each additional, per its published pricing.
- TherapyFuel AI (ambient scribe included) is $40 per clinician per month on top; a solo clinician with AI notes pays about $109.
- E-prescribing runs near $65 per prescriber (third-party estimate); claims and reminders bill around 14 cents each.
- A 3-clinician group with TherapyFuel on every seat is about $299/month before e-prescribing and per-claim fees.
- Patient Square’s Assist plan is $79/clinician/month annual with the ambient scribe included; Copilot at $119 adds a bundled AI EHR.
What does the $69 actually buy?
The base plan is genuinely full. For $69 a month solo, TherapyNotes gives you scheduling, insurance claims and ERA posting, a client portal (TherapyPortal), telehealth in the base price, and therapy-specific note templates. Its unlimited non-clinical users policy is the quiet win: your biller, your scheduler, and your front-desk admin cost nothing extra. For an insurance-billing practice, that’s a lot of software for the money.
Group pricing keeps the same logic. The first clinician is $79, each added clinician is $50, and those free non-clinical seats stay free no matter how many admins you add. A 4-therapist group is $79 plus three at $50, so $229 a month for the base. Enterprise accounts (30-plus users) run the same per-seat rates and add a dedicated account manager, per TherapyNotes’ pricing docs.
What the base doesn’t include is the part most people are shopping for in 2026: AI-drafted notes. That’s a separate line, and it changes the total.
Where the price actually adds up
Here’s the honest breakdown. The base is $69. Everything below stacks on top.
| Line item | Cost (as published / third-party) | Who pays it |
|---|---|---|
| Base plan, solo | $69/mo | Every solo practice |
| Base plan, group | $79 first clinician + $50 each added | Group practices |
| Non-clinical users (biller, scheduler, admin) | Free, unlimited | Everyone |
| TherapyFuel AI (ambient scribe + summaries) | $40/clinician/mo | Clinicians who opt in |
| E-prescribing | ~$65/prescriber/mo (third-party estimate) | Prescribers only |
| Insurance claims | ~$0.14 each | Insurance-billing practices |
| Text/voice reminders | ~$0.14 each | Practices using reminders |
| Setup fee | None on base plan | — |
| Free trial | 30 days | Everyone |
The base plan and TherapyFuel figures are from TherapyNotes’ own pricing and support docs. The e-prescribing figure is a third-party pricing-guide estimate, not a number TherapyNotes publishes as a flat rate, so treat it as directional and confirm your quote. The per-transaction fees are small individually and add up on a busy caseload.
One nuance worth flagging: TherapyFuel isn’t only the scribe. Enrolling one clinician turns on some shared features (client history summaries, contact notes, insurance-policy population) for the whole practice, per TherapyNotes’ docs. But the ambient session scribe itself is priced per clinician, and as of this writing TherapyFuel doesn’t yet cover group-therapy sessions. So if half your revenue is group work, the scribe won’t touch it.
Run the real solo and group math
Headline prices lie by omission. Here’s what a working practice actually pays once you turn on what you came for.
Solo therapist, wants AI notes. Base $69 plus TherapyFuel $40 equals $109 a month. Add e-prescribing if you prescribe (roughly $65 more), and per-claim fees if you bill insurance. A prescribing solo clinician billing insurance lands closer to $175 to $185 all-in, most of it in the prescriber add-on.
Three-clinician group, AI notes on every seat. Base is $79 plus two at $50, so $179. TherapyFuel on three seats adds $120. That’s $299 a month before any prescriber adds e-prescribing and before per-claim fees. You also get a full billing engine for that money, which is the whole point if you use it.
Now the comparison people come here for. Patient Square’s Assist plan is $79 per clinician per month on annual billing, and the ambient scribe is the core product, not an add-on. Three clinicians on annual Assist is $237 a month. Want the bundled AI EHR too? Copilot is $119 per clinician annually, so $357 for three, which is more than TherapyNotes’ $299, and we’d rather say that plainly than bury it. The difference is what the money buys. Their $299 includes claims machinery we don’t have. Our $357 includes a record system built around an ambient scribe, unlimited visits and notes with no per-note metering, and no setup fees. The full plan breakdown is on our pricing page.
What you’re paying for on each side
Patient Square is an AI clinical platform, and Practice Copilot brings the whole practice under one AI copilot. The AI Medical Scribe is the module most people arrive for: it listens during the visit and hands back a structured SOAP note, ICD-10 suggestions, and a prescription draft, ready to review and sign about two minutes after the visit, with a bundled AI EHR, scheduling, and messaging as you move up the plan.
So the price gap isn’t apples to apples. TherapyNotes charges a modest base and prices AI as an add-on because it’s practice-management software first. Patient Square charges more for the entry tier because ambient documentation is the entire product, not a $40 bolt-on. For a talk-heavy caseload where the pain is unfinished notes at 9pm, that’s the trade to weigh: pay for a billing engine plus an AI add-on, or pay for documentation software with an EHR bundled in.
Two behavioral-health specifics change the math beyond dollars. Session audio is never stored with Patient Square; it’s processed in memory and discarded once the note drafts, so there’s no recording archive to explain to a client. And the safeguards are mapped to the HIPAA Security Rule with BAAs available for every customer; the receipts live on our security page. What we don’t claim: TherapyNotes’ claims engine, ERA posting, or a therapy-native billing workflow. We think most tools oversell exactly there, so we’ll be the page that doesn’t.
When TherapyNotes’ pricing is the right call
Stay if your practice bills insurance heavily. At $69 to $79 plus $50 per added clinician, with free non-clinical users and a proven claims workflow, TherapyNotes is hard to beat on total cost of ownership for an insurance-billing group. TherapyFuel closes a good chunk of the documentation gap for $40 a seat, and for a group already trained on the platform, that add-on is far cheaper than a migration.
TherapyNotes also wins on price if you prescribe and want e-prescribing that transmits to pharmacies inside the same system. Patient Square’s prescription output is a draft you review and sign, not a pharmacy transmission. If electronic transmission is a hard requirement, keep a system that does it. That’s a real gap, and pretending otherwise would be selling you one.
The pricing tips the other way when you’re a cash-pay or light-billing practice paying for claims machinery you rarely open, and your actual monthly pain is charting time. Then the $40 add-on is buying AI notes onto software whose core value you’re not using.
Price the tool in one week, not on the headline
Don’t decide on the sticker. Build your real number:
- Pull last month’s TherapyNotes invoice and separate it: base plan, TherapyFuel seats, e-prescribing, per-claim and per-reminder fees. Get one total.
- Write down the hours you spent on notes in that same month. That’s the other number.
- Run our 7-day trial on real sessions, with client consent, and compare the drafts to what you’d have written.
- Export a sample of your TherapyNotes data to confirm the records move cleanly before you commit.
- Decide with both numbers in front of you, not the two headline prices.
If the drafts hold up on your messiest session type, book a short demo and we’ll run it live against a real med-management or intake visit. For the wider field of behavioral-health record systems and where each one prices its scribe, our best EMR for mental health roundup lays it out, and ICANotes alternatives covers the click-heavy-EHR branch if that’s your other option.