SimplePractice alternatives
4 Best SimplePractice Alternatives in 2026
SimplePractice is a capable clinical EHR, but it is built and priced for insurance-billing practices. There is no free plan, the per-clinician model adds up as your team grows, and much of its depth — claims, a clearinghouse, insurance billing — goes unused if you run a cash-pay or coaching practice. That is exactly why so many practitioners go looking for a SimplePractice alternative: something simpler, cheaper, and ideally free to start. Below are the best alternatives in 2026, ranked honestly. We start with the one most coaches and cash-pay therapists switch to, then cover the tools that make more sense if you do bill insurance or need nutrition features, with a clear note on who each is genuinely best for.
Last updated June 2026.
Soap Notes
Best for coaches and cash-pay practices that don't bill insurance
Soap Notes brings notes, scheduling, invoicing, and a secure client portal into one simpler tool, with structured SOAP session notes and a genuinely free plan. It's the standout choice if you don't bill insurance — which describes most coaches and many cash-pay therapists — because you skip the clinical and claims overhead and keep pricing flat and low.
Practice Better
A nutrition-focused platform with meal plans, telehealth, and detailed client tracking. Deep wellness tooling, with client-tiered pricing.
Best for: Nutritionists and health coaches
Soap Notes vs Practice Better →Jane
A polished platform for allied-health clinics — physio, massage, chiropractic — with charting and an insurance-billing add-on. Priced per practitioner.
Best for: Multi-practitioner allied-health clinics
Soap Notes vs Jane →Healthie
A telehealth-first platform for dietitians, with meal plans and insurance superbills. Strong nutrition workflows; unlimited clients only on higher tiers.
Best for: Dietitians and nutrition practices
Soap Notes vs Healthie →How we picked
We're the makers of Soap Notes, so we rank it first, but only for the audience it genuinely fits, and we're upfront about where each other tool is stronger. Every option here is a real, current product, and the notes below reflect each tool's own site as of September 2026.
What each one costs
Verified on each vendor's own pricing page in September 2026.
| Tool | Cheapest paid plan | Unlimited clients |
|---|---|---|
| Soap Notes | Free, up to 5 active clients | $36/mo billed annuallyNo per-practitioner fee and no add-on pricing. Does not file insurance claims. |
| SimplePractice | $49/mo per clinician | $49/mo per clinicianNo client cap, but priced per person: a group pays $99 for the first and $74 for each additional. Care Aide $59/mo and Note Taker $35/mo sit outside the plan. |
| Practice Better | $35/mo, capped at 10 clients | $99/mo (Plus)The free Sprout plan is for students and new starters, limited to 3 clients. Additional practitioner $50/mo. |
| Jane | CAD $54/mo, capped at 20 appointments | CAD $79/mo (Practice)Practice and Thrive include one practitioner and charge monthly for each extra. Insurance billing is a CAD $20/mo add-on. |
| Healthie | $19/mo, capped at 10 clients | $129/mo (Plus)14-day trial of Plus, no card required. Team members $50/mo each on the Group plan. |
Entry prices are the least comparable number on this page, which is why the cap sits next to each one. Healthie starts cheapest at $19 and stops at 10 clients; SimplePractice never caps clients but charges for every clinician instead. Work out which limit you will hit first, then compare the column that matters to you. Figures were correct on each vendor's pricing page in September 2026 and change often, so check before deciding.
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