Soap Notes vs TheraNest
Soap Notes vs TheraNest: pricing & features compared
Both document sessions and run a practice. TheraNest is a mental-health EHR with a low entry price but paid add-ons; Soap Notes is a simpler, flat-priced all-in-one for cash-pay therapists and coaches, with a free plan.
Pricing & features last reviewed July 2026.
The short version
Choose TheraNest if you bill insurance and want a low entry price with clinical add-ons. Choose Soap Notes if you want flat, all-in pricing with scheduling and a portal included, and a free plan.
TheraNest is a mental-health practice platform known for a low starting price. The catch is what sits on top: telehealth, client self-scheduling, and e-prescribing are paid add-ons, the base price scales with your active-client count, and insurance claims carry per-claim fees. Soap Notes bundles the everyday essentials, structured SOAP notes, scheduling with self-booking, invoicing, and a client portal, into flat plans that start free. If you bill insurance, TheraNest's depth may be worth it; if you don't, a flat-priced tool is usually the better deal.
Feature-by-feature
| Feature | Soap Notes | TheraNest |
|---|---|---|
| Free planTheraNest offers a trial but no permanently free plan. | ||
| Starting paid price | $36/mo (Standard, billed annually) | From ~$29/therapist/mo |
| SOAP / structured session notes | ||
| Reusable note templates | ||
| Scheduling with reminders | ||
| Client self-scheduling & portal | Included | Paid add-on (~$6/therapist) |
| Built-in telehealth / video | Paid add-on (~$12/clinician) | |
| Insurance billing & claimsTheraNest files claims with per-claim fees; Soap Notes is built for cash-pay. | ||
| E-prescribing | Add-on (~$65/clinician) | |
| Invoicing & card payments | Via Stripe | |
| Designed for non-clinical coaches | Clinically focused | |
| Pricing model | Flat plans, incl. free | Per therapist + paid add-ons |
Who each one is best for
Soap Notes is best for
- Cash-pay therapists and coaches who don't bill insurance
- Practices that want scheduling and a portal included, not as add-ons
- Solo and small practices that want to start free
- Anyone who wants flat, predictable pricing
TheraNest is best for
- Mental-health clinicians who bill insurance and file claims
- Practices that want a low entry price and will add features à la carte
- Prescribers who need e-prescribing
- Teams already standardized on TheraNest
Pricing compared
Soap Notes
Flat plans, including a free tier
Starter
Up to 5 active clients
Free
Standard
$36/mo billed annually · unlimited clients
$45/mo
Teams
$65/mo billed annually · team features
$81/mo
TheraNest
Per clinician, per month
Essentials
Per therapist; scales with active clients
From ~$29/mo
Telehealth add-on
Per clinician
+~$12/mo
E-prescribing add-on
Per clinician
+~$65/mo
TheraNest pricing shown as of July 2026; its base price scales with active-client count and several features are paid add-ons. Check theranest.com for current pricing. Soap Notes prices reflect our current plans.
When Soap Notes is the better choice
TheraNest's entry price looks low until you add the pieces most practices need: telehealth, client self-scheduling, and e-prescribing are billed on top, and the base cost rises as your client count grows. Soap Notes puts scheduling, self-booking, a client portal, and structured notes in flat plans that start free, so what you see is what you pay. For cash-pay and coaching work, that predictability is usually the better deal.
When TheraNest is the better choice
If you bill insurance and want a low entry price with the option to add clinical features as you need them, TheraNest is built for that. For a mental-health practice that files claims and needs e-prescribing, it is a capable, established choice, and if those workflows are core to how you work, it is likely the better fit.
Already using TheraNest?
See how to switch to Soap Notes at your own pace.
Frequently asked questions
Try Soap Notes free
Notes, scheduling, invoicing, and a client portal in one place, free to start, no credit card required.