AI Therapy Notes: Costs at 20 Sessions a Week
By Bomi Team • October 14, 2026
AI therapy-note prices use different units: a monthly subscription, a generated chart note, a recorded session, or a token allowance. To compare them fairly, use the number of sessions you expect to document and the workflow the tool actually supports.
Disclosure: Bomi publishes this guide. The examples compare published prices rather than independently measured accuracy, model quality, or time saved. Prices were checked October 14, 2026.
Sections
- The baseline: 20 sessions per week
- Add the underlying EHR costs
- Where pay-as-you-go and monthly pricing cross
- An allowance is not a verified note count
- SimplePractice AI scope
- TherapyNotes AI scope
- Sessions Health AI scope
- Carepatron AI scope
- TheraNest AI scope
- TherapyAppointment AI scope
- Jane AI scope
- Bomi AI scope
- Evaluate the finished documentation
- Related comparisons
- Frequently Asked Questions
The baseline: 20 sessions per week
Twenty completed sessions every week produce 1,040 annual sessions. Dividing by 12 gives 86.67 monthly, rounded here to 87. This assumes 52 working weeks; vacation, cancellations, and fewer AI-assisted visits reduce actual usage.
Provider | AI price model | AI only, 10 notes/sessions | AI only, 87 notes/sessions |
|---|---|---|---|
SimplePractice | $35.00/clinician/month | $35.00 | $35.00 |
TherapyNotes | $40.00/clinician/month | $40.00 | $40.00 |
Sessions Health | $35.00/clinician/month | $35.00 | $35.00 |
Carepatron | Included in modeled paid plan | $0.00 | $0.00 |
TheraNest | $35.00/clinician/month | $35.00 | $35.00 |
TherapyAppointment | $0.59/generated chart note | $5.90 | $51.33 |
Jane | $15.00/clinician/month | $15.00 | $15.00 |
Bomi | $1/recorded telehealth session | $10.00 | $87.00 |
Each row assumes one paid note or recorded session per appointment. AI-only amounts exclude the underlying EHR subscription and Bomi’s required billing service. Jane also offers five free notes monthly; the table assumes the paid subscription at ten or 87 notes. Carepatron’s included-AI row uses the paid configuration, not its limited free-plan allowance.
Add the underlying EHR costs
EHR / selected plan | Software monthly, before AI | With AI on 87 sessions | Annual license fee |
|---|---|---|---|
SimplePractice — Plus | $99.00 | $134.00 | $20.00 |
TherapyNotes — Group, first clinician | $79.00 | $119.00 | $0.00 |
Sessions Health — Professional + telehealth | $49.00 | $84.00 | $0.00 |
Carepatron — Advanced, clinician + staff | $98.00 | $98.00 | $0.00 |
TheraNest — Advanced | $59.00 | $94.00 | $19.50 |
TherapyAppointment — Standard solo + telehealth | $74.00 | $125.33 | $0.00 |
Jane — Practice | $79.00 | $94.00 | $0.00 |
Bomi — EHR + required Bomi Billing | $29.00 + required 4% billing | $116.00 + required 4% billing | $0.00 |
Software totals exclude claim and eligibility transactions, card processing, taxes, paid reminders, other third-party charges, and human billing services. Jane’s optional insurance tools are also excluded. Bomi’s required billing fee is additional in every Bomi total; it cannot be omitted from a complete purchasing estimate.
SimplePractice: Plus is selected for scheduler or biller access; it is not the lowest solo plan. A $20 annual AMA fee is shown separately. Insurance transactions are additional.
TherapyNotes: Group is selected because the scenario includes a staff user. Basic telehealth is modeled; premium telehealth and insurance transactions are excluded.
Sessions Health: The total is $39 Professional plus $10 telehealth. Claims start at $0.25 each and eligibility reports are $0.15 each; those transaction fees are excluded.
Carepatron: Advanced is selected for staff permissions. The monthly rate is $49 per team member from the subscription help center, not the $39 annual-equivalent rate. Free and Plus may suit other setups.
TheraNest: Advanced supplies the modeled telehealth and messaging features. The $19.50 annual CPT license fee is separate; usage above included allowances is excluded.
TherapyAppointment: The total is $59 standard subscription plus $15 integrated telehealth. Lower introductory tiers are excluded. Electronic claims, eligibility, and card processing are additional.
Jane: Practice avoids Balance’s 20-appointment monthly cap. Insurance Billing, its clearinghouse account, and group telehealth are excluded from the displayed software total.
Bomi: The $29 subscription is not available without required billing at 4% of net collections. The first-three-month EHR waiver is excluded; third-party charges remain separate.
Where pay-as-you-go and monthly pricing cross
For price alone, Bomi’s $1/session equals a $35 monthly AI subscription at 35 sessions, TherapyFuel’s $40 subscription at 40 sessions, and Jane’s $15 subscription at 15 sessions. Above those points, the flat AI fee is lower, assuming sufficient usage and the same supported workflow. These are AI-only comparisons, not total practice costs.
TherapyAppointment’s $0.59 per generated chart note reaches $35 at about 60 notes. At 87 notes it costs $51.33. A note-based fee is not necessarily equivalent to a recording-based fee, so verify revisions, regeneration, and the number of paid outputs per appointment.
An allowance is not a verified note count
Do not convert an AI-token allowance into a number of therapy notes without the vendor’s model and workload assumptions. Session duration, transcript size, prompts, revisions, and output length can affect usage. Ask for a concrete example using your own expected session length and note format.
SimplePractice AI scope
Note Taker is priced separately from the broader Care Aide suite. The comparison uses the standard standalone Note Taker rate, not a promotional price or the price of the entire suite.
TherapyNotes AI scope
TherapyFuel is an optional clinician subscription. Its published overview says it is not currently available for group therapy sessions; verify your session types rather than treating every AI offering as equivalent.
Sessions Health AI scope
AI Assist is a flat monthly add-on. The pricing page distinguishes supported workflows from features labeled coming soon; check in-person recording and any other required input before buying.
Carepatron AI scope
Paid plans advertise included AI with unlimited tokens. The free plan lists 1 million AI tokens and 1 GB of storage; tokens are not a guaranteed number of completed therapy notes. Confirm applicable terms and workflow limits.
TheraNest AI scope
Ensai notes enhancement included in a plan is distinct from the paid Session Assistant scribe. This comparison uses the $35 per-provider Session Assistant add-on, not a claim that all AI costs extra.
TherapyAppointment AI scope
AI Notes are $0.59 per chart note with unlimited free edits. A generated chart note and a recorded session are different billing units; the model assumes one paid note for each completed session.
Jane AI scope
Jane lists five free AI notes per month and a $15 monthly unlimited AI Scribe subscription per opted-in practitioner. Check recording and dictation workflows against your documentation needs.
Bomi AI scope
Bomi AI notes are pay-as-you-go for recorded telehealth sessions. They are not a flat unlimited subscription and should not be presented as less expensive for every caseload.
Evaluate the finished documentation
Try the same synthetic session summary or recording in the tools that support it.
Check factual omissions, unsupported additions, your required structure, and editing time.
Verify supported in-person, telehealth, dictation, and upload routes.
Ask how recording, retention, access, and client consent work before using a real session.
Confirm how the reviewed note becomes part of the clinical record.
A model name or the phrase state of the art does not establish a better note. Compare the output you can review and use, then include the time spent correcting it. A clinician still needs to assess the finished record.
Related comparisons
Frequently Asked Questions
How many AI notes do 20 sessions a week require?
Assuming one note per session and 52 working weeks, 20 weekly sessions produce 1,040 annual notes, or 86.67 monthly on average. The examples round to 87; your actual usage depends on time off and how many sessions use AI.
Are Bomi AI notes cheaper than a subscription?
At $1 per recorded telehealth session, Bomi AI costs $10 for ten sessions or $87 for 87 sessions. A $35 monthly AI subscription is lower above 35 sessions on price alone, assuming comparable supported use. The underlying EHR and required billing fees are separate.
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Founded by George Ruan, Dax Earl, and Andrey Goder, Bomi helps independent therapists and group practices with insurance billing, credentialing, and payer follow-up. Bomi grew out of Dax’s experience helping his mother with her therapy practice, with a clear purpose: reduce the administrative burden of insurance while keeping practice owners in control.
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