TheraNest vs TherapyAppointment: Costs and Fit for Therapists
By Bomi Team • October 14, 2026
Comparing TheraNest and TherapyAppointment? Start with the practice you actually run: the people who need access, the sessions you see, and who handles insurance work. This guide separates subscription costs from AI and billing, then explains when Bomi belongs on the shortlist.
Disclosure: this comparison is published by Bomi. Prices and feature statements are linked to vendor sources. We have not run a comparative product-quality benchmark, and a cheaper subscription is not proof of a better clinical workflow.
Sections
Allowances versus transaction charges
A practical estimate includes subscriptions, telehealth, AI, and expected insurance transactions. Included allowances have value only when you use them; per-transaction pricing can be useful when volume is low. Build the estimate with your actual claims and note count.
How we compare costs at 20 sessions a week
Our scenario is one clinician, individual telehealth, secure client messaging, and one scheduler or biller user. We model 20 completed sessions weekly: 20 × 52 ÷ 12 = 86.67 monthly on average, rounded to 87 for transaction examples. Time off, cancellations, and your actual usage can change the bill.
Prices were checked October 14, 2026. We use standard US monthly rates after promotions, with optional AI for one note per session. Annual license fees are listed separately. These are selected configurations, not a complete feature-equivalence audit or the cheapest possible plan for every clinician.
EHR / selected plan | Software monthly, before AI | With AI on 87 sessions | Annual license fee |
|---|---|---|---|
TheraNest — Advanced | $59.00 | $94.00 | $19.50 |
TherapyAppointment — Standard solo + telehealth | $74.00 | $125.33 | $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.
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.
What to know about TheraNest
TheraNest is worth comparing when the choice turns on insurance features and plan allowances. Its Essentials, Advanced, and Premier tiers have materially different inclusion rules, so the lowest subscription is not a stand-in for every practice.
Essentials is $29, Advanced $59, and Premier $89 per therapist monthly. Advanced includes telehealth and secure messaging and lists monthly practice-level allowances for claims, eligibility checks, and text or phone reminders. Premier advertises unlimited versions subject to its usage policy.
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.
TheraNest pricing and plan details
TheraNest feature and usage details
What to know about TherapyAppointment
TherapyAppointment is useful to evaluate when you want free administrative accounts and usage-based AI notes. Its low-volume introductory subscription should be separated from the standard rate for an established caseload.
At 40 or more booked sessions in a month, the published standard subscription is $59. Integrated telehealth adds $15 per provider. Administrative accounts and secure messaging are included. The lower introductory tiers do not represent this 87-session month.
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.
TherapyAppointment pricing and plan details
TherapyAppointment feature and usage details
Which should you shortlist?
TheraNest: You want to compare plan allowances with your insurance volume and may benefit from the difference between Advanced and Premier.
TherapyAppointment: You want included administrative access and prefer to pay for generated AI chart notes as you use them.
Model the practice-wide allowance with your actual clinician count. A shared allowance can work differently for a solo practice and a group, even when the per-clinician subscription looks predictable.
Test the claim progress logs and problem-claim notifications with the person who will act on them. Check whether your existing telehealth setup changes which optional video integration you would purchase.
Bomi as a third option
Bomi makes sense to investigate if you also want an in-house team handling billing. Its EHR is $29 monthly per clinician plus required billing at 4% of net collections. AI notes cost $1 per recorded telehealth session. At 87 sessions with AI on every visit, software and AI are $116 before the required billing fee and third-party charges.
Bomi is not VC-backed, and our billing team is in-house. That describes how we operate; it does not establish how another vendor staffs its services. Ask every provider who performs benefits checks, payer follow-up, and denial work, and how the practice can review that work.
For a self-billing practice, managed billing adds a new expense. For a practice already paying a biller, compare the full package with that existing fee. At an illustrative $10,000 in monthly net collections, Bomi’s required 4% fee is $400; the modeled EHR and all-session AI bring the subtotal to $516 before third-party charges.
See Bomi’s current prices and service scope
Switching from TheraNest to TherapyAppointment
Before switching from TheraNest, review exports for clinical documents, attachments, and billing history. Set responsibility for claims already submitted and verify that the new biller can distinguish an unpaid claim from a historical balance.
Before canceling, ask the destination for an import checklist and a sample reconciliation. Verify client count, signed notes, attachments, active treatment plans, future appointments, payer details, and open balances. Keep a written cutover date and an owner for old claims. Do not assume payer enrollments, payment credentials, or every document format move automatically.
Run a complete workflow with a synthetic client: intake, scheduling, documentation, billing, payment review, and export. Record missing fields and manual steps. A successful demo is more useful than a long feature checklist, especially when you depend on custom forms or staff permissions.
Related comparisons
AI notes at 20 sessions weekly
Frequently Asked Questions
Is TheraNest or TherapyAppointment cheaper?
For the selected clinician-plus-staff setup, monthly software is $59.00 for TheraNest and $74.00 for TherapyAppointment. With AI for 87 sessions, the subtotals are $94.00 and $125.33. Annual license fees, insurance transactions, payment processing, and human billing services are separate. Other plan configurations can change the comparison.
When should I consider Bomi instead?
Consider Bomi when you want to evaluate an EHR together with managed billing. Its billing service is required with the EHR, so compare complete service costs rather than subscription prices alone.
Want Bomi to handle insurance?
Bomi helps therapy practices with credentialing, benefit checks, claims, denials, balances, and revenue management.
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About Bomi
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.
Meet our founders