SimplePractice Pricing 2025: Full Cost Breakdown and Best Alternatives

SimplePractice is one of the most widely used practice management platforms in behavioral health — but its pricing structure has become increasingly complex.
While plans start at $49/month, many essential features require upgrades or paid add-ons, often pushing the real monthly cost above $150–$180 for a fully functional setup.

To help clinicians make an informed decision, we published a 2025 full pricing review that breaks down every tier, every add-on, and how SimplePractice compares with more affordable alternatives like CarePaths.

The full guide covers:

Complete cost breakdown: Starter, Essential, and Plus
Add-on pricing (AI notes, e-prescribing, claims, group sessions)
What features require the $99 plan
Where SimplePractice pricing is worth it — and where it isn’t
Best alternative for outcome-focused clinicians: CarePaths
Transparent side-by-side comparison: SimplePractice vs CarePaths

Key Takeaways

SimplePractice → polished interface, strong mainstream adoption, but expensive with add-ons.
Real Total Cost → Starter ($49) + AI Notes ($35) + e-prescribing ($49) = $133+
Most practices end up near $180/month on Plus.
CarePaths → FREE tier for MBC, $10 low-volume plan, and full EHR for $49/month with many features included.