Branzino vs SimplePractice

A SimplePractice alternative that doesn't charge by the feature.

SimplePractice is the default for therapists, and it's good at it. It also sells the things you assumed were included — telehealth, messaging, online booking, e-prescribing — as tiers and add-ons. Branzino is the whole thing at one price, built for cash-pay practices of every kind.

Free migration from SimplePractice  ·  No credit card  ·  Cancel anytime

The honest version

Where each one wins

Where SimplePractice wins

  • Track record and scale — over a decade in market, a very large therapist user base.
  • iOS and Android apps for clinicians today (our iOS patient app is still in review).
  • Insurance claim filing on every plan, priced per claim, with a mature clearinghouse workflow.
  • The Monarch client directory, Wiley treatment planners and built-in measurement-based care tools.
  • A larger third-party integration marketplace.

Where Branzino wins

  • Everything included at $29 per provider: telehealth, secure messaging, online booking, portal, memberships, CareRAG — no Essential, no Plus.
  • e-Prescribing for $10 per prescriber with no setup fee, against $49 a month plus $89 setup.
  • Built for more than therapy: med spa, chiropractic, physical therapy, direct primary care and sports performance presets out of the box.
  • Memberships, prepaid packages and card-on-file are first-class, not a workaround.
  • Free data migration, a signed BAA at no charge, and the founder on support.
Who should stay with SimplePractice

If your practice files a high volume of insurance claims and relies on SimplePractice's clearinghouse workflow, or your clinicians live in the SimplePractice mobile app, stay for now. Our insurance billing is a $40 add-on built for practices with a few payers, not a billing department.

Price

What the same practice pays

SimplePractice's group pricing is $99 for the first clinician on Plus and $74 for each additional; ePrescribe is $49 a month per prescriber plus an $89 setup fee; claims are billed per claim on top.

Monthly software cost, published list prices, September 2026
PracticeBranzinoSimplePractice
Solo therapist, telehealth, no insurance$29$79 (Essential)
Solo prescriber (psychiatric NP), no insurance$39$128 + $89 setup
3 clinicians, no insurance$87$247 (Plus, group)
3 clinicians billing insurance, 1 prescriber$217$296 + per-claim fees

SimplePractice: Starter $49, Essential $79, Plus $99 per clinician per month; group Plus $99 first clinician + $74 each additional; ePrescribe $49/month + $89 one-time setup; insurance claims billed per claim (SimplePractice has announced per-claim rates from $0.39 effective 1 October 2026). Telehealth and secure messaging require Essential or above. Branzino: $29 per provider per month, insurance billing +$40 per provider, e-prescribing +$10 per prescriber. Run your own headcount →

Features

Side by side

BranzinoSimplePractice
Published price, no sales call
Telehealth included on the base priceEssential and up
Secure client messaging on the base priceEssential and up
Online booking & intake before the visitEssential and up
e-Prescribing+$10 / prescriber+$49 / month + $89 setup
Insurance claims, eligibility, ERA+$40 / providerPer claim, all plans
Memberships & prepaid packagesLimited
Presets for med spa, chiro, PT, DPC, sports
AI chart assistant with cited sources (CareRAG)Note Taker add-on
Clinician mobile app (iOS)Android now; iOS in review
Free data migrationLimited import
Signed BAA at no charge
Free trial30 days, no card30 days
ONC certification

Feature availability by SimplePractice plan is from their "Comparing features by plan" support article, which is the authority; if it changes, they win the argument, not this table.

Switching

Moving from SimplePractice is our job, not yours

SimplePractice lets you export client demographics and documents; we take that export and do the rest.

1

Export from SimplePractice

From Settings, export your client list and download documents and notes. Send us the files and we take it from there.

2

We map & import

Clients, demographics, notes and history land in Branzino, checked for you. Free, on every plan.

3

Go live

Start seeing patients the same week. Your 30-day trial means you can run both side by side before you cancel anything.

Questions people ask when leaving SimplePractice

Can you import my SimplePractice notes and documents?

Yes. Send us the client export and the downloaded documents; we map demographics, history and files into Branzino for you, free. Notes come across as documents attached to the right client.

Does Branzino have Wiley treatment planners?

No. If you depend on Wiley's libraries, that's a real reason to stay. Branzino has structured treatment plans, PHQ-9 and GAD-7 screening, and behavioral-health intake and risk assessment built in.

Do I lose telehealth if I switch?

No — telehealth is included on the $29 plan for every provider, with no tier to move up to.

Are you ONC-certified?

No. Certification matters if you bill Medicare or Medicaid under programs that require certified technology. For a practice that bills patients directly it has no bearing on charting, prescribing or HIPAA. Who actually needs it →

How long have you been around?

We started building Branzino in early 2025 and opened it to practices in summer 2026. We're early and we say so. Who's behind it →

Sources, all read on 6 September 2026: SimplePractice pricing · Comparing features by plan · Insurance pricing changes. SimplePractice prices and features change; check their site before you decide, and tell us if we've got something wrong.

You've been meaning to leave for a while.

Most practices stay because switching sounds like a nightmare. We move your clients and history across for free, and you'll be charting the same week. 30 days, no card.

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