AI Therapy Notes Cost Calculator: Upheal vs Mentalyc vs SimplePractice vs TherapyNotes

By The Professions Cloud Editors Updated October 2026 · 5 sources · 3 min read

Prices and facts checked October 14, 2026. We don't accept payment for rankings.

How to use it: enter how many sessions you see in a typical week, and tick the box if you see couples or families. The calculator converts that into notes a month, picks the plan that fits for each tool, and shows the monthly cost and the cost per note.

Notes a month are estimated as sessions a week × 52 ÷ 12. SimplePractice and TherapyNotes add-ons only work inside those EHRs, so add your EHR plan to compare fairly if you'd be switching.

Where the prices come from

All prices were checked on each vendor's pricing page on October 14, 2026:

Sources: Upheal pricing; Mentalyc pricing; SimplePractice pricing; SimplePractice Note Taker FAQs; TherapyNotes pricing.

How to read the results

• Light caseloads favor Mentalyc. Under about 100 notes a month, its Basic plan costs less than Upheal's flat $39.
• Full caseloads favor Upheal's unlimited plan, unless you need Mentalyc's extras: automatic CPT codes, supervision notes or group notes.
• If you already use an EHR, its built-in add-on avoids running a second system and copying notes across. Compare SimplePractice and TherapyNotes in our EHR comparison.
• Cost per note is the fairest way to compare. A cheaper plan you outgrow mid-month costs more in the end.

Example: a therapist seeing 22 clients a week

At 22 sessions a week, you write about 95 notes a month:

• Mentalyc Basic (100 notes, annual billing): $29.99, about $0.32 per note
• Upheal AI Notes: $39, about $0.41 per note, with room to grow
• SimplePractice Note Taker: $35 on top of your SimplePractice plan
• TherapyNotes TherapyFuel: $40 on top of your TherapyNotes plan

If you also see couples or families, Mentalyc moves you up to Pro ($59.99, about $0.63 per note), and Upheal becomes the cheaper choice. Add a few more clients a week and you'd pass Mentalyc Basic's 100-note limit, so leave some headroom when you pick a plan.

Cost isn't the only thing to check

Before recording any session, make sure:

1. The vendor signs a BAA. Upheal and Mentalyc both state that every account is covered. SimplePractice and TherapyNotes cover their AI under their existing BAAs.
2. You know what happens to audio and transcripts. SimplePractice, for example, may keep de-identified transcripts from June 17, 2026 unless you change the setting (Note Taker FAQs).
3. You have written client consent where your state requires it. Use our free AI notes consent form template and see the state AI scribe consent laws.

Compare in detail

Features, privacy and reviews: Upheal vs Mentalyc and Best AI Progress Notes for Therapists.

FAQ

What's the cheapest AI note-taker for therapists?

For light caseloads, Mentalyc Mini ($14.99/month on annual billing for 40 notes). For full caseloads, Upheal's $39 unlimited plan usually costs least per note. Upheal also has a free plan for dictated and uploaded notes.

Do these prices include an EHR?

Upheal can be used on its own or as an EHR ($1 a session or $99 a month). Mentalyc works alongside your EHR. SimplePractice and TherapyNotes charge their AI add-ons on top of their EHR plans.

Does the calculator store my numbers?

No. It runs entirely in your browser.

Changelog: Oct 14, 2026: first published.