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ICANotes vs TheraNest: Pricing and Ratings Compared (2026)

Entry prices and free plans as read on each vendor's pricing page, and user ratings as published on review sites, for ICANotes and TheraNest side by side. This page compares data; it is not a hands-on review.

On the data: On the data below, TheraNest leads on higher user rating. We do not name an overall winner for this pair.

Data comparison compiled by Toolradar, not hand-reviewed Methodology
Data comparison 1,319 user reviews compared Pricing checked Oct 27, 2026

Short on time? Here's the quick answer

Based on published vendor pricing and features and on public review data, here's who should pick what:

ICANotes

The best mental health EMR & EHR software for clinical excellence and streamlined practice management.

Best for you if:

  • • You want significantly reduces note completion time to an average of 3 minutes

TheraNest

Mental health EHR and practice management software for therapists and behavioral health organizations.

Best for you if:

  • • You want reduces administrative burden, saving therapists significant time
At a glance: ICANotes vs TheraNest
At a Glance
ICANotes ICANotes
TheraNest TheraNest
Starts at
From $35/mo, billed monthly Notes Only (60 Notes/month) plan
From $27/therapist/mo, billed yearly Essentials plan
Category
Practice Management EHR/EMR
Practice Management EHR/EMR
Rating
3.9/5 Capterra 4.1 · G2 3.6 142 reviews 4.3/5 Capterra 4.4 · G2 4.2 1,177 reviews
Free plan
No No
Watch out for
Telehealth is an extra $10/month per user n/a

Choose ICANotes or TheraNest?

ICANotes

Choose ICANotes if

  • You want significantly reduces note completion time to an average of 3 minutes
  • You want comprehensive all-in-one platform eliminates the need for multiple separate systems
TheraNest

Choose TheraNest if

  • You want reduces administrative burden, saving therapists significant time
  • You want specifically designed for mental health practices, addressing unique needs

In-Depth Analysis

ICANotes ICANotes

The best mental health EMR & EHR software for clinical excellence and streamlined practice management.

Fair value

ICANotes offers a tiered pricing structure that can become quite expensive, especially for prescribers.

Watch out

Telehealth is an extra $10/month per user

Strengths

  • Pro: Significantly reduces note completion time to an average of 3 minutes.
  • Pro: Comprehensive all-in-one platform eliminates the need for multiple separate systems.
  • Pro: Designed by clinicians for behavioral health, ensuring relevant and intuitive workflows.
  • Pro: Enhances compliance with audit-ready documentation and ONC Cures Certification.
  • Pro: Strengthens client relationships through integrated communication and engagement tools.

Weaknesses

  • Con: Specific pricing details are not publicly available without a demo or trial.
  • Con: While AI-assisted, it still relies on menu-driven input, which might not suit all documentation styles.

Key features

Menu-driven note templates (SOAP, BIRP, DAP, Group Therapy, Case Management) AI-assisted scribe for documentation Integrated e-prescribing (eRx) including EPCS and PDMP Built-in clinical rating scales and measurement-based care tools Patient portal with secure messaging, digital intake forms, and document sharing Automated scheduling, self-service appointments, and reminders

TheraNest TheraNest

Mental health EHR and practice management software for therapists and behavioral health organizations.

Good value

TheraNest's pricing is fair and competitive, with Essentials at $27 per therapist per month (annual billing) undercutting many rivals.

Strengths

  • Pro: Reduces administrative burden, saving therapists significant time.
  • Pro: Specifically designed for mental health practices, addressing unique needs.
  • Pro: Offers robust security and compliance (HITRUST, HIPAA).
  • Pro: Scalable for both solo and growing group practices.
  • Pro: Automates billing and offers RCM services to improve revenue collection.

Weaknesses

  • Con: No specific cons mentioned in the provided text.

Key features

Smart scheduling & automated reminders (text, email, phone) AI Notes Enhancement with suggestions for clarity, tone, and structure Hassle-free card payments (credit, debit, HSA/FSA) Optional RCM Essentials for insurance claims handling Customizable notes & forms with Dynamic Form Builder Multi-clinician scheduling and calendar coordination

Plans and prices: ICANotes vs TheraNest

Plans and prices of ICANotes and TheraNest, as read on each vendor's pricing page. Each plan keeps its own billing unit.
Tool Plans and prices Source
ICANotes
  • Notes Only (Unlimited Notes): $55/mo, billed monthly
  • Non-Prescribing (Unlimited Notes): $75/mo, billed monthly
  • Prescribing (Unlimited Notes): $213/mo, billed monthly
  • Notes Only (60 Notes/month): $35/mo, billed monthly
  • Non-Prescribing (60 Notes/month): $45/mo, billed monthly
  • Prescribing (100 Notes/month): $138/mo, billed monthly
  • Telehealth (add-on): Usage-based, one-time or minimum-commitment pricing
  • AI Scribe (add-on): Usage-based, one-time or minimum-commitment pricing
  • Additional User (add-on): Usage-based, one-time or minimum-commitment pricing
  • Claims up to 100 (add-on): Usage-based, one-time or minimum-commitment pricing
  • Claims up to 150 (add-on): Usage-based, one-time or minimum-commitment pricing
  • Claims up to 185 (add-on): Usage-based, one-time or minimum-commitment pricing
  • Claims up to 350 (add-on): Usage-based, one-time or minimum-commitment pricing
icanotes.com/pricing read Oct 27, 2026
TheraNest
  • Essentials: $27/therapist/mo, billed yearly
  • Advanced: $54/therapist/mo, billed yearly
  • Premier: $82/therapist/mo, billed yearly
ensorahealth.com/pricing/theranest-mental-health read Oct 27, 2026

Prices as read on each vendor's own pricing page on the date shown. Plans are listed per tool and are not matched against the other tool's plans: a plan name or price in one column says nothing about the same row in the other. Details on ICANotes pricing and TheraNest pricing.

Key Takeaways

ICANotes

  • Choose if you want the best mental health EMR & EHR software for clinical excellence and streamlined practice management

TheraNest

  • Higher user rating: 4.3/5 vs 3.9/5

What the data shows

On the data below, TheraNest leads on higher user rating. We do not name an overall winner for this pair.

  • TheraNest has the higher user rating (3.9/5 from 142 reviews for ICANotes, 4.3/5 from 1,177 reviews for TheraNest).
  • Entry prices are not ranked, they are charged on different bases: ICANotes $35/mo, billed monthly; TheraNest $27/therapist/mo, billed yearly.

Criteria: user rating (only above 20 reviews on both sides, gap of 0.2 or more), entry price (only on the same billing basis), free plan. How we rate

Frequently Asked Questions

How do ICANotes and TheraNest compare in 2026?

On the data below, TheraNest leads on higher user rating. We do not name an overall winner for this pair. TheraNest has the higher user rating (3.9/5 from 142 reviews for ICANotes, 4.3/5 from 1,177 reviews for TheraNest). Entry prices are not ranked, they are charged on different bases: ICANotes $35/mo, billed monthly; TheraNest $27/therapist/mo, billed yearly.

What are ICANotes and TheraNest used for?

ICANotes: The best mental health EMR & EHR software for clinical excellence and streamlined practice management. TheraNest: Mental health EHR and practice management software for therapists and behavioral health organizations.

What does ICANotes cost vs TheraNest?

ICANotes's cheapest paid plan is Notes Only (60 Notes/month) at $35/mo, billed monthly. TheraNest's cheapest paid plan is Essentials at $27/therapist/mo, billed yearly. Prices read on the vendors' pricing pages, latest check Oct 27, 2026.

What's the main difference between ICANotes and TheraNest?

ICANotes's main strength: significantly reduces note completion time to an average of 3 minutes. TheraNest's main strength: reduces administrative burden, saving therapists significant time.

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