Quick Answer
Last verified:
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SimplePractice costs Free to $99 per per provider/month as of March 2026. Pricing depends on your chosen tier, contract length, and negotiated discounts.

Use the interactive pricing calculator to estimate your exact cost based on team size and requirements.

  • Free tier: No free tier available

SimplePractice true cost runs 70% above the listed $0-$99/per provider/month price as of March 2026. For a 25-person team, expect ~$24,990 in year-one costs vs the $14,700 base license. Key hidden costs: credit card processing fee markup, insurance eligibility check fees, telehealth add-on fee. Verified from 1 sources by CostBench.

Hidden Costs Breakdown

1

Credit Card Processing Fee Markup

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SimplePractice charges 3.15% for credit card transactions despite Stripe (their processor) charging a baseline of 2.9% to most companies. The 0.25% markup translates to an additional $250 per $100,000 processed.

reddit

they also raised transaction fees to 3.15% despite Stripe charging every company it works with a baseline of 2.9%? (By the way, just some quick math: that .25% translates into $250 for every $100,000; so, with roughly $150MM in transaction fees processed every year on SP, the company makes about $500K in additional cash with that simple transaction fee increase.

2

Insurance Eligibility Check Fees

low addon

SimplePractice charges $0.05 for each insurance eligibility verification check, which users find frustrating as a nickel-and-diming tactic.

trustradius

insurance eligibility checks are a joke and why in the world are they 5 cents each? Talk about nickel and dimming in my opinion.

3

Telehealth Add-On Fee

low addon

Integrated telehealth platform requires an additional $10/month subscription on top of the base plan.

reddit

There’s also an integrated tele health platform for $10/month.

4

Forced Feature Upgrades

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Users report being required to pay for features they don't need or want as part of plan upgrades, with no ability to opt out of certain add-ons.

trustradius

Increased pricing with forced features that I did not plan to ever use

reddit

SimplePractice has definitely been adding more paid upgrades, and it gets frustrating when essential features suddenly cost extra.

Example: True Cost for 25 Users

License (25 × $49 × 12) $14,700/yr
Credit Card Processing Fee Markup +$250 per $100,000 processed
Insurance Eligibility Check Fees +$0.05 per eligibility check
Telehealth Add-On Fee +$10/month
Forced Feature Upgrades +10-20% of base subscription
Estimated Year 1 Total ~$24,990
That's roughly 1.7× the advertised license price. The median SimplePractice contract is $948/yr across Vendr purchases.

Frequently Asked Questions

01 What hidden costs should I budget for with SimplePractice?

Beyond the license fee, budget for: Credit Card Processing Fee Markup ($250 per $100,000 processed); Insurance Eligibility Check Fees ($0.05 per eligibility check); Telehealth Add-On Fee ($10/month); Forced Feature Upgrades (10-20% of base subscription). Total ownership typically runs 70% higher than the listed price.

02 Does SimplePractice charge for implementation?

SimplePractice doesn't include implementation in the license cost. Implementation is typically done by partners and costs range from $5,000 for basic setup to $100,000+ for enterprise deployments with customization.

03 How much does SimplePractice support cost?

Basic support is included, but premium support (faster response times, 24/7 availability) typically adds 15-20% to your annual contract. This can be thousands of dollars per year for larger deployments.

04 Are there overage or storage costs with SimplePractice?

Most SimplePractice plans include limited storage. Once you exceed the included amount, you'll pay overage fees which can range from $50-$500+ per month depending on data volume.

05 What add-ons cost extra with SimplePractice?

Many features marketed as part of SimplePractice are actually add-ons: advanced reporting, API access, integrations, and specialized modules. Each can add $10-$100+ per user per month.

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