Employee Engagement · head to head
BetterUp vs TheraNest

TheraNest
Healthcare
Mental health EHR and practice management priced per therapist
- From
- $29/month
- Rated
- -
The short version
- Each has a real cost: BetterUp no pricing page or published pricing information available; TheraNest the Essentials plan includes no insurance claims at all, so any practice that bills a payer is effectively on the 59 USD tier or above and the advertised 29 USD entry price does not apply to it.
- They diverge on capability: BetterUp covers 1-on-1 coaching, TheraNest covers Progress notes and treatment plans.
- Prices and features above were last checked on 31 August 2026.
Where they differ
Only the attributes on which BetterUp and TheraNest actually diverge.
Identical on both: free tier (No), user rating (Not yet rated).
What each one covers
Drawn from each product's published feature list. An absence here means we hold no record of it - not that the product lacks it.
Only in BetterUp
- 1-on-1 coaching
- Mental health support
- Leadership development
- AI-powered matching
- Progress tracking
- Team analytics
- Mobile coaching
- Skill assessments
Only in TheraNest
- Progress notes and treatment plans
- Insurance claims
- Client portal
- Telehealth
- Group and family sessions
- Payroll and staff reporting
What people use each for
The jobs each tool is most often brought in to do.
BetterUp
- One-to-one professional coaching provided as an employee benefitnot TheraNest
- Manager development programmesnot TheraNest
- Leadership development at enterprise scalenot TheraNest
- Measuring coaching impact across a workforcenot TheraNest
TheraNest
- A solo therapist who needs a HIPAA aligned note and scheduling system and does not bill insurance, where the 29 USD entry tier is genuinely sufficientnot BetterUp
- A group practice of six to twenty clinicians that wants per clinician productivity and payroll reporting without buying a separate practice management layernot BetterUp
- A practice moving off paper or a general purpose calendar that needs a client portal for intake forms and consent signaturesnot BetterUp
- A behavioural health organisation that bills a steady volume of insurance claims each month and can size the Advanced allowance against its actual claim countnot BetterUp
Where each one falls short
Documented limitations, not opinions. Every one is a constraint you would hit in normal use.
BetterUp
- No pricing page or published pricing information available
- Vendor requires demo request or direct sales contact for pricing
- No public tiers or feature comparison by price level
TheraNest
- The Essentials plan includes no insurance claims at all, so any practice that bills a payer is effectively on the 59 USD tier or above and the advertised 29 USD entry price does not apply to it.
- Telehealth is only in the Premier plan, so a practice that wants video sessions pays 89 USD per therapist per month even if it needs nothing else from that tier.
- An annual AMA CPT licence fee is billed separately each December on top of subscription cost, which surprises practices that budgeted only the monthly figure.
- Additional administrative users are chargeable, so a practice with front desk and billing staff who never see clients still pays 19 to 29 USD per head for people who generate no revenue.
- The product sits inside a consolidated portfolio that has already renamed the parent company from Therapy Brands to Ensora Health, and product investment in a portfolio is directed by the owner rather than by this product line, so roadmap commitments are worth less than they would be from a single product vendor.
Pricing, plan by plan
BetterUp
On request- Care$undefined/month
- Mental health coaching
- Stress management
- Work-life balance
- Coaching$undefined/month
- 1-on-1 coaching
- Leadership development
- Career growth
- Enterprise$undefined/month
- All coaching tiers
- Executive coaching
- Team coaching
TheraNest
$29/month- Essentials$29/month
- Per therapist
- Scheduling and client portal
- HIPAA aligned notes and documentation
- Advanced$59/month
- Per therapist
- 30 insurance claims per month included
- Custom forms
- Premier$89/month
- Per therapist
- Unlimited insurance claims
- Billing automation
Which should you pick?
Choose BetterUp if
- You need 1-on-1 coaching.
- You work on Web, Ios, Android, Api.
- You also want mental health support.
Choose TheraNest if
- You need progress notes and treatment plans.
- You work on Web, iOS, Android.
- You also want insurance claims.
Questions people ask
- Is BetterUp or TheraNest better?
- Neither clearly leads. BetterUp starts at On request and TheraNest at $29/month, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
- Which is cheaper, BetterUp or TheraNest?
- BetterUp starts at On request and TheraNest at $29/month.
- Does BetterUp or TheraNest run on more platforms?
- BetterUp runs on Web, Ios, Android, Api. TheraNest runs on Web, iOS, Android.
- What is BetterUp best used for?
- BetterUp is most often used for one-to-one professional coaching provided as an employee benefit, manager development programmes, leadership development at enterprise scale, measuring coaching impact across a workforce. Of those, one-to-one professional coaching provided as an employee benefit and manager development programmes are not what TheraNest is typically brought in for.
- What can BetterUp do that TheraNest cannot?
- BetterUp covers 1-on-1 coaching, Mental health support, Leadership development, AI-powered matching. TheraNest covers Progress notes and treatment plans, Insurance claims, Client portal, Telehealth.
Answered from the vendors’ own pages
BetterUp: How is BetterUp priced?
BetterUp does not publish pricing on their website. They use a custom pricing model requiring direct contact with their sales team to receive quotes tailored to organizational needs.
SourceTheraNest: Is TheraNest still sold under that name?
Yes. The company rebranded from Therapy Brands to Ensora Health and the product is now marketed as TheraNest by Ensora Health, but you still buy TheraNest.
BetterUp: Are there different BetterUp plans for small versus enterprise organizations?
BetterUp offers products for different use cases (Lead, Manage, Grow, Ready) but does not publicly disclose tier-specific pricing or plan structures. Custom quotes are required.
SourceTheraNest: Can I bill insurance on the cheapest plan?
No. Essentials includes no claims. Advanced includes 30 claims a month and Premier is unlimited.
BetterUp: What is the best way to request BetterUp pricing information?
Organizations can request pricing by using the Request a Demo or Contact Sales options prominently displayed on BetterUp's website to connect with their sales team.
SourceTheraNest: Are there hidden costs?
Two. Additional admin users are charged per head, and an AMA CPT licence fee is billed annually in December per therapist.
BetterUp: Does BetterUp offer a free trial to evaluate the platform?
BetterUp does not publicly disclose free trial availability or terms on their homepage. Prospects must contact sales to inquire about trial options.
SourceTheraNest: Does it support group practices?
Yes, with per clinician reporting and payroll figures, though every clinician and every admin is a paid seat.
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