Healthcare · head to head
Talkspace vs Zanda Health

Talkspace
Healthcare
Consumer online therapy and psychiatry app billed by subscription or insurance copay
- From
- On request
- Rated
- -

Zanda Health
Healthcare
Practice management and clinical notes for allied health clinics, formerly Power Diary
- From
- $19/month
- Rated
- -
The short version
- Each has a real cost: Talkspace without insurance, self-pay plans can run into the hundreds of dollars a month, materially more than many people expect from an app-based service.; Zanda Health the 2024 rename from Power Diary means most third party reviews, integration guides and community answers still sit under the old name, so buyers researching Zanda Health find a thin trail and may wrongly conclude it is a new and unproven product.
- They diverge on capability: Talkspace covers Messaging therapy, Zanda Health covers Unlimited admin users.
- Prices and features above were last checked on 1 September 2026.
Where they differ
Only the attributes on which Talkspace and Zanda Health actually diverge.
| Attribute | Talkspace | Zanda Health |
|---|---|---|
| Starting price | On request | $19/month |
| Pricing model | Subscription or insurance copay | Per user per month |
| Platforms | iOS, Android, Web | Web, iOS, Android |
Identical on both: free tier (No), user rating (Not yet rated), category (Healthcare).
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 Talkspace
- Messaging therapy
- Live sessions
- Psychiatry
- Insurance billing
- Therapist matching and switching
- Teen therapy
Only in Zanda Health
- Unlimited admin users
- Australian funder billing
- Clinical note templates
- Two way SMS
- Telehealth Pro
- Practitioner rostering
- Client portal
- BizzyAI Scribe
What people use each for
The jobs each tool is most often brought in to do.
Talkspace
- Someone wanting to start therapy without waiting weeks for an in-person appointmentnot Zanda Health
- A person whose insurance is in-network with Talkspace, getting therapy at a standard copaynot Zanda Health
- Someone who prefers asynchronous messaging therapy over scheduled live sessionsnot Zanda Health
- A patient needing psychiatric medication management alongside or instead of talk therapynot Zanda Health
Zanda Health
- A five physiotherapist clinic in Melbourne that bulk bills Medicare and wants claiming inside the diary rather than a separate portalnot Talkspace
- A psychology group practice with more reception staff than clinicians, where per seat pricing elsewhere would double the billnot Talkspace
- A UK osteopathy practice moving off paper diaries that needs online booking and card payment without an implementation projectnot Talkspace
- A multi site podiatry business that needs room and equipment allocation alongside practitioner availabilitynot Talkspace
Where each one falls short
Documented limitations, not opinions. Every one is a constraint you would hit in normal use.
Talkspace
- Without insurance, self-pay plans can run into the hundreds of dollars a month, materially more than many people expect from an app-based service.
- Psychiatry is billed as a separate service from therapy, so a user wanting both medication management and talk therapy pays two distinct charges.
- Message-based therapy is not equivalent to weekly live sessions for every clinical need, and some conditions are better served by in-person or live-only care.
- Therapist continuity is not guaranteed; a matched provider can leave the platform, requiring the user to rematch and rebuild rapport with someone new.
- Cancelling a subscription plan requires navigating Talkspace's account settings or support, and complaints about difficulty cancelling or unexpected renewal charges have been documented by users.
Zanda Health
- The 2024 rename from Power Diary means most third party reviews, integration guides and community answers still sit under the old name, so buyers researching Zanda Health find a thin trail and may wrongly conclude it is a new and unproven product.
- North American billing is not properly served: there is no claims clearinghouse and superbill handling is basic, so a United States practice will need a separate revenue cycle tool and will pay for two systems.
- Pricing is quoted in United States dollars while the company, support hours and product depth are Australian, so buyers outside those two time zones get support with an overnight lag on urgent clinical scheduling problems.
- SMS is billed per message beyond the plan allowance and a dedicated number is required in the United States and Canada, so a busy clinic sending reminders and follow ups accumulates a variable monthly cost that is not visible in the headline plan price.
- Reporting is adequate for a single clinic but weak for a group: cross site financial consolidation and practitioner productivity comparison generally end up exported to a spreadsheet, which becomes a monthly manual job as soon as you pass a handful of locations.
Pricing, plan by plan
Talkspace
On request- Messaging Therapy (self-pay)$undefined/week
- Roughly 69 USD a week billed monthly, messaging only
- Live session add-ons cost extra
- Messaging Plus Sessions (self-pay)$undefined/week
- Roughly 99 to 129 USD a week billed monthly, includes live sessions
- Insurance plan$undefined/session
- Cost set by the user's own insurance plan, not Talkspace, when in-network
- Psychiatry$undefined/visit
- Initial evaluation priced separately, commonly a few hundred dollars
- Lower cost follow-up visits
Zanda Health
$19/month- Starter$19/month
- One practitioner
- One administrative user
- 1,000 appointments per year
- Growth$49/month
- Base fee plus 19 USD per additional practitioner per month
- Unlimited free administrative users
- Unlimited appointments
- Telehealth Pro add-on$9/month
- Per practitioner
- Unlimited video consultations
- Recording and waiting room
Which should you pick?
Choose Talkspace if
- You need messaging therapy.
- You work on iOS, Android, Web.
- You also want live sessions.
Choose Zanda Health if
- You need unlimited admin users.
- You work on Web, iOS, Android.
- You also want australian funder billing.
Questions people ask
- Is Talkspace or Zanda Health better?
- Neither clearly leads. Talkspace starts at On request and Zanda Health at $19/month, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
- Which is cheaper, Talkspace or Zanda Health?
- Talkspace starts at On request and Zanda Health at $19/month.
- Does Talkspace or Zanda Health run on more platforms?
- Talkspace runs on iOS, Android, Web. Zanda Health runs on Web, iOS, Android.
- What is Talkspace best used for?
- Talkspace is most often used for someone wanting to start therapy without waiting weeks for an in-person appointment, a person whose insurance is in-network with talkspace, getting therapy at a standard copay, someone who prefers asynchronous messaging therapy over scheduled live sessions, a patient needing psychiatric medication management alongside or instead of talk therapy. Of those, someone wanting to start therapy without waiting weeks for an in-person appointment and a person whose insurance is in-network with talkspace, getting therapy at a standard copay are not what Zanda Health is typically brought in for.
- What can Talkspace do that Zanda Health cannot?
- Talkspace covers Messaging therapy, Live sessions, Psychiatry, Insurance billing. Zanda Health covers Unlimited admin users, Australian funder billing, Clinical note templates, Two way SMS.
Answered from the vendors’ own pages
Talkspace: Does insurance make Talkspace cheaper?
Yes, if in-network with your plan, you generally pay your plan's standard copay rather than Talkspace's self-pay list price.
Zanda Health: Is Zanda Health the same as Power Diary?
Yes. Power Diary rebranded to Zanda Health in 2024. Same company, same product line, same data.
Talkspace: Is psychiatry included in a therapy plan?
No, psychiatry for medication management is billed separately from therapy subscription plans.
Zanda Health: Do receptionists count as paid users?
No. On the Growth plan administrative users are unlimited and free. Only practitioners are charged.
Talkspace: Can I choose my own therapist?
You are matched initially based on an intake questionnaire, but you can request a different therapist if the match is not a good fit.
Zanda Health: Does it handle Medicare bulk billing?
Yes, Medicare Online, DVA and bulk billing claims are submitted from within the platform for Australian practices.
Zanda Health: Is it suitable for a United States practice?
Only partly. Charting, scheduling and telehealth work, but there is no claims clearinghouse, so US insurance billing needs a separate system.
Related pages
More on Zanda Health
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