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Healthcare · head to head

Tebra vs TheraNest

Tebra logo

Tebra

Healthcare

Practice management combining EHR, billing and patient engagement for independent practices

From
On request
Rated
-
Full reviewWebsite
TheraNest logo

TheraNest

Healthcare

Mental health EHR and practice management priced per therapist

From
$29/month
Rated
-
Full reviewWebsite

The short version

  • Each has a real cost: Tebra no pricing amounts published; custom quote required based on practice configuration; 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.
  • Prices and features above were last checked on 31 August 2026.

Where they differ

Only the attributes on which Tebra and TheraNest actually diverge.

Attributes where Tebra and TheraNest differ
AttributeTebraTheraNest
Starting priceOn request$29/month
Pricing modelquotePer user per month
PlatformsWebWeb, 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 Tebra

Nothing recorded that TheraNest does not also cover.

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.

Tebra

  • Consolidating scheduling, charting, billing into single systemnot TheraNest
  • Automating claims submission and denial managementnot TheraNest
  • Reducing appointment no-shows through automated remindersnot TheraNest
  • Reducing documentation time to five minutes with AInot TheraNest
  • E-prescribing controlled substances with PDMP and EPCSnot 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 Tebra
  • A group practice of six to twenty clinicians that wants per clinician productivity and payroll reporting without buying a separate practice management layernot Tebra
  • A practice moving off paper or a general purpose calendar that needs a client portal for intake forms and consent signaturesnot Tebra
  • 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 Tebra

Where each one falls short

Documented limitations, not opinions. Every one is a constraint you would hit in normal use.

Tebra

  • No pricing amounts published; custom quote required based on practice configuration
  • Pricing based on per-provider licensing model with additional costs for EPCS setup and PDMP integration

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

Tebra

On request

No published plan breakdown. See the Tebra review.

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 Tebra if

Nothing in the data separates Tebra from TheraNest on the points above - pick on price and on how each one feels to use.

Tebra review

Choose TheraNest if

  • You need progress notes and treatment plans.
  • You work on Web, iOS, Android.
  • You also want insurance claims.
TheraNest review

Questions people ask

Is Tebra or TheraNest better?
Neither clearly leads. Tebra 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, Tebra or TheraNest?
Tebra starts at On request and TheraNest at $29/month.
Does Tebra or TheraNest run on more platforms?
Tebra runs on Web. TheraNest runs on Web, iOS, Android.
What is Tebra best used for?
Tebra is most often used for consolidating scheduling, charting, billing into single system, automating claims submission and denial management, reducing appointment no-shows through automated reminders, reducing documentation time to five minutes with ai. Of those, consolidating scheduling, charting, billing into single system and automating claims submission and denial management are not what TheraNest is typically brought in for.
What can Tebra do that TheraNest cannot?
TheraNest covers Progress notes and treatment plans, Insurance claims, Client portal, Telehealth.

Answered from the vendors’ own pages

Tebra: How does Tebra's pricing model work?

Pricing is based on the number of clinical providers rather than user seats. Non-clinical staff get unlimited access at no additional cost. Low-volume providers billing under 100 claims monthly receive lower-tier pricing.

Source
TheraNest: 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.

Tebra: What are the setup and integration costs beyond the monthly fee?

Electronic Prescribing Controlled Substances (EPCS) setup costs approximately $75 per provider as a one-time fee. PDMP integration costs $500 one-time per facility plus approximately $50 per user per year.

Source
TheraNest: Can I bill insurance on the cheapest plan?

No. Essentials includes no claims. Advanced includes 30 claims a month and Premier is unlimited.

Tebra: Are there volume discounts for practices using multiple modules?

Yes, bundled pricing and volume incentives are available for multi-module adoption. Practices can request a personalized quote to see potential savings.

Source
TheraNest: 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.

Tebra: Does Tebra offer published pricing or is a quote always required?

Tebra does not publish specific monthly costs. Pricing varies depending on the number of providers, platform features needed, and implementation requirements. A personalized quote is required to get pricing.

Source
TheraNest: 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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