What does SimplePractice cost for a solo cash-pay practice?

SimplePractice costs $49 a month on Starter, $79 on Essential and $99 on Plus for one practitioner at standard prices, checked on October 22, 2026¹. A cash-pay practice also pays 3.15% plus $0.30 on every card payment and a $20 AMA fee once a year, so 20 sessions a month at $160 cost $1,889.60 a year on Starter^1–3.

OneSomatic publishes this guide. We took every price from SimplePractice's own pricing page and help center and did not test the software.

What are SimplePractice's monthly prices?

On October 22, 2026, SimplePractice showed this offer with no end date. It applies only if you begin a paid account within the first 7 days of the free trial¹. The trial runs 30 days and needs no credit card⁶. After 3 months, every plan moves to its standard price¹. Plus is also the only plan for a group practice, and each extra clinician there costs $74 a month in a practice of 2 to 5².

What does a year cost a solo cash-pay practice?

At $160 a session and 20 card payments a month, card fees cost more than any of the three plans. A $160 session paid through SimplePractice's integrated payments costs $5.34 in card fees: 3.15% of $160 is $5.04, plus $0.30². SimplePractice's year-end report lists these as "Stripe processing expenses"⁷. On top comes the $20 AMA fee for CPT code access, charged per clinician once a year, even if you never bill insurance³.

The table is our calculation from SimplePractice's prices: 12 months of the standard plan, the AMA fee, and card fees for every session at $160^1–3.

Card fees alone come to $1,281.60 a year at 20 sessions a month and $3,844.80 at 60. At 60 sessions they cost more than six years of Starter. The 50% offer takes $73.50 off year one on Starter, $118.50 on Essential and $148.50 on Plus¹. The AMA fee gets no discount³.

To use your own numbers: multiply your session price by 0.0315, add $0.30, and multiply by the sessions you charge in a year. Then add 12 months of the plan and $20.

Some practices pass the card fee on to clients as a line on the invoice. SimplePractice lets you add one, and its help center warns that surcharging is illegal in some states and restricted in others⁸. Check your state's rule before you do it.

What does each plan leave out for one-to-one cash-pay work?

Starter sends appointment reminders only for telehealth appointments⁴. If you see clients in person, Starter sends them no reminder. Essential and Plus send text, email or voice reminders for every appointment⁴.

Starter has no Secure Messaging⁴. On Starter you can customize intake forms, but not progress note templates. Essential and Plus allow both⁴.

All three plans include telehealth and online appointment requests⁴. The widget that puts the request form on your own website is on Plus only⁴. Groups, workshops or classes need Plus, or Essential with a $20 monthly add-on, which brings Essential to $99 as well^{1, 4}.

For a solo practitioner who works in person, Essential at $79 is the lowest plan that reminds every client. Starter at $49 fits an online-only practice.

Which add-ons and fees can come on top?

The website sits on a SimplePractice address such as yourpracticename-clientsecure.me unless you connect your own domain⁵. On October 22, 2026, SimplePractice showed a World Mental Health Day offer for Care Aide: free for 45 days, then 50% off ($29.50 a month) for 3 months, then $59¹. The page gave no end date.

What changed with SimplePractice's new pricing in October 2026?

From October 1, 2026, insurance claims cost from $0.39 each, or from $1.79 with Insurance Navigator, and Essential and Plus lost their free monthly claims⁹. Plan prices did not change⁹. SimplePractice states that a practice that files no claims electronically through it pays nothing more⁹.

A cash-pay practice still pays the AMA fee, with or without insurance billing. SimplePractice told customers on September 22, 2026 that the yearly $20 fee appears on the November invoice³.

If you write superbills so clients can claim out-of-network reimbursement themselves, you file no claim. Our free superbill template makes one as a PDF without practice software.

What should you know before you sign up or cancel?

SimplePractice gives no refunds. A cancellation takes effect at once, and unused time is not prorated². Plan changes work any time: an upgrade charges the prorated difference, and a downgrade leaves a prorated credit².

1. Start the 30-day trial without a card and check the features of the plan you want, using the table above⁶.
2. Decide within 7 days if you want the 50% offer¹.
3. Count your card payments for one month and put them into the formula above.
4. Cancel at the end of a billing period, since unused days are not refunded².

When does another tool cost less?

Stay with SimplePractice if you bill insurance, run a group practice or prescribe: it files claims, adds team members on Plus and offers ePrescribe^{2, 9}. For one-to-one cash-pay work, compare the yearly total above with the tools in our SimplePractice alternatives guide, and with Practice Better in SimplePractice vs Practice Better.

OneSomatic's own paid plans are planned and not on sale¹⁰. OneSomatic Essential is planned at $29 a month with online booking, a booking widget, session video, invoicing, superbills, good faith estimates, an intake form and session notes¹⁰. Its planned card payments carry no OneSomatic fee; the card processor's fee applies¹⁰.

What you can use today is a free OneSomatic profile, with no card, next to whatever software you keep¹⁰. A verified profile confirms your somatic training, not a state license¹⁰. Claim your free profile and see the planned plans.

Sources

1. SimplePractice, "Pricing" (Starter). Checked October 22, 2026.
2. SimplePractice Support, "Subscription plan and pricing FAQs" (team members). Checked October 22, 2026.
3. SimplePractice Support, "AMA fee FAQs". Checked October 22, 2026.
4. SimplePractice Support, "Comparing SimplePractice features by plan" (group appointments). Checked October 22, 2026.
5. SimplePractice Support, "Professional Website FAQs". Checked October 22, 2026.
6. SimplePractice, "Compare our plans" (30-day trial, no credit card). Checked October 22, 2026.
7. SimplePractice Support, "Processing online payments" (year-end report). Checked October 22, 2026.
8. SimplePractice Support, "Adding sales tax and processing fees to invoices". Checked October 22, 2026.
9. SimplePractice Support, "What's changing with insurance pricing?". Checked October 22, 2026.
10. OneSomatic, "OneSomatic facts" (free profile). Checked October 22, 2026.