Topic · Market pricing
Therapy AI scribe pricing in 2026 — full comparison
A clinician-honest comparison of published 2026 pricing across the six therapy-AI scribes most likely to end up on a solo practitioner's shortlist. Numbers are from each vendor's public pricing page as of April 2026; check the source before you commit.
TL;DR
For a solo clinician seeing ~100 sessions/month, out-of-pocket cost ranges from $19.99 (Mentalyc entry tier) to $99 (Freed). Flat-rate scribes (Mentalyc, Upheal, Supanote, TherapyDraft, Freed) all run in the $20–$100/month band. Pay-per-session pricing (Blueprint at $0.99/session) breaks even with flat-rate plans around 40 sessions/month. The cheapest tool is not always the best fit — architecture, note format coverage, and EHR paste fidelity matter as much as dollars.
The pricing table
All figures in USD and reflect the standard plan a solo clinician would pick. Seat discounts, student discounts, and annual discounts are noted in the notes column.
| Tool | Entry price | At 100 sessions/mo | Note |
|---|---|---|---|
| Mentalyc | $19.99/mo | $19.99 | Entry "Solo" tier has a session cap; Pro at $49.99 unlocks unlimited. |
| Upheal | $29/mo | $29 | Video-session friendly; flat unlimited. |
| Blueprint | $0.99/session | $99 | Breaks even with a $39 flat plan at ~40 sessions/mo. |
| Supanote | $39/mo | $39 | Direct price peer of TherapyDraft. |
| TherapyDraft | $39/mo | $39 | Flat, unlimited, every note format, on-device. Annual: $349/yr. |
| Freed | $99/mo | $99 | Premium-tier positioning; more EHR integrations. |
Per-session math (the number that actually matters)
Monthly sticker price is the wrong unit for comparing scribes. Clinicians bill per session, and cognitive load scales with session count. Here's the per-session cost at a few realistic workloads:
| Tool | 40 sessions/mo | 80 sessions/mo | 120 sessions/mo |
|---|---|---|---|
| Mentalyc Solo ($19.99) | $0.50 | capped | capped |
| Mentalyc Pro ($49.99) | $1.25 | $0.62 | $0.42 |
| Upheal ($29) | $0.73 | $0.36 | $0.24 |
| Blueprint ($0.99/ea) | $0.99 | $0.99 | $0.99 |
| Supanote ($39) | $0.98 | $0.49 | $0.33 |
| TherapyDraft ($39) | $0.98 | $0.49 | $0.33 |
| Freed ($99) | $2.48 | $1.24 | $0.83 |
Takeaway: for most solo practices (60–120 sessions/month), per-session cost on Upheal, Supanote, and TherapyDraft lands inside a two-cent band. Pick on architecture, not pennies.
What "pricing comparison" misses
Three factors that matter more than the monthly number once you're inside a two-cent-per-session band:
1. Where your session audio lives
Mentalyc, Upheal, Blueprint, Supanote, and Freed all run cloud scribes — session audio is uploaded, transcribed on their GPUs, and stored in their cloud with a BAA. TherapyDraft runs the entire pipeline on your Mac; nothing leaves. If that distinction matters to your clients or your threat model, it dominates the pricing math. See the HIPAA compliance architecture page.
2. Note-format coverage without upsell
Some tools gate BIRP or GIRP behind a "Pro" tier. TherapyDraft ships all four formats (SOAP, DAP, BIRP, GIRP) in every plan. If your supervisor requires BIRP documentation, a base-tier scribe that doesn't include it is no bargain.
3. EHR paste fidelity
No scribe in this comparison has a direct API write-back to SimplePractice, TheraNest, or TherapyNotes in 2026 — the EHR vendors don't expose the surface. Everyone falls back to clipboard paste. The question is whether the copied text preserves section order, bold/italic clinical cues, and line breaks. This isn't always covered on pricing pages; try the free trial and paste into your real EHR before committing.
Decision heuristic
- If you prioritize on-device privacy and run an M-series Mac: TherapyDraft at $39/mo.
- If you prioritize cheapest cloud scribe and fit inside Mentalyc Solo's cap: Mentalyc Solo at $19.99/mo.
- If you need video-session support: Upheal at $29/mo.
- If you run fewer than 40 sessions/mo and prefer metered pricing: Blueprint at $0.99/session.
- If you're in a large group with existing Freed infrastructure: Freed.
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Related questions
Why does Blueprint's per-session price seem high?
$0.99/session is a usage-based model aimed at clinicians who don't see a consistent weekly caseload. For a 40-sessions-per-month practice, it's equivalent to $39.60/month — right in line with flat-rate competitors. For a full-caseload practice, it's the most expensive option in this list.
Do any of these tools support Medicare-specific templates?
Medicare uses standard SOAP/DAP at the note level; the audit surface is in the clinical content, not the template. All six tools in this comparison produce notes that clear Medicare audit when the underlying clinical content is sound. What varies is how well the note format matches your EHR's paste target.
Should I expect prices to drop in 2026?
Cloud scribe prices have floored in the $20–$40 range for the last 18 months; the underlying inference cost is still too high for vendors to cut further without losing money. On-device pricing is likely to hold at $39 as well — TherapyDraft's costs don't scale with session count, but we price for sustainable support and ongoing model upgrades.