AdvancedMD vs TheraNest
TheraNest scores 7.4/10 vs 6.5/10. Best for: Solo therapists or growing group practices that want per-therapist pricing they can scale into as their caseload grows.
TheraNest scores higher overall at 7.4/10 vs 6.5/10. Buy TheraNest if you want affordable per-therapist pricing and plan to grow into higher tiers as your practice expands. Skip if you need a real mobile app or if you want scheduling included on the cheapest plan.
AdvancedMD 
TheraNest Rank
#35 of 41
Rank
#17 of 41
Features
18/18
Features
16/18
Starting at
$130/mo
Starting at
$29/mo
User reviews
3.6/5 (525)
User reviews
4.2/5 (1155)
What they cost
| AdvancedMD | TheraNest | |
|---|---|---|
| Starting at | $130 /mo | $29 /mo |
| Free trial | 30 days | 21 days |
| Number of plans | 3 | 3 |
What the pricing really means
At first glance, TheraNest looks cheaper at $29/month vs $130/month. But sticker price is only part of the story. Look at what is included on the base plan, how many users you get, and whether you need add-ons to get the features you actually need. The $99/month plan that requires $200 in add-ons is actually more expensive than the $250/month plan that includes everything.
Where AdvancedMD wins
- NOW plan at $130/mo specifically targets small mental health practices, capped at 3 providers
- 300+ customizable documentation templates
- Clearinghouse connects to 1,800+ insurance carriers
- Actual 30-day free trial available on the mental health plan
Where TheraNest wins
- Lowest entry point at $29/therapist/mo for basic practice management needs
- Wiley Practice Planner integration on Premier tier gives you structured, evidence-based treatment plans
- E-prescribing including EPCS is available on the Advanced plan without a separate vendor
- Rebranded to Ensora Health with a refreshed interface that cleaned up years of UI clutter
Where AdvancedMD falls short
- Full EHR+PM bundle at $729/provider/mo is prohibitively expensive for small practices
- 3.6 ratings on both G2 and Capterra are the lowest in this category
- Automated reminders cost extra on top of already high monthly prices
- API access is an add-on, not included in standard plans
Where TheraNest falls short
- No dedicated mobile app, just a mobile-responsive website that feels clunky for quick note-taking between sessions
- Scheduling and secure messaging are locked behind the Advanced plan at $59/mo, so the cheap plan is missing basics
- Per-claim charges of $0.23 after 30 free monthly claims on Advanced can add up for insurance-heavy practices
- Feature gating across three tiers means the $29 Essentials plan is quite limited for day-to-day practice management
Who is each product built for?
AdvancedMD
Target: 1-200+ providers
Buy AdvancedMD if you're a mid-size multi-specialty practice that needs enterprise customization, or try the NOW plan at $130/mo if you're a small mental health practice. Skip if price matters — outside the NOW plan, this is built for practices with bigger budgets.
TheraNest
Target: 1-50 therapists
Buy TheraNest if you want affordable per-therapist pricing and plan to grow into higher tiers as your practice expands. Skip if you need a real mobile app or if you want scheduling included on the cheapest plan.
Feature comparison
| Feature | AdvancedMD | TheraNest |
|---|---|---|
| Compliance & Security | ||
| HIPAA compliant | ||
| Telehealth / video sessions | ||
| Secure messaging | ||
| Scheduling & Clients | ||
| Online scheduling | ||
| Client portal | ||
| Intake forms / assessments | ||
| Automated reminders | ||
| Clinical | ||
| Progress notes / documentation | ||
| Treatment plans | ||
| E-prescribing | ||
| Outcome measures / assessments | ||
| Billing & Payments | ||
| Insurance billing / claims | ||
| Payment processing | ||
| Superbill generation | ||
| Automated billing | ||
| Platform | ||
| Group practice support | ||
| Mobile app | ||
| Integrations / API | ||
Common questions
TheraNest scores 7.4/10 vs AdvancedMD's 6.5/10 in our ranking. TheraNest is the better pick for 1-50 therapists. AdvancedMD is better if you need mid-size multi-specialty practices that need heavy customization, or small mental health practices willing to try the now plan.
AdvancedMD starts at $130/month. TheraNest starts at $29/month. Watch for add-on costs — the base price often does not include all features. Pricing last verified 2026-04-01.
AdvancedMD: Yes, 30-day free trial. TheraNest: Yes, 21-day free trial. Always test with your actual workflow before committing to an annual plan.
AdvancedMD covers 18 of 18 features we track. TheraNest covers 16 of 18. AdvancedMD has broader feature coverage, but more features does not always mean better — pick the tool that covers what your business actually needs.
Yes, AdvancedMD has a mobile app. TheraNest does too.
Yes. The main effort is migrating your data (customer lists, job history, invoices). Plan for 1-2 weeks of overlap where you run both. Most healthcare practice management tools can import CSV data. Ask both vendors about migration support before you sign.
The bottom line
Pick AdvancedMD if...
Mid-size multi-specialty practices that need heavy customization, or small mental health practices willing to try the NOW plan
Pick TheraNest if...
Solo therapists or growing group practices that want per-therapist pricing they can scale into as their caseload grows.