Cliniko vs SimplePractice
Both score 7.8/10. Compare features and pricing below.
Both score 7.8/10. Buy Cliniko if you want the cleanest interface in allied health with zero feature gating and stable pricing. Skip if you bill US insurance directly or need a platform with a large review base to validate before buying.
Cliniko 
SimplePractice Rank
#9 of 41
Rank
#10 of 41
Features
14/18
Features
18/18
Starting at
$45/mo
Starting at
$49/mo
User reviews
4.5/5 (227)
User reviews
3.9/5 (2943)
What they cost
| Cliniko | SimplePractice | |
|---|---|---|
| Starting at | $45 /mo | $49 /mo |
| Free trial | 30 days | 30 days |
| Number of plans | 4 | 3 |
What the pricing really means
At first glance, Cliniko looks cheaper at $45/month vs $49/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 Cliniko wins
- Every plan gets the full feature set with no feature gating, so you are not paying more just to unlock telehealth or notes
- Prices have not changed since 2011, which is rare in SaaS and means no surprise annual increases
- 4.9/5 ease-of-use score on Capterra, which is the highest in allied health practice management
- 30-day free trial is enough time to actually migrate data and test with real patients before committing
- Unlimited locations included on all plans, which matters for clinics expanding to a second site
Where SimplePractice wins
- 30-day free trial with no credit card required, so you can actually test it with real clients before paying
- Telehealth included on all plans, even the $49/mo Starter, which most competitors charge extra for
- Mobile app handles progress notes, scheduling, and telehealth between sessions without needing a laptop
- 225,000+ practitioners use it, which means community forums, YouTube walkthroughs, and third-party templates are everywhere
Where Cliniko falls short
- Only 23 reviews on Capterra means the 4.7 rating is based on a thin sample compared to competitors with 200+ reviews
- No built-in insurance billing or clearinghouse integration, so US practices billing insurance need a separate tool
- Jump from $45 Solo to $95 Team is a big leap just for adding one more practitioner
- SMS reminders are billed separately by country, and costs are not published upfront on the pricing page
Where SimplePractice falls short
- G2 rating dropped to 3.9/5, which is low for the market leader and points to real frustration among power users
- No e-prescribing without a DrFirst add-on, so psychiatrists and prescribers will need another tool
- Support response times have slipped according to recent reviews, with some users waiting days for non-urgent tickets
- API access is locked behind the Plus plan at $99/mo, so automating workflows on the cheaper plans is not possible
Who is each product built for?
Cliniko
Target: 1-25 clinicians
Buy Cliniko if you want the cleanest interface in allied health with zero feature gating and stable pricing. Skip if you bill US insurance directly or need a platform with a large review base to validate before buying.
SimplePractice
Target: 1-10 clinicians
Buy SimplePractice if you want the most widely-used platform with solid telehealth and a genuine mobile app that works between sessions. Skip if you care about customer support speed or need advanced insurance billing without per-claim fees.
Feature comparison
| Feature | Cliniko | SimplePractice |
|---|---|---|
| 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
Both score 7.8/10. Cliniko fits 1-25 clinicians, while SimplePractice fits 1-10 clinicians. Pick based on your team size and the features you need most.
Cliniko starts at $45/month. SimplePractice starts at $49/month. Watch for add-on costs — the base price often does not include all features. Pricing last verified 2026-04-01.
Cliniko: Yes, 30-day free trial. SimplePractice: Yes, 30-day free trial. Always test with your actual workflow before committing to an annual plan.
Cliniko covers 14 of 18 features we track. SimplePractice covers 18 of 18. SimplePractice has broader feature coverage, but more features does not always mean better — pick the tool that covers what your business actually needs.
Yes, Cliniko has a mobile app. SimplePractice 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 Cliniko if...
Physiotherapy and allied health clinics that want a clean interface with all features unlocked on every plan and no per-feature upsells.
Pick SimplePractice if...
Solo therapists or small group practices that want one platform for scheduling, notes, telehealth, and billing without stitching together multiple tools.