ICANotes vs Tebra
Tebra scores 7.2/10 vs 6.5/10. Best for: Independent practices that want EHR, billing, and patient marketing in one platform without paying per staff seat.
Tebra scores higher overall at 7.2/10 vs 6.5/10. Buy Tebra if you want an all-in-one that includes patient marketing and SEO alongside EHR and billing. Skip if you want transparent pricing or if you're behavioral health only — Tebra targets general practice more than therapy.
ICANotes 
Tebra Rank
#37 of 41
Rank
#21 of 41
Features
16/18
Features
17/18
Starting at
$35/mo
Starting at
$150/mo
User reviews
3.8/5 (130)
User reviews
4.1/5 (2020)
What they cost
| ICANotes | Tebra | |
|---|---|---|
| Starting at | $35 /mo | $150 /mo |
| Free trial | 0 days | No |
| Number of plans | 5 | 2 |
What the pricing really means
At first glance, ICANotes looks cheaper at $35/month vs $150/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 ICANotes wins
- Point-and-click note builder genuinely reduces documentation to 2-3 minutes per session, which users consistently confirm in reviews
- Over 100 built-in clinical assessments with automatic scoring and trend tracking tied directly to treatment plans
- E-prescribing with EPCS and lab integration on the Prescribing plan, so psychiatrists can handle everything in one system
- Part-time pricing starts at $35/mo for clinicians with lighter caseloads, which is rare in behavioral health EHRs
Where Tebra wins
- 2,000+ combined reviews across G2 and Capterra makes it one of the most reviewed platforms in the category
- Built-in patient marketing tools from the PatientPop legacy for growing your practice
- HITRUST certified for security-conscious organizations
- Unlimited non-clinical staff seats at no extra cost
- Estimated range of $99-399/provider/mo covers solo to mid-size practices
Where ICANotes falls short
- Interface looks like it was built in the 1990s and has not had a visual refresh, which multiple Capterra reviewers call out
- No native mobile app, so mobile access requires Microsoft Remote Desktop or a browser, which is clunky
- Telehealth is a $10/mo per user add-on, not included, and the $99 activation fee on prescribing plans adds up
- Appointment scheduler is reported as slow by multiple reviewers, with lag when booking or rearranging sessions
Where Tebra falls short
- Custom pricing means no price transparency until you talk to sales
- $500 implementation fee on top of monthly costs
- 3.9 Capterra rating despite high volume suggests mixed experiences
- Merging Kareo and PatientPop created integration growing pains still felt by users
Who is each product built for?
ICANotes
Target: 1-30 clinicians
Buy ICANotes if speed of documentation is your top priority and you will trade a modern interface for 3-minute progress notes. Skip if you care about design, need a mobile app, or want telehealth included.
Tebra
Target: 1-100 providers
Buy Tebra if you want an all-in-one that includes patient marketing and SEO alongside EHR and billing. Skip if you want transparent pricing or if you're behavioral health only — Tebra targets general practice more than therapy.
Feature comparison
| Feature | ICANotes | Tebra |
|---|---|---|
| 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
Tebra scores 7.2/10 vs ICANotes's 6.5/10 in our ranking. Tebra is the better pick for 1-100 providers. ICANotes is better if you need behavioral health clinicians who dread documentation and want to cut note-writing time from 30 minutes to under 5 minutes per session.
ICANotes starts at $35/month. Tebra starts at $150/month. Watch for add-on costs — the base price often does not include all features. Pricing last verified 2026-04-01.
ICANotes: No free trial. Tebra: No free trial. Always test with your actual workflow before committing to an annual plan.
ICANotes covers 16 of 18 features we track. Tebra covers 17 of 18. Tebra has broader feature coverage, but more features does not always mean better — pick the tool that covers what your business actually needs.
No, ICANotes does not have a mobile app. Tebra does have one.
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 ICANotes if...
Behavioral health clinicians who dread documentation and want to cut note-writing time from 30 minutes to under 5 minutes per session.
Pick Tebra if...
Independent practices that want EHR, billing, and patient marketing in one platform without paying per staff seat