A SimplePractice alternative for practices that outgrew it

Where SimplePractice stops fitting

Three practice shapes generate most of the switching search behind this page: groups where every scheduler, admin and biller needs a login that SimplePractice prices like a clinician; authorization-driven care (ABA, habilitative therapies) where nothing tracks units against an authorization; and practices that moved billing to a dedicated biller and now pay for an in-app claims pipeline they no longer use.

If none of those describes your practice — a solo therapist filing your own claims in-network — SimplePractice remains the better fit, and switching would cost you the in-app claim filing you rely on.

SimplePractice vs MegAligna: feature comparison

What SimplePractice costs as a practice grows

SimplePractice publishes three solo tiers billed monthly: Starter at $49, Essential at $79 and Plus at $99. Group practices add clinicians from $74 each per month, and practices of six or more practitioners are quoted rather than listed. The trial runs 30 days with no card required.

Three costs sit outside the headline rate and are worth adding before comparing. Claim filing is metered — 10 free claims a month on Essential, 35 on Plus. AMA CPT codes carry a $20 annual fee per clinician, comprising an $18 AMA royalty and $2 processing. The AI documentation tools are a separate add-on: Care Aide is $59 a month for the account owner plus $49 for each additional clinician, or Note Taker alone at $35.

The structural difference is which staff you pay for. MegAligna charges per active clinical seat, with admin, front-desk and biller logins free, so a six-clinician practice pays for exactly six seats and adding an outside biller costs nothing.

Three shapes, against SimplePractice’s Plus tier — the solo rate plus its published “from $74” for each additional clinician. Practices of six or more are quoted rather than published, so the table stops at five:

A solo practice pays the same on either, and anyone telling you otherwise is selling. The $99 monthly minimum here is exactly SimplePractice’s Plus rate, and it holds until you pass 5 clinical seats — so the first 4 clinicians after the first are, in effect, free.

The gap opens with the second clinician, because their model adds a full rate per head and ours adds $20 — and it opens again with every non-clinical hire, which costs nothing here.

Two caveats, both against us. SimplePractice does not publish a rate for non-clinical team members, so we cannot price that side of the comparison and have not guessed at it. And the columns above are software only: their metered claim filing, the $20 annual AMA CPT fee per clinician and the AI add-ons sit outside both, and at least the first of those has no equivalent here because this product hands finished charges to your biller rather than filing them.

For the move itself, switching from SimplePractice covers what the importer accepts, what arrives as attached documents rather than structured data, and the order to cut over in.