SimplePractice Pricing for Group Practices (2026)

SimplePractice Pricing for Group Practices (2026 Total Cost Guide)

SimplePractice is a US-based practice management platform primarily targeting solo and small group mental health and allied health practices. For group practices evaluating whether to adopt or remain on SimplePractice, the pricing model has specific characteristics that become more significant as the practice grows.

This guide covers how to calculate the true monthly cost at different group sizes, which add-on fees are common at group practice scale, and how the cost compares to flat-rate alternatives.

Verify current SimplePractice pricing at simplepractice.com before making purchasing decisions. Pricing changes frequently.

How SimplePractice Charges Group Practices

SimplePractice uses a per-clinician seat model. Each clinician — including the account owner — occupies one seat. The platform charges a monthly fee per seat, multiplied by the number of active clinicians in the account.

This pricing structure has a predictable effect on group practice economics: the monthly cost scales linearly with headcount. Adding a clinician adds a full additional seat cost from day one, regardless of whether that clinician's schedule is full.

At small group sizes (2–4 clinicians), the per-seat cost is manageable. At 8–12 clinicians, the accumulated seat costs represent a significant fixed overhead. At larger group sizes, the per-clinician model becomes one of the primary budget line items for administrative software.

Current tier details and exact per-seat rates: verify at simplepractice.com.

Common Add-Ons at Group Practice Scale

Beyond base seat costs, group practices typically encounter additional costs for:

Telehealth functionality: SimplePractice includes a telehealth feature, but the availability and pricing within plans varies. Confirm what is included in your specific plan before assuming telehealth is covered.

Claims and billing features: Advanced claims submission, ERA (Electronic Remittance Advice) processing, and billing workflow features may sit in higher-tier plans or require add-on configuration. For group practices billing insurance, this is a core function — confirm it is included before selecting a tier.

Integrated payments: Credit card processing through SimplePractice's integrated payment system carries a per-transaction fee. At group practice volume, the cumulative transaction costs are worth calculating against the convenience benefit.

Multiple locations: Group practices operating across more than one location should confirm whether the platform supports multi-location scheduling and billing within a single account at a single price, or whether location-level configuration incurs additional cost.

Estimating Monthly Total Cost

The working formula for group practice cost estimation:

Monthly cost = (Base seat rate × Number of clinicians) + Add-ons + Payment processing fees

For a group practice with eight clinicians using all standard features plus integrated payments, the monthly cost is meaningfully higher than the advertised base rate. Model this explicitly before committing to a plan tier.

A 12-month projection that includes anticipated headcount growth is the most useful planning tool. If you intend to add three clinicians over the next year, calculate the end-of-year cost, not the starting cost.

US-Based Platform Considerations for EU Practices

SimplePractice is designed and hosted for the US market. For practices based in the EU, this creates specific operational and compliance considerations:

Data residency: SimplePractice stores data on US-based infrastructure. For EU practices processing patient health data under GDPR, this raises data residency questions. Health data is special category data under GDPR Article 9. US-based storage requires appropriate safeguards — Standard Contractual Clauses (SCCs) at minimum — and the practice must document its legal basis for the data transfer.

GDPR compliance obligations: The platform's GDPR compliance posture should be confirmed in writing before onboarding EU patient data. Confirm the legal basis for any third-country data transfers.

Insurance billing workflow: SimplePractice's billing features are designed for the US insurance ecosystem (CPT codes, ERA/EFT, US payers). EU practices billing under national health systems or private EU insurers may find the billing workflow requires significant customisation or workarounds.

Telehealth regulatory compliance: Telehealth regulation varies by EU member state. SimplePractice's telehealth feature is designed for US regulatory standards. EU-specific consent, data handling, and session recording requirements should be confirmed against the platform's actual capabilities.

For EU-based group practices, these considerations are material. A US-focused platform may require additional compliance work that a purpose-built EU-hosted alternative avoids by design.

Platform Comparison at Group Practice Scale

Factor	SimplePractice	Tregovia
Pricing model	Per clinician / seat	Flat rate — up to 2 staff (extra users EUR 10/mo/5 seats)
Base price (illustrative, 6 clinicians)	6 × seat rate + add-ons	EUR 47/month + selected modules
Telehealth	Available (plan-dependent)	EUR 15/month module
Multi-location	Plan-dependent	Included in base plan
Online booking	Available	Included in base plan
Privacy controls	Verify	Review
Privacy terms	Verify	Standard — included with all plans
EU insurance billing	Limited	Designed for EU workflows

SimplePractice pricing: verify at simplepractice.com. Tregovia pricing: verified from codebase at time of publication.

Evaluating the True Cost Comparison

A cost comparison between per-seat and flat-rate platforms should be done as a 12-month model, not a point-in-time calculation.

Step 1: Project your clinician headcount at 3, 6, and 12 months.

Step 2: Calculate the per-seat platform cost at each headcount projection.

Step 3: Add add-on costs that apply to your practice's actual usage (telehealth, claims, integrated payments).

Step 4: Calculate the flat-rate alternative at each projection point.

Step 5: Identify the headcount breakeven — the number of clinicians at which the flat-rate alternative becomes less expensive than the per-seat model.

For most group practices, the flat-rate alternative becomes cost-advantageous at 4–6 clinicians, depending on the specific per-seat rate and add-on usage. Above that point, the cost advantage of the flat-rate model compounds with each additional clinician.

What Group Practices Should Evaluate Beyond Price

Cost is the starting point for platform evaluation, not the conclusion. The factors that determine whether a platform works for a group practice at scale:

Multi-clinician scheduling: Can each clinician maintain their own availability and appointment types? Can the front desk see all clinicians' schedules in a unified view? Can appointments be transferred between clinicians?

Role-based permissions: Can the account support different permission levels — a receptionist who can book appointments but not access clinical records, a billing administrator who can process payments but not modify treatment records, a clinical lead who has broader record access?

Group practice reporting: Can the practice owner see revenue, utilisation, and attendance metrics across all clinicians? Can individual clinician performance be separated out?

Client experience at scale: A group practice with 8 clinicians may have 400+ active clients. The client-facing portal must handle this volume without degradation in experience.

Supervision and intern workflows: If the practice includes supervised interns or associate practitioners, does the platform support co-signer or supervisor oversight of clinical notes?

These functional requirements are often more consequential than the per-seat cost differential, particularly for practices with complex clinical governance needs.

Setting Up in Tregovia as an Alternative

Tregovia is a flat-rate practice management platform: EUR 47/month for up to 2 staff and up to 100 clients (extra users EUR 10/month per 5 seats). Module add-ons are purchased as needed rather than bundled into escalating seat tiers.

For group practices, the key functional characteristics:

Staff accounts: Base plan includes 2 staff accounts. Extra users cost EUR 10/month per 5-seat pack.

Role-based access control: Six role levels (Receptionist through Owner) with granular permission settings. Clinical staff see clinical records; billing staff see financial records; administrators see operational data.

Multi-location: Multiple practice locations supported within a single account. Schedule, appointment, and billing data segregated by location with cross-location reporting available.

Telehealth: EUR 15/month module. Browser-based video sessions. Consent form integration, waiting room, post-session clinical notes.

Online booking: Included in base plan. Per-clinician availability and appointment type configuration. Group booking rules and buffer times configurable per clinician.

EU compliance: processor terms availability to verify for all accounts, EU health data regulatory framework.

14-day free trial. No credit card required.

FAQ

At what practice size does SimplePractice's per-seat model become significantly more expensive than flat-rate alternatives?

The breakeven depends on the exact per-seat rate and the flat-rate alternative price. For most group practices, the crossover occurs at four to six clinicians — above that point, per-seat cumulative costs typically exceed flat-rate pricing by a meaningful margin. Model it explicitly using your projected headcount rather than relying on a general estimate. The difference at 10 or more clinicians is usually substantial.

Does SimplePractice support multi-clinician practices where clinicians have different specialties and appointment types?

Yes — SimplePractice supports per-clinician availability and appointment type configuration in group accounts. Each clinician can have their own availability calendar, appointment types, and booking rules. Confirm the specific functionality in your plan tier, as some features may be restricted to higher tiers.

Is SimplePractice appropriate for EU-based practices?

With qualifications. SimplePractice is US-designed and US-hosted. EU practices processing patient health data under GDPR should confirm the platform's processor terms, data residency, and third-country transfer safeguards before onboarding patient data. The platform's billing and insurance workflow is US-focused; EU insurance billing workflows will require workarounds. A purpose-built EU-hosted alternative avoids these friction points by design.

What migration effort is involved in moving from SimplePractice to an alternative?

Client records, appointment history, and billing records are the primary migration data sets. SimplePractice supports data export; confirm the format and completeness of the export before committing to a migration timeline. The practical migration timeline for a group practice of 6–10 clinicians with established client lists is typically 4–8 weeks — data export, format conversion, validation, and parallel-run period before full cutover. Involve your billing administrator in the migration planning given the financial record complexity.

Should a group practice standardise on one platform across all locations?

Yes, where possible. Multi-location group practices that use different platforms per location face cross-location scheduling conflicts, duplicated client records, and management reporting that requires manual aggregation. A single platform with multi-location support gives the practice owner consolidated visibility and simplifies administration. The exception is if specific locations have regulatory or clinical requirements that are genuinely incompatible with a single platform — which is rare.