Compare the whole stack, not the sticker price.
Most therapy software looks cheap until you add the AI, the clearinghouse, the recording, and the per-claim fees. Here's the honest, fully-loaded monthly cost for a typical solo therapist who wants AI notes and insurance billing — assembled elsewhere vs bundled in Readya.
~60 AI-noted sessions, insurance billing, recording.
What each setup actually costs per month once you add everything that workflow needs.
| Setup | EHR plan | AI | Claims / clearinghouse | Monthly total |
|---|---|---|---|---|
| A leading incumbent EHR + its AI add-on | ~$99 top tier | +~$35 add-on | per-claim fees | ~$141+ |
| A clearinghouse direct + a free EHR + an AI scribe | $0 free EHR | ~$89 scribe (60 sess.) | ~$60 direct plan | ~$149 |
| An AI-first tool + a separate billing service | included | ~$69–99 | no native claims | $69+ & gaps |
| Readya Essential — one bundle | included | included | 10 claims included | $39 |
List prices and documented add-ons as of 2026; competitor figures are illustrative of a 60-session, insurance-billing solo profile and exclude card-processing fees, which all platforms charge. We don't name third-party plans by SKU because their tiers and add-ons change — check each vendor for current pricing.
The things you usually pay separately for.
AI in every paid plan
Incumbents sell an AI note-taker as a ~$35/mo add-on. With Readya it's the product, not a line item.
Session recording
Most EHRs don't offer recording at any price. Readya records (with consent) and drafts the note from it.
Clearinghouse billing
No separate clearinghouse account or billing service to wire up — claims, ERA and eligibility are native.
The Golden Thread
Documentation links to the claim, so medical necessity is supported and denials drop — a billing edge no add-on gives you.
The trade-off you're really choosing.
Strong billing, bolted-on AI
Capable claims and a familiar EHR — but AI is a paid add-on with no cross-session intelligence, no recording, and tiered features that nickel-and-dime the basics.
Great AI, no billing
Excellent documentation AI — but little or no insurance billing, so you bolt on a clearinghouse or a billing service and copy data between systems.
Zero admin, less autonomy
They handle billing by taking a cut of your reimbursement and setting your rates — you trade control and margin for convenience.
AI-native and billing-complete — the combination no one else ships.
One platform
Advanced AI and complete insurance billing in one tab — the gap every other category leaves open.
Free to start
Full product on pay-as-you-go, then a bundle when daily use makes it cheaper. No "$X for three months," ever.
You keep control
Your rates, your data (export anytime), your sign-off on every AI draft. Nothing trains a shared model on your sessions.
Comparing, answered.
How is Readya different from SimplePractice?
SimplePractice sells AI as a paid add-on on top of tiered plans; Readya is AI-native — AI Notes, Co-pilot, Smart Inbox and live in-session AI are bundled in every paid plan. Readya also includes session recording and an integrated clearinghouse, and links documentation to claims (the Golden Thread) so denials drop.
Why compare the whole stack instead of the sticker price?
The real monthly cost is the EHR plan + the AI add-on + per-claim and processing fees + any separate scribe or telehealth tool. Readya bundles all of it, so the honest comparison is the full assembled stack.
Do you have a free option like the AI-first tools?
Yes — Readya Free gives full product access on pay-as-you-go ($1 per AI session; $0.50 per claim, no monthly claims fee), and unlike AI-only tools it includes the EHR and clearinghouse, so you never assemble a stack.
Stop assembling a stack. Start with one.
Full product, free to begin. Bundle when your usage says so.