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Prexella vs SimplePractice
Prexella vs SimplePractice comes down to how your practice earns and grows: SimplePractice is a full clinical EHR priced per clinician, and Prexella is a white-label, flat-fee system built for private-pay practices that market themselves. Here is the honest comparison, with SimplePractice pricing checked on 10/10/2026.
Last updated 10/10/2026 · Competitor pricing and features verified 10/10/2026
The short answer
Choose SimplePractice if you are a solo clinician or small group that wants a complete clinical EHR with built-in video, treatment planners, AI note tools and e-prescribing, and you are comfortable paying per clinician for it.
Choose Prexella if most of your clients pay privately or out of network, you want your practice's own brand on everything clients see, you plan to add clinicians without adding seat fees, and you want marketing in the same system as scheduling.
Prexella vs SimplePractice: 12 criteria side by side
SimplePractice details are from SimplePractice's pricing page, verified 10/10/2026. Where a feature is not on that page, the table says so rather than guessing.
| Criterion | Prexella | SimplePractice |
|---|---|---|
| Pricing model | One flat fee for the practice | $49 Starter, $79 Essential, $99 Plus per month |
| Additional clinicians | Included in the flat fee | Plus only, starting at $74/month each |
| Cost for 3 clinicians | Flat fee, quoted on a demo | From $247/month on Plus, before add-ons |
| Free trial | Live demo with your own services | 30-day free trial, no card |
| Online booking with payment | Yes, card checkout on your domain | Appointment request widget (Plus) |
| Client portal | Yes, on your domain | Client portal website and mobile app |
| White-label / own domain | Yes | Not listed on their pricing page |
| Superbills | One click, with CPT, ICD-10, NPI and EIN | Not listed on their pricing page |
| Telehealth | Scheduling and join links; video in your own BAA tool | Video included in all plans; group video on Plus |
| Prepaid session packages | Session credits in the portal | Not listed on their pricing page |
| Marketing tools | Built-in marketing suite and newsletter | Not listed on their pricing page |
| AI notes and e-prescribing | Not offered | Note Taker $35/mo, Care Aide $59/mo, ePrescribe $49/mo + $89 setup |
Pricing for a three-clinician practice
Per-clinician pricing is the biggest structural difference between the two, so here is the math for a typical growing practice: one owner and two associates.
SimplePractice. Adding clinicians requires the Plus plan.
| Line | Monthly |
|---|---|
| Plus plan (owner) | $99 |
| 2 additional clinicians at $74 | $148 |
| Subtotal | $247 |
| Optional: Care Aide AI suite ($59 + 2 × $49) | $157 |
| With AI suite | $404 |
That is $2,964 a year before AI tools and $4,848 a year with them, at list prices. SimplePractice is currently advertising 50% off for the first three months for new accounts, so year one is lower. Add a fourth clinician and the base rises by another $74 a month.
Prexella. One flat fee covers the practice, whether you have one clinician or five, and it is quoted for your practice on a demo call. There are no seat fees and no paid AI add-ons because Prexella does not sell AI note-taking. If you are solo on SimplePractice's $49 Starter plan and do not need branding or marketing tools, SimplePractice may well be the cheaper option; the comparison tilts as headcount grows.
What clients see in each system
The client experience is where the two systems feel most different, because it is the part your clients judge you by.
Booking. In Prexella, a new client lands on a booking page at your own domain, chooses a service, picks telehealth or in office, takes an open time and pays by card in one flow. Every slot is checked on the server before it is confirmed, so two clients cannot book the same hour and no one can book a date in the past. SimplePractice's pricing page lists an appointment request widget on the Plus plan; how requests become confirmed sessions is set by its own workflow.
Paperwork. In Prexella, the client is guided straight from payment into creating their portal account, where your intake form, informed consent, telehealth consent and privacy notice wait to be signed. Signatures carry an ESIGN and UETA audit trail: the consent statement, typed name, drawn signature, timestamp, IP address and browser. SimplePractice also collects forms through its client portal; its pricing page does not detail the signature audit trail.
Between sessions. Prexella's portal lets clients message you, complete PHQ-9 and GAD-7 check-ins, keep a private journal, work through workbooks and buy more session credits. All of it is on your domain and under your name.
What a practice owner's week looks like
Monday: check the dashboard for the week's sessions, credit balances running low and unsigned forms. Prexella sends credit-low and package reminders to clients automatically, so you are not writing those emails yourself.
During the week: reminders go out the day before every session, with the video link for telehealth clients. Recurring clients keep their weekly slot without being rebooked.
Month end: generate superbills for out-of-network clients in one click each, review income in Finances, and check which marketing channels brought in new clients. In SimplePractice the equivalent month end centers on its billing and insurance tools; if most of your clients are in-network, that is a strength.
Where Prexella wins
1. Your brand, not a vendor's
Prexella is white-label. Your practice name and domain appear on the booking page, the client portal and every confirmation, reminder and superbill email. Clients sign in at your address. For a practice that markets itself, every client touchpoint builds your brand rather than SimplePractice's. SimplePractice's pricing page lists a client portal and app but not custom branding or domains.
2. One price as the team grows
Because Prexella is a flat fee, hiring your second, third or fourth clinician does not change your software bill. In the example above, SimplePractice's base cost for three clinicians is two and a half times its single-clinician Plus price. For group practices that hire associates or part-time clinicians, a predictable software cost is easier to plan around.
3. Built for private pay: credits, superbills and marketing
Prexella's money tools are built around clients who pay you directly. Clients buy prepaid session credits in the portal and each completed session draws one down. Clients who claim out-of-network benefits get a superbill generated in one click from their completed sessions, with CPT, ICD-10, NPI and EIN filled in. And the marketing suite keeps the Meta and Google ad results you record, video scripts and client newsletters next to the calendar they are meant to fill.
Where SimplePractice wins
1. Video built in
SimplePractice includes telehealth video in every plan and group video on Plus. Prexella does not host video; it routes the link to the HIPAA-ready video tool you already pay for. If you do not have one yet, SimplePractice saves you a subscription.
2. Deeper clinical documentation and AI
SimplePractice offers Wiley treatment planners from Essential up, an AI Note Taker at $35 a month, the Care Aide AI suite, and e-prescribing at $49 a month. Prexella keeps session notes, intake forms with e-signatures and PHQ-9, GAD-7 and C-SSRS screenings, but it does not offer treatment planners, AI notes or e-prescribing. If documentation speed is your main problem, SimplePractice is the stronger tool.
3. Self-serve start and in-network billing
You can sign up for SimplePractice today with a 30-day free trial and no card, and run in-network insurance billing yourself. Prexella is set up for you after a demo, and its insurance workspace hands claims to your biller to submit through their own clearinghouse rather than submitting them directly. Practices whose revenue is mostly in-network claims should look hard at SimplePractice or TherapyNotes.
Verdict
Prexella vs SimplePractice is not a question of which is better overall; they are built for different practices. SimplePractice is the more complete clinical EHR, and for a solo clinician who bills insurance it is hard to argue against. Prexella is the better fit for private-pay therapists, counselors and coaches who want their own brand, a flat cost as they add clinicians, and marketing and prepaid packages in the same system.
If you are leaving SimplePractice for cost or branding reasons, SimplePractice alternatives compares nine options side by side. Profession-specific details are on the pages for therapists, psychologists and counselors.
How to switch from SimplePractice
- Export your client list, upcoming appointments and documents from SimplePractice before you cancel, and keep them for your records.
- Book a setup call. The Prexella team configures your services, fees, intake and consent forms, booking rules and branding.
- Send new bookings to your Prexella booking page while existing appointments finish in SimplePractice.
- Cancel SimplePractice after one billing cycle, once final invoices and superbills are out.
The full checklist is on how to switch to Prexella.
Frequently asked questions
Is Prexella cheaper than SimplePractice?
It depends on headcount. SimplePractice Plus is $99 a month plus at least $74 for each additional clinician, so a three-clinician practice starts at $247 a month before add-ons. Prexella is one flat fee for the practice, quoted on a demo call, so the gap grows with every clinician you add. For a solo therapist on SimplePractice's $49 Starter plan, Prexella may not be cheaper.
Does Prexella have built-in video like SimplePractice?
No. SimplePractice includes telehealth video in every plan. Prexella schedules telehealth and in-office sessions in one calendar and emails clients the join link, and the video runs in the HIPAA-ready tool you already use, such as Doxy.me or Zoom for Healthcare.
Can Prexella run on my own domain?
Yes. Booking, the client portal and every email carry your practice name and domain. SimplePractice's pricing page lists a client portal and mobile app but does not list custom branding or a custom domain.
Can I move my clients from SimplePractice to Prexella?
Yes. Export your client list and documents from SimplePractice, then the Prexella team sets up your services, forms and branding. Most practices run both for one billing cycle and cancel SimplePractice once the old calendar is empty.
Which is better for insurance billing?
SimplePractice, if you bill in-network claims yourself. Prexella's insurance billing workspace turns sessions into claims and hands them to your in-house or outsourced biller, who submits them through their own clearinghouse. Prexella is built mainly for private-pay and out-of-network practices.
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