Comparison
A TherapyNotes alternative without the add-on stack
Is Congruent a good TherapyNotes alternative?
Congruent is a TherapyNotes alternative for outpatient mental health, priced at $20 per clinician per month with AI documentation and telehealth included. TherapyNotes charges $69 for its solo plan, roughly $40 more for its AI note assistant, and about $15 more for premium telehealth — around $124 a month for the equivalent setup.
01Monthly totals
What it costs once documentation help is switched on.
Congruent Solo
$20/month
- Complete EHR
- AI notes and treatment plans included
- Telehealth included
TherapyNotes Solo + add-ons
$124/month
- $69 solo plan
- + about $40 AI note assistant
- + about $15 premium telehealth
One solo clinician who wants AI documentation and good video, billed monthly.
02Feature by feature
Line by line, without adjectives.
| Feature | Congruent | TherapyNotes |
|---|---|---|
| Solo price per clinician | $20/month | $69/month |
| AI-drafted progress notes | Included on every plan | Add-on, about $40/clinician/month |
| TelehealthBoth include video. The $15 buys their premium tier, which is what the cost comparison above assumes. | Included | Basic included; Premium about $15/clinician/month |
| Compliance check before signingTemplates enforce fields. They do not tell you the note contradicts the plan on file. | Golden Thread Check on every note | Structured templates only |
| Insurance claims and ERA postingOurs are $0.40 per claim from the first one, with ERA posting and eligibility checks included. Theirs meter each electronic claim, each ERA claim, and each eligibility request separately at 14¢. Per claim, theirs is usually cheaper: a claim and its ERA come to 28¢ against our 40¢. Add an eligibility check to every claim and theirs comes to 42¢. | Practice plan, $29/month, plus $0.40 per claim | Add-on: 14¢ each per electronic claim, per ERA claim, and per eligibility request |
| Client portal and digital intake | Included | Included |
| Measurement-based care | Included | Included |
| Free trial | 30 days, no credit card | 30 days, no credit card |
| Track recordTheirs, and it is not close. | New product, small team | Long-established, widely trusted |
TherapyNotes figures are published list prices as of 25 September 2026 and may have changed. Verify current pricing on each vendor's own site. Sources: TherapyNotes pricing page, TherapyFuel feature page, Congruent pricing.
03The honest part
When TherapyNotes is the better choice.
No product is right for everyone, and a comparison page that pretends otherwise is not worth reading.
01
You need an independent attestation covering the AI itself. TherapyNotes states that TherapyFuel has earned an AI-focused HITRUST certification. Congruent holds no SOC 2 or HITRUST certification today and says so plainly on our security page. If a third-party certification of the AI layer is a requirement for your practice — and for some it reasonably is — that one is theirs, not ours.
02
You value a long operating history above everything else. TherapyNotes has been serving behavioral health practices for many years and has the support organization and reliability record to show for it. We are new. If that trade matters more to you than the monthly bill, take it seriously.
03
Your practice depends on workflows built specifically around their billing operation and you have staff already fluent in it. Switching costs are real, and they are not only financial.
04
You want phone support as a first-class channel. TherapyNotes advertises 24/7 phone and email support; we are a small team and cannot match that today.
04Switching questions
What people ask before they move.
How much cheaper is Congruent than TherapyNotes?
For a solo clinician who wants AI documentation and integrated video, the comparison is $20 a month against roughly $124 once the AI note assistant and premium telehealth are added to the $69 base plan. Over a year that is a difference of more than $1,200 for one clinician.
See our pricing →Can I import my TherapyNotes charts?
Yes. We migrate client demographics, chart history, past notes, treatment plans, and scheduled appointments at no charge, and we do it before you cancel so you can verify nothing is missing while both systems are still live.
Does Congruent handle insurance billing as well?
On the Practice plan at $29 per clinician per month, yes: electronic 837P claims, real-time eligibility checks, ERA and EOB auto-posting, and denial worklists. Claims are $0.40 each from the first one, and that price includes ERA posting and eligibility checks.
How billing works →Is a newer EHR a risk for a practice that has to keep records for years?
It is a fair concern and the honest answer is that you should never let any vendor hold your record hostage. Congruent lets you export complete charts, signed notes, and treatment plans in standard formats at any time, at no charge, without filing a request. Evaluate every vendor on how easily you could leave, including us.
Data ownership and export →30 days, all of it
Every feature, unlocked, with your real caseload if you want. Nothing is held back for a higher tier.
No credit card to start
Nothing charges automatically. If you don't subscribe, the account simply pauses.
No onboarding or setup fee
Not at signup, not when you add a clinician, not ever. Migration and training are included.
Your data leaves with you
Export charts, notes, plans, and your client list in standard formats, any time, at no charge.
Also compare: all comparisons · full pricing
Try it beside what you have now.
Run both for a month. Keep your current system open, put a week of sessions through Congruent, and compare the notes and the bill. Migration is free and we do it for you.
30 days free · No credit card · Free migration and BAA