When therapists compare billing software, they often compare the wrong thing. They look at whether a platform can technically send claims or charge cards. Most modern systems can do some version of both.
The more important question is how billing fits into the rest of the workflow. Does it stay connected to scheduling, documentation, telehealth, and patient communication? Or does it become a separate operational lane that staff have to manage manually?
What Matters Most in Therapy Billing Software
For private pay, the biggest questions are card collection, autopay, client balances, payment reminders, and how quickly charges move from completed sessions into collected revenue. For insurance, the big questions are eligibility, claims, remittances, contracted-rate awareness, and whether unresolved claims stay visible long enough to be worked.
If your practice does both, the software has to support a hybrid model without creating two separate admin systems.
A Public Pricing Snapshot, Dated April 16, 2026
As of April 2026, public support and pricing pages show several different billing approaches across the market. SimplePractice lists integrated online payments at 3.15% + $0.30 per successful transaction and separates plan tiers by subscription level. TherapyNotes lists electronic claims at $0.14 each, real-time eligibility checks at $0.14 each, and credit card processing at 3.1% + $0.30. Sessions Health publicly lists claims at $0.19 to $0.25 depending on volume, eligibility checks at $0.15, and Stripe card processing at 2.9% + $0.30. Jane treats insurance billing as an add-on, publicly listed at $20 per month plus additional practitioner charges on eligible plans.
That range shows why "best billing software" depends so much on practice model. Some teams care most about claim fees. Others care more about card processing. Others care about whether billing is included in the base subscription or pushed into layered add-ons.
Where Pebble Fits
Pebble approaches billing as part of a connected therapy-practice workflow. Our Private Pay Billing and Insurance Billing pages explain the model directly: Pebble pricing starts at $15 per month, with a 5% fee on private pay billed through the platform and a flat 5% fee on insurance billed through Pebble.
That will not be the best fit for every practice. But it is an intentionally different model, especially for teams that care less about subscription complexity and more about keeping billing close to the encounters that generated the revenue in the first place.
How to Choose
If you are mostly private pay, look closely at website-to-booking conversion, stored payment methods, scheduling integration, and how much manual follow-up is left after the session. If you are mostly insurance, look closely at claims visibility, eligibility, remittance handling, and whether the product helps your team know what to do next when something goes wrong.
If you want the full category view, read our best EHR for therapists in 2026 guide. If you are evaluating private pay specifically, start with our private pay billing article. If insurance is the bigger concern, read our insurance billing guide.