EHRs for group therapy practices with five clinicians, ten clinicians, or twenty clinicians need to be able to split billing by provider, track group session notes separate from individual notes, and keep scheduling conflicts out of the calendar. That’s when the theranest vs valant comparison gets real for practice owners. Both vendors support behavioural health groups, but they are priced very differently and have different philosophies about how group billing should work.
In this guide, we compare how each platform handles multi-clinician billing, scheduling and group notes, and the real cost of each platform after add-ons.
Both TheraNest and Valant offer group therapy, but at different price points. TheraNest pricing starts at $29-$89 per month per therapist. Valant pricing is $100-$300 per provider per month with custom quotes. TheraNest is more affordable for smaller group practices, while Valant’s matching tools and reporting are better suited to larger multi-clinician teams with bigger budgets.
TheraNest vs Valant: Which is Better for a Group Therapy Practice?
The short answer: Depends on group size and budget. Cloud-based mental health EHR and practice-management system TheraNest is used by therapists, counsellors and administrative staff in private and group practices. Ease of use and integrated scheduling, notes and billing are appreciated by users. This makes it a viable fit for small to mid-size group practices that need multi-clinician scheduling without enterprise pricing.
Valant goes about it differently. The system supports practice types such as solo practitioners, group practices and multi-practice organisations. It also offers group therapy software allowing users to manage multiple patients at once. In group practices, Valant can match new intakes to the therapist it thinks is best fit, and that type of routing automation can save time and improve client fit. That feature is really useful once a practice has enough clinicians that assigning intakes manually becomes a bottleneck.
When TheraNest is Not Right for Groups
There is some friction with group-specific workflows within TheraNest. Some reviewers note that TheraNest is not well set up for clients who are in multiple services with multiple fees and it is also not well set up for group and couples notes. If your practice engages in much combined individual and group billing per client, give this workflow a try in the trial before you sign on.
Where Valant Falls Short for Small Groups
The biggest downside to Valant for smaller teams is the unpredictability of costs. Valant has some good features for group practices including matching, automated measures, e-prescribing, and optional billing services. However, there are some notable caveats including no free trial, no published pricing, and mixed user reviews. Some reviewers also note that the interface employs workarounds like shortcut buttons and right-click menus that can feel awkward and break workflow for smaller teams familiar with simpler tools.
How Much Does TheraNest Charge Per Provider in 2026
TheraNest will move to a per therapist pricing model in May 2025. Essentials will be $29, Advanced $59 and Premier $89 per therapist per month with one month free when billed annually. The vendor also offers custom pricing for group practices that require volume discounts.
Add-ons inflate the real cost for groups doing insurance billing and telehealth. Telehealth for individual and group sessions is $12 per therapist per month (unless included in Premier), Wiley Treatment Planner is $25 per therapist per month and the annual AMA CPT licence fee is $19.50 per therapist, billed annually every December.
| TheraNest Plan | Price per Therapist/Month | Best For |
|---|---|---|
| Essentials | $29 | Solo and very small groups |
| Advanced | $59 | Growing group practices needing automation |
| Premier | $89 | Established groups needing full billing tools |
Source: Ensora Health, 2025.
How Much Valant Charges per Provider in 2026
Valant typically charges $100 to $300 per provider per month, with costs growing according to features, integrations, and group size. Additional implementation fees often run $500 to $2,500, with paid add-ons raising the total investment further.
For a mixed group of prescribers and therapists, the math adds up fast. A 5-provider group with one psychiatrist and four therapists could run around $1,000 per month at Valant’s average rate, and could be higher at the top tier. That is a meaningful gap compared to TheraNest’s per-therapist tiers for a similarly sized team.
| Practice Size | Estimated Monthly Cost | Notes |
|---|---|---|
| 1 provider | $300 | Custom quote, no published tiers |
| 10 providers | $2,500 | Scales with modules and add-ons |
| 100 providers | $25,000 | Enterprise-level implementation applies |
Source: ITQlick, 2026.
TheraNest vs Valant: Feature Comparison for Group Practices
| Feature | TheraNest | Valant |
|---|---|---|
| Pricing model | Published, per therapist | Custom quote, per provider |
| Built-in telehealth | Yes, add-on or included in Premier | Yes, included |
| Intake matching for groups | Not available | Yes |
| AI documentation assist | Add-on at $35/provider/month | AI Notes Assist included |
| Free trial | 21-day trial | None |
| E-prescribing | Add-on, $45/therapist/month | Included with PDMP integration |
Source: Ensora Health and Software Advice, 2026.
Questions Group Practice Owners Are Asking on Reddit and Quora
Owners researching this comparison tend to have the same few questions. Many want to know if the per-client legacy pricing for TheraNest still exists for older accounts. That was a more forgiving model for practices with lots of low-frequency clients. Some question whether Valant’s bespoke quote process makes price negotiation a possibility for a 3 to 5 clinician group, or if it’s really geared toward bigger organisations. TheraNest group note templates are frequently criticised for seeming limiting versus individual session notes, while Valant users more often comment on the learning curve associated with its menu-heavy interface.
FAQ
Is TheraNest better than Valant for group therapy practices?
TheraNest is better for smaller group practices that want predictable, published prices and built-in telehealth without add-on complexity. Valant is built for larger group practices that need more robust reporting, intake matching tools and are willing to pay $100 to $300 per provider per month for those features.
Can I bill for multiple clinicians in Valant?
Yes. Valant’s practice management tools offer scheduling, billing with claim assistance, utilisation review, eligibility checking and performance reporting across multiple clinicians and locations. It also has a matching tool to help direct new intakes to the right therapist, helping groups manage caseloads across multiple providers.
What is the price of TheraNest per clinician?
As of May 2025, TheraNest’s monthly pricing is per therapist: Essentials is $29, Advanced is $59 and Premier is $89. Add-ons such as telehealth, the Wiley Treatment Planner, e-prescribing, along with an annual AMA CPT licence fee of $19.50 per therapist, can increase the total.
Does TheraNest charge per client or per clinician?
As of 2025 TheraNest has switched from a per-client model to a per-therapist pricing model. Some existing accounts may still be grandfathered into client-based billing, but new signups pay a flat fee-per-therapist across Essentials, Advanced and Premier tiers.
TheraNest vs. Valant: Why the Price Difference?
Valant doesn’t have set plans but instead customises pricing based on provider count, modules and practice size, which generally lands between $100 and $300 per provider per month. That premium is for its deeper clinical documentation tools, AI Notes Assist, and enterprise-level reporting for larger behavioural health organisations.
