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Kareo vs TherapyNotes

Updated June 2026 · A structured head-to-head comparison.

EHR and medical billing.

EHR for behavioral health.

The verdict

Both Kareo and TherapyNotes are credible healthcare tools, and the right pick comes down to your priorities.

Choose Kareo if you want broader platform coverage. EHR and medical billing.

Choose TherapyNotes if you'd rather have a lower starting price (from $49/mo), a longer free trial (30 days) and a higher overall rating (4.6/5). EHR for behavioral health.

Kareo vs TherapyNotes: side by side

DimensionKareoTherapyNotes
Starting priceCustomFrom $49/moWinner
Free planNoNo
Free trial30 daysWinner
Pricing modelSubscriptionSubscription
Best forIndependent PracticesTherapists, Behavioral Health
PlatformsWeb, Ios, AndroidWinnerWeb
Rating4.0/54.6/5Winner

Kareo key facts

Vendor
Tebra
Pricing
Subscription — Custom
Free tier
No
Platforms
Web, Ios, Android
Best for
Independent Practices
Editor rating
4.0 / 5
Founded
2004
Headquarters
Irvine, CA, USA

TherapyNotes key facts

Vendor
TherapyNotes
Pricing
Subscription — From $49/mo
Free tier
Free trial (30 days)
Platforms
Web
Best for
Therapists, Behavioral Health
Editor rating
4.6 / 5
Founded
2010
Headquarters
Horsham, PA, USA

Frequently asked questions

Is Kareo better than TherapyNotes?

Neither is universally better — TherapyNotes edges ahead on overall rating, but the best choice depends on price, platforms, and your use case. See the side-by-side table above.

Is Kareo or TherapyNotes cheaper?

TherapyNotes is the more affordable of the two to get started, at from $49/mo. Kareo starts at custom; TherapyNotes starts at from $49/mo.

Can Kareo replace TherapyNotes?

Yes for most teams — both are healthcare tools with heavily overlapping features. The main trade-offs are pricing and platform support, covered in the comparison above.