One number. The whole platform.
Signal is $199 per practitioner per month. That covers clinical AI in the room, AI documentation, Amelia on web and text, unlimited US and Canadian insurance billing, telehealth, and the rest of the EHR. Admins and receptionists are free. Cancel any time.
Full features. No credit card. No setup fee. Migration help included.
Signal Intelligence — the only plan
Billed monthly · USD · Cancel any time
The full Signal platform — clinical AI, eight clinical note formats, Amelia front desk on web and SMS, native HIPAA telehealth, unlimited US (Stedi) and Canadian (TELUS) insurance billing, and multi-clinic RBAC. Admins and receptionists are always free.
100 hrs/mo emotion analysis
Real-time voice affect, regulation, and crisis flags during every session. Overage billed at $1.50/hr — never blocked.
AI clinical notes — 8 formats
SOAP, DAP, BIRP, GIRP, PIRP, SIRP, PIE, plus your custom template. 16 modalities. Signed in roughly 8 minutes.
Couples, family, group support
Per-speaker diarization with separate emotion tracks. Cycle detection for relational work — no extra license.
Amelia on web chat + SMS
AI front desk that books, reschedules, sends intake, and answers client questions across web and text.
Unlimited US + CA insurance claims
Stedi (3,400+ US payers) and TELUS eClaims (29+ Canadian insurers). No per-claim fees. Ever.
HIPAA-compliant telehealth
Native LiveKit video on GCP. No third-party tabs, no upgrades, no per-minute fees.
Intake + consent automation
Forms by secure link, QR, or pre-session push. GFE (No Surprises Act) and 42 CFR Part 2 built in.
Stripe payments + A/R
Auto-invoicing, payment plans, statements, and full A/R aging. Built into the platform.
Multi-clinic RBAC
Owner, admin, practitioner, receptionist roles. Multi-location, supervision hierarchies, audit logging on every PHI touch.
Embeddable booking widget
One line of code on Wix, Squarespace, WordPress, or any site. Bookings flow straight into your calendar.
HIPAA + PIPEDA compliance
AES-256, zero raw audio retention, signed BAAs, regional controls for PHIPA, Law 25, HIA, PIPA, CMIA, SHIELD.
Migration help — included
We import clients, appointments, and notes from SimplePractice, Jane, TherapyNotes. Real human, no upcharge.
No credit card to start. No setup fee. No annual contract.
Optional add-on
Voice Amelia
$99.99/clinic/month
AI phone receptionist on a real number. Answers calls, books appointments, handles intake. One phone line included.
- Real US/CA phone number, picks up 24/7
- Books, reschedules, sends intake by SMS
- Additional lines: $49.99/month each
Overage
$1.50/hr
After the 100 hrs/mo of in-session emotion analysis included with every practitioner seat. Most practitioners never reach it.
Always free
Admin + receptionist seats
Only practitioners are billed. Add as many admins, clinic managers, and receptionists as your practice needs. No seat caps.
What's not extra
The things competitors charge add-ons for. Included.
Most therapy EHRs price the base plan at $59–119, then sell you billing, telehealth, AI notes, and front-desk tools as separate line items. Signal's number is the whole bill.
- Insurance billing (US + Canada)Unlimited, includedPer-claim fees or premium tier
- AI clinical notesIncluded — 8 formatsAdd-on (SimplePractice Plus, Jane Thrive)
- Real-time emotion + affect analysisIncluded — 100 hrs/moNot available
- AI front desk (chat + SMS)IncludedNot available
- HIPAA-compliant telehealthIncluded — nativeAdd-on or per-minute fees
- Embeddable booking widgetIncludedPremium tier or paid integration
- Multi-clinic RBACIncludedEnterprise tier upgrade
- Free admin + receptionist seatsAlways freePer-seat billing
- Custom intake + consent formsIncluded — unlimitedTier-gated or template-only
- Couples / family per-speaker trackingIncludedNot available
- Migration from your old EHRIncluded — human-assistedSelf-serve or paid services
"Other EHRs" reflects publicly listed tier structure for SimplePractice, Jane App, and TherapyNotes as of 2026. Specific add-on names vary by provider.
Estimate your cost
Math you can do in your head, but here's the calculator anyway.
Practitioners are billed at $199. Admins and receptionists are free. Voice Amelia is one flat clinic-level add-on, regardless of how many practitioners you have.
Per-practitioner billing. Each licensed clinician seeing clients is one seat at $199/month.
Free admin + receptionist seats. Add as many as your practice needs. No upcharge, no seat cap.
Voice Amelia is per-clinic. $99.99/month adds the AI phone receptionist with one phone line. Each additional line is $49.99/month.
Your practice
Tell us your seat count.
Practitioners
$199/seat/month — billed
Admin + receptionist seats
Always free — no seat caps
Voice Amelia
AI phone receptionist — $99.99/clinic/month, 1 line included
Estimated monthly bill
$7,164/year if nothing changes · $199 per practitioner all-in
Estimate excludes any overage past the included 100 hrs/mo of in-session emotion analysis per practitioner ($1.50/hr if exceeded). Prices in USD. Insurance claims, telehealth, and AI notes are unlimited and included.
Pricing FAQ
The honest answers.
Anything we missed? Email hello@signalehr.com — a real human reads every message and replies the same business day.
Security
HIPAA + PIPEDA. AES-256 at rest and in transit. Zero raw audio retention — transcripts and embeddings only, with explicit consent. Signed BAAs included with every practice account.
Is there an annual discount?
Not yet. Pricing is one number — $199 per practitioner per month, billed monthly — and we'd rather keep it honest than discount our way into a confusing tier sheet. If your practice is over 25 practitioners, email us at sales@signalehr.com and we'll talk volume terms.
Can I cancel any time?
Yes. No annual contracts, no cancellation fees, no minimum commitment. Cancel from inside the app and your billing stops at the end of the current month. We'll keep your data accessible for 90 days for export, then delete it on request per HIPAA / PIPEDA retention rules.
Do I really only pay for practitioners?
Yes. Owners and practitioners are billed at $199/month. Admins and receptionists — the people who run the front desk, do scheduling, and handle billing — are free, no seat caps. A solo therapist with one part-time receptionist pays $199. A 6-practitioner group with a clinic manager and two receptionists pays $1,194.
What does the 100 hours of emotion analysis actually cover?
Every minute Signal is actively listening to a session and producing the live emotion timeline counts toward the 100 hours. You can run unlimited sessions without recording — the AI note generation, scheduling, billing, and Amelia chat aren't capped. Past 100 hours of in-session listening per practitioner per month, overage is $1.50/hr. Average full-time practitioners use 60–80 hrs/month and never hit it.
Which insurance payers are included?
All of them, in our covered networks. United States: 3,400+ payers via Stedi for 837P claims, real-time eligibility (270/271), and ERA auto-posting. Canada: TELUS eClaims direct billing for 29+ insurers including Sun Life, Manulife, Canada Life, Green Shield, Pacific Blue Cross. For any insurer not on the network, Signal generates a properly-formatted insurance receipt the client can submit themselves. Unlimited claims, no per-transaction fees.
Do I need Voice Amelia?
No. Web chat and SMS Amelia are included in the $199 plan and handle the majority of front-desk volume for most solo and small-group practices. Voice Amelia ($99.99/clinic/month) adds a real phone line with an AI receptionist that answers calls, books appointments, and handles intake — useful when your practice still gets a lot of phone-first clients or you want to retire a human receptionist. Additional phone lines are $49.99/month each.
Is there a setup fee or onboarding cost?
No. The 14-day free trial is the full product, and migration assistance from a real human (not an upsell rep) is included if you're moving from SimplePractice, Jane, TherapyNotes, or another EHR. Most practices are running parallel within a week and fully cut over inside 30 days.
What happens after the 14-day free trial?
You enter your card and Signal continues at $199/practitioner/month. If you don't add a card, your account is paused — your data stays intact for 90 days while you decide, and you can export everything at any time. We never auto-charge you at the end of the trial without an explicit step from you.
Try the whole thing for fourteen days.
Full product. No credit card. No setup fee. Migration help from a real human if you want it. Decide at the end of the trial.
Cancel any time. HIPAA + PIPEDA. Signed BAAs included.