Aesthetic Record vs TheraNest Pricing (2026)

How do these two stack up on price? Here's what each one costs, what you get, and where the value sits.

Aesthetic Record TheraNest
Starts at $15/mo $29/mo
Number of plans 3 3
Free plan
Free trial
Pricing model per-seat per-seat

Essentials

$15/mo
  • High-Res Photo Management
  • Procedure Charting & Tracking
  • Medical Director Oversight
  • Automated Reminders
  • Multiple Memberships
  • Patient Portal & Wallet
  • Discounts & Package Creation
  • Monthly Treatment Subscriptions
  • AR Pay*
  • eGift Cards
  • Online Booking & eCommerce
  • Reputation Management
  • Inventory Management

Accelerator

Popular
$19/mo
  • Integrations with Third-Party Platforms**: RepeatMD, TouchMD, JOYA & PatientFi
  • 2-Way Texting**
  • Integration with ASPIRE Galderma Rewards
  • Dynamic Before & After Videos
  • Advanced KPI Dashboards
  • Employee Time Tracking
  • Integration with Third-Party CRMs**: Constant Contact, Active Campaign, MailChimp, Zoho & Hubspot
  • External Leads Integration
  • eFax Inbox*
  • LeadAR Integration

Enterprise

Custom
  • Enterprise Management Portal
  • Onsite Setup* & Train-The-Trainer
  • Branded Onboarding Materials
  • Dedicated Support Plans
  • Franchise & Multi-Location Dashboards
  • Strategic Account Manager
  • Account Cloning Across Locations

Essentials

$29/mo
  • Scheduling management
  • Secure client portal
  • Calendar sync
  • Basic intake forms and notes
  • Ensai notes enhancement
  • Hassle-free credit card payments*
  • Optional Telehealth add-on*

Advanced

$59/mo
  • Online booking & secure messaging
  • Custom intake forms & notes
  • Group practice reports
  • Get 30 free each per practice per month*: Claims processing
  • Get 30 free each per practice per month*: Eligibility checks
  • Get 30 free each per practice per month*: Text & phone reminders

Premier

$89/mo
  • Insurance billing automation
  • Wiley Practice Planner included
  • Unlimited Telehealth (Individual + Group)†
  • Unlimited claims processing†
  • Unlimited eligibility checks†
  • Unlimited text & phone reminders†

Aesthetic Record vs TheraNest FAQ

Which one is cheaper?
Aesthetic Record starts lower at $15/mo, compared to $29/mo for TheraNest.
Can I use either one for free?
Neither has a free plan. But TheraNest offers a free trial.
How do they charge?
Both use a per-seat model, so the comparison is straightforward — it comes down to features and limits at each price point.
Which one is a better deal?
Depends on what you need. Aesthetic Record: At $15-19/seat with no free trial and no free plan, they're positioning as a low-friction, budget-friendly entry point in the med spa/aesthetics EMR space — but that $399 upfront fee undercuts the 'cheap and easy' pitch by adding real switching cost. They're clearly going after price-sensitive solo practitioners and small clinics who'd bounce off a $99+/seat competitor, betting the onboarding fee gets absorbed once they're locked into the workflow. TheraNest: At $29-89 per therapist, TheraNest sits in the mid-market lane — not the rock-bottom option, but well under the premium EHR platforms that charge more for similar clinical/billing depth. They're clearly courting small-to-mid group practices that have outgrown spreadsheets but aren't ready for enterprise-grade behavioral health software.

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