Blueprint vs Upheal
Updated October 16, 2026
Solo therapists and small group practices looking for AI notes and a simple practice system often compare Blueprint and Upheal. Both draft notes and treatment plans from sessions and now offer a complete therapy EHR, but Blueprint charges by session through credits, while Upheal publishes flat plans and has pushed hard into insurance billing. How you see clients and how you like to pay shape the choice.
Our analysts compared Blueprint and Upheal on note quality, EHR features, insurance billing, pricing approach, and privacy controls, using the HIR review of each company and Upheal's blog. In the following sections, we compare them in one table, describe the therapist each suits, and note what Upheal released this year.
Blueprint vs Upheal at a glance, October 2026
| What buyers weigh | Blueprint | Upheal |
|---|---|---|
| Published price | Prices are published on blueprint.ai. | Yes. A free plan, AI Notes at $39 per month, the EHR at $1 per session, and EHR Pro at $99 per month. |
| Pricing model | Published per-session pricing, with enterprise contracts quoted separately. | Published monthly plans per clinician. AI Notes costs $39 per month with unlimited sessions. The full EHR costs $1 per session, or $99 per month flat for EHR Pro. |
| What drives cost | Session volume, the plan (Plus or Pro), whether it runs alongside another EHR or as the full EHR, and card processing and claims fees. | Number of clinicians, session volume, the AI Assistant Pro add-on at $39 per month, insurance claims at $0.30 each, eligibility checks at $0.15 each, and card payments at 2.9% plus $0.30. |
| Main job | AI notes from recorded sessions, plus an optional all-in-one EHR with scheduling and billing. | AI notes plus a full mental health EHR with scheduling, telehealth, payments, and claims. |
| Who it fits | Solo therapists and small groups; also clinicians who keep another EHR and add AI documentation. | Solo therapists and small groups that want notes, scheduling, payments, and claims in one system. |
| How pricing works | Published per-session pricing; practices that want to pay by session instead of a monthly seat fee are a strong fit; scores 8.8 on knowing what you will pay. | Published monthly plans: AI Notes at $39 per month unlimited, full EHR at $1 per session or $99 per month flat for EHR Pro; scores 9.0. |
| Note results | Scores 7.8 on note time saved. | Scores 7.6 on note time saved. |
| Product depth | Scores 7.7 for its AI notes and EHR product. | Scores 7.9 for its AI notes and EHR product. |
| Getting started | Scores 8.2; free trial and setup in 1-2 weeks, notes live for all clinicians in 2-4 weeks. | Scores 8.4; sign-up and templates in 1-2 days, first notes and scheduling in 1-2 weeks. |
| Where it does not fit | Residential and addiction programs that need admissions and census tools are a weak fit. | Inpatient, residential, or addiction programs that need facility features are a weak fit. |
| Telehealth capture | Sessions recorded on the mobile app for best note quality. | Built for clinicians who see clients over telehealth and want sessions captured automatically. Clear edge |
| Time to full value | About 2 to 4 months | Not published |
| What you need first | Clinician consent process for recording. | Clinician or practice owner who sets templates. |
| Deal-breaker | Clients refuse recording and you will not dictate. | Clients who refuse recording or dictation. |
| Pricing clarity score | 8.8 | 9.0 |
| HIR overall score | 8.0, Recommend. | 8.1, Recommend. |
| Best for | Solo therapists and small group practices that want AI notes and a simple EHR. | Solo therapists and small group practices that want AI notes at a flat, published price. |
| Not a fit for | Residential and addiction treatment programs that need admissions and census tools. | Inpatient, residential, or addiction treatment programs that need facility features. |
Which fits which buyer
Look at your caseload and how steady it is month to month.
Choose Blueprint if
- Your caseload rises and falls and you want cost to follow it.
- You would rather pay per session than a fixed plan.
- Measurement tools and client insights interest you.
Choose Upheal if
- You prefer a predictable flat plan.
- Insurance claims and denial appeals are part of your week.
- You want an AI assistant that handles admin tasks inside the EHR.
Verdict
Upheal scores a hair higher, and both are strong picks for private practice. Blueprint suits therapists with uneven caseloads, and Upheal suits those who bill insurance heavily.
Try both on a few real sessions before moving your records.
Where the two tools are headed in 2027 and beyond
Upheal: Upheal launched insurance billing, with eligibility checks, claims, and denial appeals, on October 9, 2026.
Ask each how client recordings are stored and deleted.
Methodology
Each row comes from the HIR reviews of Blueprint and Upheal, scored under the HIR method, and from each vendor's public pricing where it exists. Any published price for Blueprint or Upheal was checked on that vendor's own site on October 16, 2026.
A green check marks a clear edge for Blueprint or Upheal only where their review scores differ by at least 0.3 points or the two reviews show a plain difference. Rows with nothing published for either Blueprint or Upheal are left out, and time to full value for each adds up the rollout stages in its review.
Sources
- HIR review of Blueprint and HIR review of Upheal
- Blueprint website
- Upheal pricing, checked October 16, 2026
- Upheal insurance billing launch, October 9, 2026