Key differences
- Pricing model: Blueprint charges $0.99 per session (or $69/seat/mo unlimited) with no subscription; Upheal charges a flat $39/mo for unlimited AI notes and has a permanent free plan.
- EHR: Both can be your EHR (Blueprint $1.49/session; Upheal $1/session or $99/mo). Blueprint also sells its AI alongside your current EHR; Upheal outside-EHR integration: Ask vendor.
- Training: Blueprint never uses client data to train AI; Upheal uses de-identified data unless you opt out.
- Billing: Insurance claims and eligibility checks cost the same at both: $0.30 per claim, $0.15 per check.
Side-by-side comparison
Prices in USD. "Ask vendor" means the vendor does not publish it. Each cell carries an evidence label; see how we label evidence. Scores are research-based, from public vendor documentation; see the scorecard.
| Feature | Blueprint | Upheal |
|---|---|---|
| Pricing | ||
| Plans (as published) | Alongside your EHR: $0.99/session or $69/seat/mo unlimited. All-in-one EHR: $1.49/session. Enterprise custom Documentation reviewed | Free $0; AI Notes $39/mo unlimited sessions; EHR $1/session; EHR Pro $99/mo; Assistant Pro +$39/mo Documentation reviewed |
| Free plan or trial | Free sessions to start, no subscription Documentation reviewed | Permanent free plan (text-to-note, dictation, uploads; individual therapy only) plus free trial Documentation reviewed |
| Contract | No subscription or minimum; session credits never expire Documentation reviewed | Monthly flat fee or pay per session (EHR) Documentation reviewed |
| Insurance billing fees | $0.30 per claim, $0.15 per eligibility check (all-in-one EHR) Documentation reviewed | $0.30 per claim, $0.15 per eligibility check (EHR plans) Documentation reviewed |
| Privacy | ||
| HIPAA BAA | Automatically included in Terms at sign-up; signable copy available Documentation reviewed | Published; agreed at sign-up Documentation reviewed |
| SOC 2 | SOC 2 Type II (vendor-reported) Vendor-reported | SOC 2 Type II (vendor-reported) Vendor-reported |
| Audio | Deleted immediately after processing; no recordings, copies, or backups kept Documentation reviewed | Deleted by default once notes are ready; you can choose to save it Documentation reviewed |
| Model training | Client data never used to train AI models Vendor-reported | De-identified data used to improve Upheal unless you opt out; sessions not used to train without explicit permission Vendor-reported |
| Workflow | ||
| EHR fit | Works alongside your current EHR, or becomes your EHR (scheduling, telehealth, portal, billing) Documentation reviewed | Notes live in Upheal or its own EHR; outside EHR integration: Ask vendor Documentation reviewed |
| Note types | AI notes, treatment plans, discharge summaries, after-visit client summaries Documentation reviewed | Unlimited AI notes via video, audio, dictation, uploads; treatment plans with Golden Thread Documentation reviewed |
| Couples and family | Ask vendor Ask vendor | Individuals, couples, and families on AI Notes and up Documentation reviewed |
| Group practice | Enterprise: custom plans Documentation reviewed | AI Notes or EHR per seat, team management and SSO Documentation reviewed |
| AI chat | AI Chat for clinical questions and session plans (all-in-one EHR) Documentation reviewed | AI Assistant with monthly limit; unlimited with Assistant Pro Documentation reviewed |
Psychiatry and behavioral health fit
Both are built for therapists first. Blueprint adds measurement-based care tools and a psychiatric evaluation template and is the CAIW pick for therapists and groups (see the therapist guide). Upheal includes Psychiatry templates on paid plans and is the CAIW low-cost pick thanks to its free plan and flat $39/mo AI Notes tier (see the free scribe guide).
Neither vendor publicly describes 42 CFR Part 2 specific controls. Substance use disorder programs should get written answers on consent, counseling-note content, and redisclosure before use (Ask vendor).
Who should pick which
| Practice type | Better fit |
|---|---|
| Therapist with a small or variable caseload (under about 40 sessions a month) | Blueprint (per session) |
| Therapist starting with no budget | Upheal Free |
| Full caseload, notes only | Upheal AI Notes ($39/mo flat) or Blueprint $69/seat unlimited |
| Practice keeping its current EHR | Blueprint alongside |
| Clinician who wants no AI training without opting out | Blueprint |
| Couples and family therapy | Upheal (documented); Blueprint: Ask vendor |
Verdict
Choose Blueprint if your caseload varies and you want to pay per session (credits never expire), keep your current EHR or switch to its all-in-one EHR later, and you want client data never used for AI training. Choose Upheal if you want to start free, prefer a flat $39/mo for unlimited AI notes, or want a flat-fee EHR ($99/mo) once you see roughly 14 or more sessions a week.
Whichever you choose, confirm the BAA before any real patient audio is recorded and set retention to the shortest period that fits your workflow.
Related reading: Blueprint review, Upheal review, Best AI scribes for therapists, Best free AI scribe, and the full scorecard.
FAQ
How much does Blueprint cost?
Alongside your EHR, $0.99 per session or $69 per seat per month for unlimited sessions; as an all-in-one EHR, $1.49 per session, as of 2026-10-16.
How much does Upheal cost?
Upheal has a permanent free plan with limits. AI Notes is $39/mo for unlimited sessions; the EHR is $1 per session or $99/mo flat for EHR Pro, as of 2026-10-16.
Which is cheaper?
It depends on volume. At 39 or fewer sessions a month, Blueprint at $0.99 per session costs less than Upheal AI Notes at $39/mo; above that, Upheal's flat fee costs less. Upheal Free costs nothing but is limited to text, dictation, and uploads.
Do both sign a BAA?
Yes. Both put a BAA in place at sign-up; Blueprint also offers a signable copy.
Does either train AI on my sessions?
Blueprint says client data is never used to train AI models. Upheal says de-identified data helps improve its product and you can opt out any time.
Is this medical or legal advice?
No. This is general information. Confirm BAA terms, data use, and consent requirements with each vendor and your compliance advisor before using patient data.
How were facts checked?
Each fact comes from the vendor's official pricing, privacy, or security pages, checked on 2026-10-16. Where a vendor does not publish something, we say Ask vendor rather than estimate it.
Sources and last checked
All links checked 2026-10-16. Vendors change prices and terms often; re-verify before buying.