A chiropractor in Ohio sent me a screenshot last spring: three quotes for “chiropractic software,” all in the same ballpark per month, and a twelve-month total that differed by more than $9,000. Nothing shady had happened. One quote bundled a clearinghouse, one charged per claim, and one had a setup fee buried in an onboarding line item.
That gap is the whole problem with buying software for a chiropractic office in 2026. The sticker price on the pricing page is real, but it covers a different amount of work at every vendor. Some publish numbers. Some don’t publish anything at all anymore and route you to a demo. This guide lines up the published prices I could verify, notes which ones are quote-only, and shows what a one-doctor practice versus a three-doctor practice actually ends up paying.
Quick answer: the 2026 price range
Published chiropractic EHR and practice management prices run from about $33 a month on annual billing at the low end to roughly $529 a month at the high end, before add-ons. Most single-location practices land between $79 and $299 a month for the core platform. Insurance billing is usually a separate line, and it’s frequently the largest line.
ChiroTouch stopped publishing dollar figures on its pricing page. The page lists Start, Grow, and Scale with feature lists and a “Talk to an Expert” button. Capterra still shows older figures of $139, $329, and $529 for those tiers, and ChiroTouch’s own launch page advertises $99 a month for new practices. Treat all of those as historical until a rep confirms them in writing.
What I compared, and how
I didn’t run a clinic. My background is on the automation side: I build scheduling and document workflows in Make and n8n for small service businesses, and I’ve spent enough time in practice-management software to know which questions cause trouble later. For this piece I read each vendor’s own pricing page in early November 2026, cross-checked the numbers against Capterra and Software Advice listings, and read user complaints in chiropractic forums and on Reddit’s r/Chiropractic where people describe billing surprises. Where a vendor doesn’t publish a price, I say so rather than guess.
One caveat up front: per-provider pricing is where these comparisons fall apart. A flat $149 plan that includes one provider can cost more than a $79 plan with four seats once you hire an associate.
The published prices, side by side
| Platform | Entry price | Top published tier | Billing model | Insurance billing |
|---|---|---|---|---|
| Noterro | $33/mo (annual) | $77/mo Max | Per practitioner seat, unlimited locations | Simple insurance in Core; fuller codes in Plus |
| Jane App | $59/mo Balance | $99/mo Thrive | Per full-time practitioner | Add-on to Practice and Thrive |
| ChiroFusion | $129/mo Essentials | ~$329/mo | Flat, 12-month commitment on monthly billing | Included (e-claims, ERA posting) |
| ChiroSpring | $149/mo 360 | $299/mo 360 Pro+ | Includes 1 provider; Pro+ includes 2 | $149/mo clearinghouse add-on |
| ChiroTouch | Quote only ($99/mo launch promo) | Quote only | Tiered, quote-based | Billing Suite add-on, volume-priced |
| Genesis | Reportedly from ~$97/mo | Reportedly ~$500/mo | Tiered, quote-based | Varies by plan |
Noterro: the cheap seat, with a catch
Noterro is the one I’d point a brand-new solo practice toward if cash is tight; its published pricing page spells out the annual discount. Core is $33 a month when you pay annually, and that includes one practitioner seat plus unlimited assistant seats, which is unusual. Additional practitioners run $13.20 a month each on the same annual cycle. Monthly billing costs roughly 15% more across the board, so budget about $39 for Core if you want to stay flexible.
What you give up at that price: Core covers charts, forms, scheduling, basic billing, and simple insurance, but text and call reminders, file uploads, waitlists, and insurance code libraries sit in Plus at $55 a month. The scribe is included on every plan, which matters more than it sounds. Independent notes on Noterro’s help center confirm the three-tier structure (Core, Plus, Max), so the ladder is documented rather than sales-call folklore.
My honest read: Core is a scheduling and charting tool. If you bill insurance with any volume, you’ll end up on Plus or Max and the “cheap” advantage narrows fast.
Jane App: the one that behaves like software people like
Jane publishes everything, which is why it keeps showing up in these comparisons. The Jane pricing page is short enough to read in five minutes. Balance is $59 a month and caps you at 20 appointments a month, so it’s really a trial-shaped plan for a practitioner starting from zero. Practice is $79 and removes the appointment cap, includes one full-time practitioner, and adds timesheets and unlimited free SMS reminders where the region allows it. Thrive is $99 and adds rooms and equipment scheduling, self check-in, waitlists, and packages or memberships.
Two things to know. Jane charges per full-time practitioner on top of the base, with a lower rate for staff under 24 booked hours a week. And insurance billing is an add-on that only appears from Practice upward. There’s no free trial; Jane offers a guided demo instead, which is a real friction point if you like to poke at software before paying.
For a chiropractic office doing mostly cash-pay adjustments and wellness plans, Jane’s membership and package handling is the feature that earns its keep. For a heavy PI or insurance practice, the add-on math needs a spreadsheet.
ChiroFusion: insurance-first, priced like it
ChiroFusion Essentials starts at $129 a month, per its pricing page, on monthly billing with a 12-month commitment, and the range tops out around $329. The important difference is what’s inside: e-claims, ERA auto-posting, care plans, and integrated payments are core features rather than upgrades. If you’re running a personal injury or major-medical practice, that’s the work you actually do all day.
The tradeoff is commitment. A 12-month term on monthly billing means you’re married to the decision after the first invoice. The vendor also runs a $1 first-month promotion that expires November 16, 2026, bundled with waived setup fees and a card terminal, which tells you two things: setup fees are normally real, and promotional pricing is a lever they pull. Ask what the price is in month thirteen.
ChiroSpring: transparent tiers and a clearinghouse decision
ChiroSpring lists 360 at $149, 360 Pro at $249, and 360 Pro+ at $299 on its pricing page. The jump from 360 to Pro buys automatic claim creation, EDI downloads, online intake, a check-in kiosk, and memberships with recurring payments. Pro+ adds a claim scrubber, an ERA center, online scheduling, review requests, and a second provider seat.
Here’s the part that surprises people: the clearinghouse is a separate $149 a month on Pro or Pro+, covering a Trizetto account and up to 1,000 claims, with 35 cents per claim after that. GrowthHub, the patient engagement module, is another $99. So a two-provider practice with insurance billing and marketing texts is looking at $299 plus $149 plus $99, or $547 a month before payment processing. That’s not a knock on the product. It’s just the number you should have in your head before the demo.
ChiroTouch: the quote-only giant
ChiroTouch is the name every chiropractor hears first, and it’s now fully quote-based, per its pricing page. The pricing page splits into Start, Grow, and Scale, with AI charting through a product called Rheo on Start, an AI Scribe and reputation management on Grow, and AI review responses, translation, and lead management on Scale. Billing is a separate Billing Suite with volume-based claim pricing at the practice level.
Because there’s no published number, negotiation matters more here than anywhere else in this list. Ask for the total first-year cost in writing, including onboarding, data migration, training, and card processing rates. Then ask for the same quote at your expected provider count in year two. Practices that skip that second question are the ones posting angry reviews about renewal pricing.
What the monthly price doesn’t include
Across every platform, four costs sit outside the subscription:
- Payment processing. Usually 2.5% to 3.5% plus a per-transaction fee. On $40,000 a month in collections, a one-point difference is $400 a month.
- Clearinghouse and claim volume. Either bundled, metered, or a flat add-on, as with ChiroSpring’s $149.
- Data migration and setup. Commonly $300 to $1,500, frequently waivable during promotions.
- Extra provider seats. Ranges from $13 to well over $100 a month depending on the vendor’s model.
I’d argue processing fees deserve more attention than the subscription. A $60 monthly difference between two platforms is $720 a year. A half-point processing difference on $400,000 in annual collections is $2,000. Yet almost every comparison article, including the vendor pages, leads with the subscription.
How to pick in an afternoon
Start with your billing mix, not the feature grid. Cash and wellness plans push you toward Jane or Noterro, where memberships and packages are native. Insurance and PI push you toward ChiroFusion or ChiroSpring Pro+, where claims and ERAs are built in. Multi-location practices should look hard at per-seat math before anything else.
Then run one test. Take last month’s real numbers: patient visits, claims submitted, collections, provider count. Ask each vendor to price that exact month. The quotes will converge on features and diverge on money, and that divergence is the decision.
Finally, ask two questions on the demo call. “What does this cost in year two at my expected size?” and “What’s the notice period to cancel?” The answers separate vendors who want a customer from vendors who want a contract.
Key takeaways
- Published prices in 2026 range from about $33 to $529 a month, with most single-location practices between $79 and $299.
- Noterro is the cheapest credible entry point at $33 a month annual, but insurance features and reminders live in higher tiers.
- Jane App publishes everything and charges per full-time practitioner; insurance billing is an add-on.
- ChiroSpring’s real cost often includes a $149 clearinghouse and $99 engagement module on top of the plan price.
- ChiroTouch and Genesis no longer publish prices. Get first-year and second-year totals in writing.
- Payment processing can outweigh the subscription difference between any two platforms on this list.
If you want the wider field, our breakdown of AI tools for dental practices uses the same published-price method for a neighboring clinical market, and the AI scribes for physical therapy piece digs into documentation costs that chiropractic vendors now bundle as AI charting.
Disclosure: this article contains no paid placements. Prices were read from vendor pricing pages on November 11, 2026, and are subject to change. Some links are to vendors we track for future affiliate partnerships; we receive no commission on them today.