Chiropractors on Acuity Scheduling pay $33/month — $396/year. Over three years, that's $1,329. Nexa is $279 once. Break-even runs about 8.5 months. The median Chiropractor earns $75,000/year, so Acuity Scheduling's annual cost is roughly 0.5% of typical revenue — every year, forever.
That's $1,329 gone. And you don't own anything. Stop paying, lose access.
See the full history of Acuity Scheduling price changes in the SaaS Graveyard →
You're not the only one who's had enough.
Chiropractors face unique challenges: Insurance claims that deny after a set visit count, forcing a medical-necessity justification or a switch to cash care mid-plan. Keeping patients on a multi-visit corrective care plan when they want to stop the moment the acute pain fades. Documenting a defensible SOAP note for every quick adjustment when you're seeing forty patients in a day. Pricing and selling care-plan packages versus per-visit billing without confusing patients or tripping insurance rules. On top of all that, Acuity Scheduling charges $33/month ($396/year) — money that comes directly from your revenue. The median Chiropractor earns $75,000/year. Software at $396/year is a meaningful percentage of that income, every year, forever. And you do not own anything.
Your A hydraulic drop-piece (Thompson) adjusting table is yours. You bought it once. Nexa works the same way — $279 once for invoicing, scheduling, CRM, time tracking, and full accounting. All connected. All offline-capable. You own it like you own your tools.
Acuity Scheduling is just one piece. What else are you losing money on?
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Your exact Acuity Scheduling cost, full stack total, and what switching saves. 10 seconds.
| Feature | Acuity Scheduling | Nexa |
|---|---|---|
| Invoicing | ✓ | ✓ |
| Scheduling | ✗ | ✓ |
| CRM | ✗ | ✓ |
| Time Tracking | ✗ | ✓ |
| Full Accounting | ✗ | ✓ (SIMPL) |
| Task Management | ✗ | ✓ |
| Price | $33/mo forever | $279 once or 3 × $99 |
| 3-Year Cost | $1,329 | $279 |
| Stop paying? | Lose everything | Keep everything forever |
Most chiropractors are fully switched before the weekend.
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The lobby fills before he's finished his coffee because high-volume practices run on tight rooms. He moves between three adjusting tables in a rhythm: review the chart, palpate the spine, set the drop piece, deliver the adjustment, and dictate a quick SOAP note before the next patient is gowned. A new patient gets the full workup, a posture scan, range-of-motion measurements, and a sit-down to explain a corrective care plan, because the hardest sell is convincing someone to keep coming after the pain stops. Midmorning his front desk flags an insurance denial: a patient's covered visits ran out and the plan still has eight to go, so he has to decide between a medical-necessity appeal and moving them to a cash plan. He runs flexion-distraction on a disc patient, sets up a TENS unit, and keeps the rooms turning. Between adjustments he's signing off documentation he didn't fully finish during the morning rush, knowing every note has to stand up to an audit. The afternoon mirrors the morning. At close he reviews tomorrow's care-plan renewals, checks which patients are falling off their visit schedule, and reconciles the day's mix of insurance and cash payments before locking the adjusting rooms.
Real chiropractors near you who run their business on Nexa — book directly, no platform fee. Are you a chiropractor? Post your business and get found in your area — $2.99 one-time. Or browse every chiropractor on Nexa →
For solo operators and small teams (1-5), yes. Nexa includes invoicing, scheduling, CRM, time tracking, task management, and full accounting. Acuity Scheduling may be better if you have a large team (10+) or need enterprise-specific features.
It's $7.75/month over 3 years. Acuity Scheduling is $33/month — that's $1,329 over 3 years. Which is more? And if you'd rather split it, Nexa is also available as 3 payments of $99.
Yes. Nexa is $279 as a one-time payment, or 3 payments of $99 ($297 total). Either way it's a one-time purchase — no subscription, no recurring fees ever.
30-day money-back guarantee. Full refund. If Nexa doesn't save you $500 in year one, you get every penny back.
Export your data from Acuity Scheduling as CSV, import into Nexa in about 5 minutes.
The average solo operator there spends about $2,688/year on software — and Chiropractor face their own version of that math. NH state licensing requirements apply.
Numbers reflect typical solo operators in the Nashua metro. Your situation will vary.
Specific gaps Chiropractors run into with Acuity Scheduling, and what Nexa does instead.
$1,329 over 3 years. Or $279 once (or 3 × $99). Own your tools.
Get Nexa — $279 Once