Acuity Scheduling vs Nexa
The Real Comparison for Acupuncturists

Acuity Scheduling
$33/mo ($396/yr)
VS
Nexa
$279 once — own forever
or 3 payments of $99
Break even: 8.5 months. Save $1,050 over 3 years.
"I compared Acuity Scheduling and Nexa side by side. The math wasn't even close. $1,329 over 3 years vs $279 once. Switched and never looked back."
— Acupuncturist, Nexa customer

The verdict for acupuncturists: Acuity Scheduling is solid software, but at $33/month it costs $1,329 over 3 years. Nexa does most of what Acuity Scheduling does for $279 once. For solo acupuncturists and small teams, Nexa is the better deal.

Choose Nexa if:

  • You're done paying monthly forever
  • You're a solo operator or small team (1-5)
  • You need scheduler, Invoicing, Connect CRM in one purchase in one tool
  • You're tired of price increases
  • You want to own your tools like you own your equipment

Choose Acuity Scheduling if:

  • You have a large team (10+) needing enterprise features
  • You're deeply invested in Acuity Scheduling's specific workflow
  • You need a feature Nexa doesn't have yet

What Acuity Scheduling Actually Costs Acupuncturists

The 3-Year Damage

Year 1$396
Year 2 (+11.4% inflation)$441
Year 3$491
Total lost to Acuity Scheduling$1,329

Nexa: $279. Once. You keep $1,050. And you own it — no more "we're updating our pricing" emails.

Your Acuity Scheduling subscription has cost you $0.00 since you opened this page.

Feature-by-Feature

FeatureAcuity SchedulingNexa
Invoicing
Scheduling
CRM
Time Tracking
Full Accounting✓ (SIMPL)
Task Management
Price$33/mo$279 once
or 3 × $99
3-Year Total$1,329$279
You own it?No — stop paying, lose accessYes — forever
"The feature comparison convinced me. Nexa does 90% of what Acuity Scheduling does — for 10% of the 3-year cost. And I actually own it."
— Acupuncturist

Calculate Your Full Stack

Acuity Scheduling plus whatever else you're paying for:

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Switching from Acuity Scheduling

1
Export your data — Go to Settings → Export. Download your client list and appointment history.
2
Set up Nexa Scheduler — 15-minute setup. Import clients and recreate your appointment types.
3
Update your links — Replace your Acuity booking link everywhere — website, email, social.
4
Cancel Acuity — Cancel Squarespace subscription. Download a final backup of your data.
✓ 30-day money-back guarantee. Zero risk.
Acupuncturists are switching from Acuity Scheduling every week.

The math doesn't lie.

What This Means for Acupuncturists

She unlocks the clinic around 8:30, switches on the diffuser, and warms the room because patients won't relax on a cold table. The first patient is a recurring lower-back case; she checks the tongue, takes the pulse at both wrists, and notices it's wirier than last week. She inserts a dozen needles, clips on the e-stim leads, dims the lights, and leaves him to rest for twenty-five minutes while she preps the next room and lights a moxa stick for an arthritis patient. Between treatments she's refilling the sharps container, restocking cotton balls, and answering a text from someone asking if their insurance covers dry needling. Midday a new patient fills out a long intake; she spends the consult mapping symptoms to a TCM pattern before a single needle goes in. The afternoon is back-to-back, and she's quietly counting how many sessions remain on each patient's prepaid package in her head. After the last patient she sits down to write up SOAP notes she didn't have time for between visits, reconciles two superbills, and wipes down every table. She closes the sharps log, turns off the TDP lamp, and reminds herself to reorder 0.20mm needles before Thursday.

Acupuncturists deal with unique challenges that generic software was not built for: Charting a full tongue-and-pulse diagnosis plus point prescription for every visit without it eating into the next patient's slot. Insurers that reimburse 97810/97811 for some plans and flatly deny acupuncture on others, forcing eligibility checks before each appointment. Selling and drawing down 6- and 10-session packages while patients drift off after feeling better at visit three. Tracking which points and herbal formulas were used last time so a returning patient isn't re-treated blindly. Acuity Scheduling charges $33/month on top of these daily realities. The median Acupuncturist earns $65,000/year — $396/year in software subscriptions is a significant percentage of that income, paid every year, forever.

Nexa is $279 once. Invoicing, scheduling, CRM, time tracking, accounting — all connected, built for acupuncturists. You own it like you own your Sterile single-use filiform needles in assorted gauges (0.16-0.30mm).

What acupuncturists actually deal with

A day in the life of a acupuncturist

She unlocks the clinic around 8:30, switches on the diffuser, and warms the room because patients won't relax on a cold table. The first patient is a recurring lower-back case; she checks the tongue, takes the pulse at both wrists, and notices it's wirier than last week. She inserts a dozen needles, clips on the e-stim leads, dims the lights, and leaves him to rest for twenty-five minutes while she preps the next room and lights a moxa stick for an arthritis patient. Between treatments she's refilling the sharps container, restocking cotton balls, and answering a text from someone asking if their insurance covers dry needling. Midday a new patient fills out a long intake; she spends the consult mapping symptoms to a TCM pattern before a single needle goes in. The afternoon is back-to-back, and she's quietly counting how many sessions remain on each patient's prepaid package in her head. After the last patient she sits down to write up SOAP notes she didn't have time for between visits, reconciles two superbills, and wipes down every table. She closes the sharps log, turns off the TDP lamp, and reminds herself to reorder 0.20mm needles before Thursday.

The tools a working acupuncturist actually owns

Why acupuncturists leave the big platforms

Local acupuncturists on Nexa

Real acupuncturists near you who run their business on Nexa — book directly, no platform fee. Are you an acupuncturist? Post your business and get found in your area — $2.99 one-time. Or browse every acupuncturist on Nexa →

FAQ

Is Nexa really a Acuity Scheduling replacement?

For solo acupuncturists and small teams, yes. invoicing, scheduling, CRM, time tracking, task management, and full accounting — all for $279 once. Acuity Scheduling may be better if you have a large team (10+) or need enterprise-specific features.

What does Acuity Scheduling do that Nexa doesn't?

Acuity Scheduling has features like Intake forms and Package and subscription billing that some businesses rely on. For most solo acupuncturists, these aren't dealbreakers.

How fast does Nexa pay for itself?

At $33/month, Nexa pays for itself in 8.5 months. After that: $396 saved every year.

Can I pay in installments?

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.

"$1,329 over 3 years to Acuity Scheduling. Or $279 once for Nexa. I own my tools now. No more renting software."
— Acupuncturist, Nexa owner

$1,329 Over 3 Years. Or $279 Once (or 3 × $99).

Own your tools. Stop renting your software.

Get Nexa — $279 Once
or 3 payments of $99
✓ 30-day money-back — save $500 or full refund

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