The verdict for chiropractors: 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 chiropractors and small teams, Nexa is the better deal.
Nexa: $279. Once. You keep $1,050. And you own it — no more "we're updating our pricing" emails.
| Feature | Acuity Scheduling | Nexa |
|---|---|---|
| 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 access | Yes — forever |
Acuity Scheduling plus whatever else you're paying for:
Email yourself this comparison?
The math doesn't lie.
Chiropractors deal with unique challenges that generic software was not built for: 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. Acuity Scheduling charges $33/month on top of these daily realities. The median Chiropractor earns $75,000/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 chiropractors. You own it like you own your A hydraulic drop-piece (Thompson) adjusting table.
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 chiropractors 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.
Acuity Scheduling has features like Intake forms and Package and subscription billing that some businesses rely on. For most solo chiropractors, these aren't dealbreakers.
At $33/month, Nexa pays for itself in 8.5 months. After that: $396 saved every year.
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.
Own your tools. Stop renting your software.
Get Nexa — $279 Once