How we make this list: we compare pricing pages, product documentation and public user reviews. Rankite is independent; if a vendor ever pays for a featured spot, that listing is clearly labeled Partner.
Key takeaways
- The cheapest transparent options are ChiroFusion ($99/month flat) and Atlas ($99/month flat, unlimited users), both covering EHR plus billing.
- ChiroTouch ($159/month Core, $299/month Advanced) is the established all-rounder with separate cash and insurance editions.
- ChiroSpring ($149/month for 1 provider) leads on AI-assisted SOAP notes; ChiroHD ($299/month flat) leads on patient engagement.
- EZBIS is the only buy-it-once option ($995-$3,995 one-time); everyone else is subscription.
The best chiropractic software
A chiropractor's day is 40 patient visits, 40 SOAP notes, and a billing pile that grows while you adjust. Generic medical EHRs do not understand segmental charting, care plans or PI narratives, which is why chiropractic software exists as its own category: documentation built for the adjustment table, billing that speaks clearinghouse, and scheduling that keeps the visit volume moving. These eight cover the real market, from $99 flat-rate tools to full billing platforms.
#1
ChiroTouch
Best for: Solo and multi-provider practices billing insurance that want one established platform
Visit chirotouch.com
Starting price$159/month (Core, cash practices) or $299/month (Advanced, insurance practices), flat rate
Free planNo (demo via sales)
ChiroTouch is the category incumbent, and its note-to-claim pipeline is the reason: rapid SOAP notes with pre-built macros feed directly into claims scrubbing and an integrated clearinghouse, cutting rework on denials. Core at $159 per month flat covers cash practices; Advanced at $299 covers insurance billing. Pricing is flat rate, not per provider, which makes it cheaper than per-provider rivals as the doctor count grows.
The honest catch is modular pricing. Engagement tools and deeper billing features are add-ons, so an insurance practice should budget $300 to $500-plus per month all-in. Scheduling with online booking is included; reminders and recall campaigns cost extra. Reviewers mention slow support hold times. For a practice that wants one established vendor instead of stitched tools, the breadth justifies the quote.
What we like- Separate Core and Advanced editions, so cash-only practices skip claims tooling they do not need
- Advanced bundles an integrated clearinghouse with claim scrubbing, ERA auto-posting and eligibility checks
- AI charting helpers and a dedicated onboarding specialist on every plan
Watch out for- Patient engagement features (reminders, 2-way text, digital intake) are separate add-ons
- Insurance billing requires the Advanced jump
Starting price$97/month flat (Cash plan; per third-party listings, vendor publishes no pricing)
Free planNo
Genesis organizes itself around your practice type: Cash at a reported $97 per month flat, Claim Control at $177, Claim360 at $327, and bundled full-service billing around $500. The standout is task automation around documentation quality: the system auto-detects unbilled visits, unsigned notes and expired care plans and queues the fixes, which directly protects revenue. Multi-location and multi-provider workflows come with role-based permissions.
The $97 headline is the cash tier only; insurance practices land on the $177 to $327 tiers, and full-service billing adds cost. Setup is described as complex with limited tutorials. Pricing is flat rate per month, not per provider, so the math favors multi-doctor clinics. Confirm current tiers on a demo, since the vendor publishes no pricing page.
What we like- Tiered structure mapping to practice type, from a low cash tier to full-service billing
- Strong compliance and billing automation with claim scrubbers and backlogs flagging unbilled visits and unsigned notes
- Multi-location support with role-based permissions
Watch out for- Setup is complex with a steeper onboarding curve
- Interface described as dated by some reviewers
#3
EZBIS
Best for: Solo practitioners and small clinics wanting a buy-it-once billing-plus-EHR workhorse
Visit ezbis.com
Starting price$225/month flat (Cloud; per third-party listings) or one-time $995-$3,995 (on-premise)
Free planFree trial listed by directories (unconfirmed by vendor)
EZBIS is the longevity play. A one-time license, $995 for the Basic billing system up to $3,995 for the complete office with 3 users, keeps long-run costs far below subscription competitors, with modules for EHR, patient accounting, billing, collections, scheduling and self-check-in. The vendor has sold chiropractic software since 1980, and reviewers consistently praise responsive support.
The trade is age. The interface reflects a Windows-desktop heritage, documentation is simpler than AI-assisted rivals, and the cloud plan at a reported $225 per month is priced per user, so a 5-user office pays far more than on flat-rate competitors. Billing includes claims management with clearinghouse and eligibility integrations. For a cash-heavy solo practice that wants to buy once and run for a decade, nothing else on this list offers the option.
What we like- Rare one-time purchase option ($995-$3,995) eliminating endless subscriptions
- ONC-ATCB certified with EHR, billing, collections and scheduling modules
- Vendor selling chiropractic software since 1980 with praised support
Watch out for- On-premise product feels dated next to cloud-first rivals
- Cloud plan is priced per user, so staff-heavy offices pay more
Starting price$99/month flat (includes free unlimited e-claims and integrated clearinghouse)
Free planFree trial listed by directories (unconfirmed by vendor)
ChiroFusion's pitch is the note-to-claim loop at $99 flat. You document the visit, the claim file generates automatically, and auto payment posting fires when the ERA returns, compressing the billing cycle dramatically at this price point. Unlimited e-claims and the integrated clearinghouse are free, which no rival matches at this price. SOAP notes are macro-driven with a vendor-stated 30-second compliant-note flow.
The ceiling is simplicity: one plan, so you cannot add AI charting, advanced engagement or multi-location tooling later the way tiered competitors allow. Patient engagement and marketing tooling are thin. Scheduling with reminders and patient self-check-in is included. For a solo doctor or small insurance practice, $99 flat for the practice undercuts every per-provider rival at any doctor count.
What we like- Single flat $99/month with free unlimited e-claims and a free integrated clearinghouse, the lowest transparent price in the category
- Note-to-claim automation with claims auto-generated from each documented encounter
- 100% cloud-based with a 30-second compliant SOAP workflow
Watch out for- Narrower feature depth than ChiroTouch or Genesis
- One plan means no upgrade path to advanced engagement or multi-location tooling
#5
ChiroSpring
Best for: Solo and two-provider practices wanting modern AI-assisted documentation
Visit chirospring.com
Starting price$149/month (360 plan, 1 provider)
Free planFree trial offered (per directories)
ChiroSpring leads on documentation. AI charting turns conversations into structured SOAP notes with a visual spine tool, customizable templates, macros and AI claim-risk detection before submission. The 360 plan is $149 per month for 1 provider; 360 Pro is $249; Pro+ is $299 for 2 providers.
The $149 base is scheduling plus notes; real insurance billing needs Pro plus the $149-per-month clearinghouse add-on, so a one-doctor insurance practice is really looking at $400-plus per month. GrowthHub engagement runs $99 to $249 per month, AI charting $49. Pricing is per provider, so a two-doctor office pays $299 on Pro+ with the clearinghouse charged once per practice. If documentation speed is your bottleneck, the AI charting is the argument; price the full add-on stack before comparing.
What we like- AI-assisted charting converting conversations into structured SOAP notes, plus a visual spine chart for listings and laterality
- Clear tiered ladder with Pro+ covering 2 providers at $299/month
- Optional integrated clearinghouse with claim scrubbing and one-click insurance verification
Watch out for- Add-ons stack up fast, with clearinghouse, engagement and AI charting potentially doubling the base
- Messaging and claim overages are metered
#6
Atlas Chiropractic System
Best for: Solo doctors and multi-provider clinics wanting one flat fee for every seat
Visit atlaschirosys.com
Starting price$99/month (Basic) or $199/month (Business), unlimited users
Free planFree trial listed by directories (unconfirmed)
Atlas wins the per-doctor math at scale: $99 to $199 per month flat regardless of provider count, so a five-doctor, ten-staff clinic pays what a solo practice pays. The suite covers automated check-in kiosk, care plans, super-bills and CMS-1500 forms, charting with outcome tracking, and your choice of insurance clearinghouse. Business at $199 adds two-way texting, review requests and campaign tools for retention.
The caveats are age and transparency. The product is a mature desktop-era system from a Canadian vendor with weaker third-party integrations, and the pricing page itself says "call for details" next to a struck-through $169. Documentation lacks AI assistance. For a growing clinic where per-provider pricing would punish every hire, the flat unlimited model is the cheapest real option; just confirm the number before signing.
What we like- Unlimited users on a flat monthly price, so staff and providers never raise the bill
- Full paperless suite with check-in kiosk, care plans, super-bills and charting
- Business tier adds two-way SMS, review requests and email marketing
Watch out for- Pricing page is ambiguous ("call for details"), so get the quote in writing
- Older desktop-heritage product with less modern UX
#7
ChiroHD
Best for: Growing multi-provider practices prioritizing patient engagement
Visit chirohd.com
Starting price$299/month flat (Standard, unlimited providers and users; per third-party listings)
Free planFree trial listed by directories (vendor offers a demo)
ChiroHD sells engagement: two-way texting, automated appointment reminders and a mobile patient app with X-ray viewing keep schedules full without separate engagement software. The platform is browser-based with inventory management and a marketed 30-second SOAP workflow on a drag-and-drop scheduling calendar.
The entry ticket is the catch: roughly $1,600 in setup and migration fees before the first month, so budget about $5,200 for year one. The flat $299 per month favors multi-doctor practices; a solo doctor pays the full $299 while a three-doctor office pays $100 per doctor per month. Solo docs get better value from per-provider competitors. For a growing practice where recalls and reminders drive revenue, the engagement depth earns the upfront cost.
What we like- Flat $299/month with unlimited providers and users
- Patient engagement is a headline strength with two-way texting, automated reminders and a patient mobile app
- Browser-based with no software to install
Watch out for- Steep upfront costs ($799 setup plus $499 migration)
- Gaps in the patient app noted by reviewers
#8
PracticeEHR
Best for: Multi-disciplinary clinics (chiro plus PT or mixed specialties) needing one EHR
Visit practiceehr.com
Starting price$179/provider/month (EHR only, billed annually)
Free planNo (free demo offered)
PracticeEHR is the generalist on a specialist list. For a clinic running chiropractic plus physical therapy or behavioral health, one EHR across disciplines beats a chiro-only system: scheduling, e-prescribing, telehealth, patient portal, self-scheduling and claims tooling come together at $179 per provider per month billed annually for EHR only ($199 for practice management, $299 bundled).
The trade is fit. Chiropractors get generic charting rather than chiro-native documentation: no segmental SOAP macros, no spine charts, no PI narratives. Pricing is per provider, so a five-doctor clinic pays five times the solo rate, making flat-rate chiro tools cheaper as the doctor count rises. Note that some 2026 directory listings show higher current tiers, so confirm pricing on the demo. For pure chiropractic practices, the purpose-built tools above document faster; for mixed clinics, the single system wins.
What we like- Per-provider pricing with no long-term commitment at an affordable EHR entry
- ONC-ATCB certified and 100% cloud-based with e-prescribing, telehealth and patient portal
- Multi-specialty platform under one roof
Watch out for- Not chiropractic-specific, so chiro workflows are weaker than purpose-built tools
- RCM and full-service billing modules are custom-priced
Cash vs. insurance: the first decision
Everything in chiropractic software pricing flows from one question: do you bill insurance? Cash-only practices can run on the cheapest tiers in the category: ChiroTouch Core at $159, Genesis Cash at a reported $97, ChiroFusion at $99 flat. The moment you bill insurance, you need clearinghouse access, claim scrubbing and ERA posting, and the price roughly doubles: ChiroTouch Advanced at $299, ChiroSpring Pro plus clearinghouse around $400, Genesis Claim tiers at $177 to $327.
Do not buy the insurance tier for a cash practice, and do not try to bill insurance on a cash tier. The add-on math punishes mismatches: engagement tools, AI charting and clearinghouse fees stack on the wrong base plan. Decide cash or insurance first, then compare only the tiers built for your answer.
Quick comparison
| Tool | Best for | Starting price | Free plan |
|---|
| ChiroTouch | Solo and multi-provider practices billing insurance that want one established platform | $159/month (Core, cash practices) or $299/month (Advanced, insurance practices), flat rate | No (demo via sales) |
 Genesis Chiropractic Software | Medium to large clinics wanting customizable documentation and revenue-cycle help | $97/month flat (Cash plan; per third-party listings, vendor publishes no pricing) | No |
| EZBIS | Solo practitioners and small clinics wanting a buy-it-once billing-plus-EHR workhorse | $225/month flat (Cloud; per third-party listings) or one-time $995-$3,995 (on-premise) | Free trial listed by directories (unconfirmed by vendor) |
 ChiroFusion | Solo doctors and small insurance practices wanting EHR plus billing at one fixed low price | $99/month flat (includes free unlimited e-claims and integrated clearinghouse) | Free trial listed by directories (unconfirmed by vendor) |
| ChiroSpring | Solo and two-provider practices wanting modern AI-assisted documentation | $149/month (360 plan, 1 provider) | Free trial offered (per directories) |
| Atlas Chiropractic System | Solo doctors and multi-provider clinics wanting one flat fee for every seat | $99/month (Basic) or $199/month (Business), unlimited users | Free trial listed by directories (unconfirmed) |
| ChiroHD | Growing multi-provider practices prioritizing patient engagement | $299/month flat (Standard, unlimited providers and users; per third-party listings) | Free trial listed by directories (vendor offers a demo) |
| PracticeEHR | Multi-disciplinary clinics (chiro plus PT or mixed specialties) needing one EHR | $179/provider/month (EHR only, billed annually) | No (free demo offered) |
Is your product missing or out of date?
We review this list regularly. Vendors can request a listing, send updated pricing or ask about featured placement.
Frequently asked questions
How much does chiropractic software cost?
From $99 to about $500 per month for a typical practice. ChiroFusion and Atlas start at $99/month flat. ChiroTouch runs $159 (cash) to $299 (insurance). ChiroSpring is $149 for one provider before add-ons. ChiroHD is $299 flat plus setup fees. EZBIS offers a one-time $995-$3,995 purchase instead of subscription. Budget $300-$500/month all-in for an insurance practice once engagement add-ons are included.
What is the best chiropractic billing software?
For integrated billing, ChiroTouch Advanced ($299/month) has the deepest clearinghouse pipeline with claim scrubbing and ERA auto-posting. ChiroFusion ($99/month) has the best billing value with free unlimited e-claims. Genesis automates billing follow-up with backlogs for unbilled visits. If you want the vendor to chase claims for you, Genesis and PracticeEHR offer full-service billing tiers.
Do I need separate software for patient reminders?
Not necessarily. ChiroSpring includes 2-way text reminders, ChiroHD bundles automated reminders and texting, and Atlas Business adds SMS campaigns. ChiroTouch puts engagement behind add-ons. If recalls drive your revenue, price the engagement tier, not the base plan; the reminder system often pays for itself in kept appointments.
Can chiropractic software handle PI (personal injury) cases?
The purpose-built tools handle PI narratives and documentation better than general EHRs. Ask specifically about PI templates and narrative reports on the demo: ChiroTouch, Genesis and ChiroSpring all support structured documentation suited to PI, while PracticeEHR's generic charting is weaker here. This is a demo question, not a pricing-page question.
Should a cash-only practice buy insurance-billing software?
No. Cash practices should buy the cash tier: ChiroTouch Core ($159), Genesis Cash ($97 reported) or ChiroFusion ($99). You avoid paying for clearinghouse, scrubbing and ERA tooling you will never use. If you might add insurance later, pick a vendor with an upgrade path rather than buying the insurance tier upfront.
Is cloud or on-premise better for a chiropractic office?
Cloud wins for most practices: no server, automatic backups, access from anywhere, and every vendor except EZBIS is cloud-first. EZBIS's on-premise one-time purchase suits practices that want to own their software and avoid subscriptions. If you choose on-premise, budget for your own backups and hardware.
Flat-rate vs. per-provider: do the doctor math
Chiropractic software prices two ways, and the doctor count decides. Flat-rate (ChiroTouch, ChiroFusion, Atlas, ChiroHD, Genesis, EZBIS) costs the same whether you have one doctor or five: Atlas at $99 flat is $99 per doctor solo and $20 per doctor at five. Per-provider (ChiroSpring, PracticeEHR) multiplies: ChiroSpring Pro at $249 for one provider becomes real money at three.
Solo doctors should compare per-provider tools against flat-rate: ChiroSpring 360 at $149 or PracticeEHR at $179 against ChiroFusion's $99 flat. Multi-doctor clinics should default to flat-rate: every hire is free on Atlas, ChiroHD and ChiroTouch. Project your provider count two years out before signing; the pricing model matters more than the starting number.
How we chose
We started with the categories buyers search: chiropractic software and chiropractic billing software. For each candidate we opened the vendor's own pricing page, checked plan names and prices against public reviews on G2 and Capterra and practitioner discussion on Reddit, and compared feature lists, SOAP documentation, billing depth, scheduling and practice-size fit. Where a price came from consistent third-party listings rather than the vendor's page, we attributed it as reported. Where a price could not be verified anywhere, we wrote "See website".
Sources we checked (10)
- https://www.chirotouch.com/pricing/
- https://genesischiropracticsoftware.com/pricing/
- https://www.ezbis.com/pricing/
- https://www.chirofusionsoftware.com/pricing/
- https://www.chirospring.com/pricing
- https://www.atlaschirosys.com/pricing.html
- https://chirohd.com/pricing/
- https://www.practiceehr.com/pricing/
- https://www.g2.com/categories/chiropractic
- https://www.capterra.com/chiropractic-software/
Is your product missing or out of date?
We review this list regularly. Vendors can request a listing, send updated pricing or ask about featured placement.
Shihab Mia · Founder, Rankite
Shihab has spent more than a decade helping SaaS and e-commerce brands grow through search. He writes Rankite's software buying guides from pricing pages, documentation and public user reviews. More about Shihab.