ChiroTouch is the broadest-installed US chiropractic EHR with 12,500+ practices on the platform, owned by Integrated Practice Solutions, and now selling on a two-plan structure: ChiroTouch Core from $159 per provider monthly with scheduling, SOAP, ledgers, and integrated payments, ChiroTouch Advanced custom-quoted with electronic claim submissions, ERA auto-posting, claims scrubbing, and insurance verification, and a ChiroTouch Bundle wrap adding the Rheo AI Assistant and rapid SOAP notes. Renewals at the Advanced and Bundle tiers anchor in the $300 to $450 per provider monthly range. The cost flips when a practice values cloud-native polish more than ChiroTouch's claims-and-outcomes depth, when a solo or 1-2 provider shop is over-buying enterprise features, when insurance and practice-management workflow leads more than clinical, or when evidence-based protocols and exercise prescription are the actual value-add.
Where alternatives win
ChiroSpring is the cloud-native modern UI alternative with telehealth and outcomes bundled at the entry tier; the $129 per provider Standard rate is roughly twenty percent below ChiroTouch Core for parity scope.
Genesis Chiropractic Software is the practice-management-and-insurance pick with rule-based custom workflows and analytics that adapt to specific clinic operational patterns, a better fit than ChiroTouch when insurance and ops drive the day.
Platinum System is the solo and 1-2 provider budget pick with three editions roughly in the $65 to $235 per provider monthly range; the entry tier ships SOAP, claims, and outcomes at parity scope with ChiroTouch Core at significantly lower cost.
ChiroUp is the evidence-based protocols and outcomes pick with a clinical-resources tier (Essentials, available internationally) and a US-only full EHR tier; the clearest fit when condition-specific protocols and patient education drive value.
By Subrupt EditorialPublished Reviewed
Chiropractic EMR splits cleanly by practice size and where the practice creates value. Solo and 1-2 provider shops want affordable cloud EHR, scheduling, and billing. Mid-volume practices add SOAP notes, claims, outcomes, patient engagement, two-way texting, and telehealth. Multi-location chains need group dashboards, custom workflows, APIs, and a dedicated CSM. ChiroTouch wins the mid-volume and multi-location tiers in the US with 12,500-plus practices and the deepest claims-and-outcomes integration; alternatives win the budget and outcomes-led tiers more cleanly.
ChiroTouch's strength is depth. Rapid SOAP via the Rheo AI Assistant, electronic claim submissions with ERA auto-posting and claims scrubbing, and Bundle-tier multi-location dashboards are the most-finished surface in this category. The trade-off is price escalation: Core starts at $159 per provider monthly, Advanced and Bundle climb into custom-quote territory, and solo shops that do not use the insurance and patient-engagement depth end up paying for shelfware.
Where alternatives win is shape. ChiroSpring puts telehealth and outcomes in the entry tier at a lower per-provider rate. Genesis Chiropractic Software emphasises practice management and insurance with rule-based custom workflows. Platinum System hits the lowest entry economics for solo and 1-2 provider shops in the $65 to $235 range across three editions. ChiroUp ships evidence-based protocols and patient education as the primary primitive, with a clinical-resources tier you can layer alongside any EMR and a full US-only EHR tier.
Quick map by practice shape. Solo or 1-2 provider where per-provider cost is the constraint: Platinum System. Cloud-native modern UI with telehealth in the entry tier: ChiroSpring. Insurance and practice-management workflow lead: Genesis Chiropractic. Evidence-based protocols and outcomes drive value: ChiroUp. Mid-volume claims-and-outcomes depth on ChiroTouch Core or Advanced: stay with ChiroTouch.
Affiliate disclosure: Subrupt earns a commission when you switch to a service through our recommendation links. This never changes the price you pay. We only recommend services where there's a real cost or feature advantage for you, and our picks are based on the data on this page, not on which programs pay the most.
Quick pick by use case
If you only have thirty seconds, find your situation below and skip to that pick.
Cloud chiropractic EHR with scheduling, billing, SOAP, outcomes, and telehealth bundled at the entry tier; the Standard rate sits roughly twenty percent below ChiroTouch Core for parity scope.
Best for insurance and practice management workflow
Insurance verification, claims, and rule-based custom workflows that adapt to clinic operational patterns; the better fit when ops and insurance drive the day rather than clinical depth.
Three editions in the $65 to $235 per provider monthly range; the entry tier ships SOAP, claims, and outcomes at parity scope with ChiroTouch Core at significantly lower per-provider cost.
Condition-specific protocols, evidence-based outcomes tracking, exercise prescription videos, and patient education; the clinical-resources Essentials tier layers alongside any EMR, the full US-only EHR tier replaces one outright.
Skip these picks if: If your team relies on ChiroTouch's electronic claim submissions, ERA auto-posting, claims scrubbing, or the Rheo AI Assistant rapid-SOAP feature on the Advanced or Bundle tiers, the picks below do not port that workflow cleanly. Stay with ChiroTouch and revisit when claims workflow simplifies, multi-location depth becomes less critical, or evidence-based protocols become the dominant value lever.
At a glance: ChiroTouch alternatives
Quick comparison across pricing floor, best fit, and switching effort. Tap a row to jump to the full pick.
Permanent free tierFree that does not expire after a trial window
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SOAP notes and claims native
✓
✓
✓
~
Telehealth bundled at entry tier
✓
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~
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Insurance verification plus claims scrubbing
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✓
✓
✗
Evidence-based protocols library
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✓
Exercise prescription with patient education
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✓
Per-provider entry rate
$129/mo
~$179/mo
From $65-$85/mo
Custom
International availability
~
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yes (Essentials)
Cost at your volume
Approximate cost per pick at typical practice size.
Pick
Solo (1 provider)1 practice size
Small group (3 providers)3 practice size
Mid-volume (8 providers)8 practice size
Platinum System (Chiropractic)
$1,020/mo
$3,060/mo
$8,160/mo
ChiroSpring
$1,548/mo
$4,644/mo
$12,384/mo
Genesis Chiropractic Software
$2,148/mo
$6,444/mo
$17,184/mo
ChiroUp
Custom
Custom
Custom
Annual platform cost in USD at each practice size, using published entry-tier per-provider rates where available and mid-quote estimates where pricing is custom. Platinum System is modelled at the $85 starting rate from the vendor site. ChiroUp's Essentials and ChiroUp EHR tiers are both custom-quoted; the cost column reflects that with Custom labels. ChiroTouch Core at $159 per provider monthly is the reference column for comparison.
ChiroSpring Standard at $129 per provider monthly covers cloud chiropractic EHR, scheduling, billing, SOAP notes, outcomes, and telehealth at the entry tier. Plus at $199 per provider adds patient engagement, two-way texting, advanced reports, marketing, and APIs.
The trade: ChiroSpring's claims-and-outcomes depth is thinner than ChiroTouch Advanced's ERA auto-posting and claims scrubbing surface, and the installed base is smaller in mid-market chiropractic. Multi-location enterprise consolidation is also less mature than ChiroTouch Bundle.
The upside: the modern cloud UI lands well for practices coming off legacy desktop or older browser-based EMRs, and telehealth in the entry tier means a 1-3 provider practice with hybrid in-person and virtual visits does not have to upgrade for video. The Standard rate sits roughly twenty percent below ChiroTouch Core for parity scope on the core clinical workflow.
Strengths
+$129 Standard, roughly 20% below ChiroTouch Core
+Cloud-native EHR plus telehealth bundled at entry tier
+Plus adds patient engagement, texting, and APIs
+Modern UI for practices coming off legacy desktop EMRs
Trade-offs
−Claims-and-outcomes depth thinner than ChiroTouch Advanced
−Smaller installed base in mid-market chiropractic
−Multi-location enterprise consolidation less mature
Standard
$129/provider/mo cloud + telehealth
Plus
$199/provider/mo with patient engagement + APIs
Bundling
Cloud-native EHR + telehealth bundled
Strength
Modern UI plus entry-tier telehealth
Pricing verified
2026-05-11
Migration steps
Sign up for the ChiroSpring 14-day trial at chirospring.com and confirm telehealth, SOAP, and scheduling cover your day-to-day clinical workflow.
Export ChiroTouch patient charts, claims history, and outcomes data; ChiroSpring's onboarding team imports them into the equivalent fields.
Run ChiroSpring in parallel with ChiroTouch for one full month, scheduling new patients in ChiroSpring while continuing existing visits in ChiroTouch.
Verify the telehealth video flow with two or three pilot patients before cutting over hybrid visits entirely.
Cancel ChiroTouch once ChiroSpring covers a full clinical, billing, and telehealth cycle including end-of-month reconciliation.
Not for: Pass on ChiroSpring if your value driver is ChiroTouch Advanced's ERA auto-posting, claims scrubbing, or the Rheo AI rapid-SOAP feature; ChiroTouch Advanced and Bundle fit those shapes better.
Genesis Chiropractic Software Standard around $179 per provider monthly covers chiropractic EHR, scheduling, billing, practice management, and insurance with rule-based custom workflows. Plus around $279 per provider adds marketing, advanced reporting, APIs, multi-location, and integrations.
The trade: Genesis runs slightly higher than ChiroTouch Core at parity tiers, the installed base in clinical-led practices is smaller than ChiroTouch's, and SOAP plus outcomes depth lags behind ChiroTouch Advanced. Practices that lead with clinical workflow over insurance ops will find Genesis under-delivers.
The upside: the practice-management-first model emphasises insurance verification, claims, and analytics. Rule-based custom workflows adapt to specific clinic operational patterns rather than forcing the practice to fit the tool. For a chiropractic practice whose primary pain is insurance complexity and front-desk operational depth, Genesis fits better than a clinical-first EHR.
Strengths
+Practice management plus insurance plus custom workflows native
+Rule-based workflow engine adapts to clinic patterns
+Multi-location plus APIs on Plus tier
+Strong fit for insurance-led and ops-led practices
Trade-offs
−Slightly more expensive than ChiroTouch Core at parity tiers
−Smaller installed base in clinical-led practices
−SOAP and outcomes depth lags behind ChiroTouch Advanced
Standard
Custom ~$179/provider/mo practice mgmt + insurance
Plus
Custom ~$279/provider/mo with marketing + APIs
Differentiator
Insurance plus rule-based workflows
Strength
Practice management plus insurance
Pricing verified
2026-05-11
Migration steps
Schedule a demo at genesischiropracticsoftware.com (typically a 30-60 minute walk-through with custom pricing).
Export ChiroTouch patient charts, claims history, and insurance verification records for migration.
Configure Genesis insurance verification, claims, and the rule-based custom workflows to match your existing front-desk operational patterns.
Train providers, front desk staff, and billers on the Genesis UI side by side with ChiroTouch for two to four weeks.
Cancel ChiroTouch once Genesis covers a full clinical, practice management, and insurance cycle for one quarter.
Not for: Pass on Genesis Chiropractic if your value driver is ChiroTouch Advanced's SOAP and outcomes depth; the clinical-first surface there is more mature than Genesis's, even though the practice management side is thinner.
Platinum System has three editions roughly in the $65 to $235 per provider monthly range; the entry tier ships SOAP, claims, and outcomes at parity scope with ChiroTouch Core at the lowest credible per-provider economics in this lineup. Capterra reports starting prices around $65; platinumsystem.com shows starting prices around $85.
The trade: patient engagement and two-way texting depth lag ChiroTouch Core, the US installed base is smaller, and multi-location enterprise consolidation is thinner than ChiroTouch Bundle. A multi-location chiropractic chain will outgrow Platinum quickly.
The upside: for solo and 1-2 provider shops where per-provider cost is the constraint, Platinum lands the lowest per-provider economics on this page. The entry tier still covers the full SOAP, claims, and outcomes workflow, which means a budget-tier swap does not give up clinical depth, just polish and the patient-engagement extras.
Strengths
+Lowest per-provider entry pricing in this lineup
+Bundled SOAP, claims, and outcomes at the entry tier
+Three editions allow growth without re-platforming
+Strong fit for solo and 1-2 provider chiropractic shops
Trade-offs
−Patient engagement and texting depth lag ChiroTouch Core
−Smaller US installed base than ChiroTouch
−Multi-location enterprise consolidation less mature
Entry
From $65-$85/provider/mo
Mid edition
Custom (middle of $65-$235 range)
Top edition
Up to ~$235/provider/mo
Strength
Solo and 1-2 provider budget
Pricing verified
2026-05-11
Migration steps
Call Platinum System at the published vendor number for a personalised quote, since edition pricing is not fully public.
Export ChiroTouch patient charts, claims, and outcomes data; Platinum's onboarding team handles import into the equivalent fields.
Configure SOAP templates, claims workflow, and outcomes tracking to match your existing ChiroTouch macros.
Train providers and front desk staff on the Platinum UI over a two-week parallel-run window.
Cancel ChiroTouch once Platinum covers a full clinical, billing, and outcomes cycle including end-of-month claims reconciliation.
Not for: Pass on Platinum System if you are running multi-location ops and depend on ChiroTouch Bundle's group dashboards, dedicated CSM, or the deeper patient-engagement and texting surface; the budget tier is engineered for solo and small-group economics, not enterprise depth.
ChiroUp now splits into two products: ChiroUp Essentials covers the clinical-resources layer (condition-specific protocols, evidence-based outcomes tracking, exercise prescription videos, patient education content) and is available internationally; ChiroUp EHR is the full practice-management option for US-based clinics. Pricing is custom-quoted on both tiers as of 2026.
The trade: ChiroUp Essentials is not a full EHR replacement, so most practices layer it alongside ChiroTouch or another platform for claims and scheduling. ChiroUp EHR is newer than ChiroTouch and the US-only restriction limits cross-border adoption.
The upside: the evidence-based protocols, outcomes tracking, and exercise prescription library are best-in-class for chiropractic. For practices whose primary value-add to patients is the quality of the protocols and the educational content (not the back-office workflow), ChiroUp Essentials adds the missing layer to an existing EMR or ChiroUp EHR consolidates the entire workflow.
Strengths
+Evidence-based protocols and outcomes tracking native
+Exercise prescription videos and patient education library
+Essentials layers alongside any EMR (international)
+ChiroUp EHR consolidates clinical plus practice management (US)
Trade-offs
−Essentials is not a full EHR replacement on its own
−ChiroUp EHR is US-only
−Smaller installed base than ChiroTouch in full-EHR users
Essentials
Custom (clinical resources, international)
ChiroUp EHR
Custom (US-only, full practice management)
Use case
Evidence-based protocols plus outcomes
Strength
Evidence-based outcomes and protocols
Pricing verified
2026-05-11
Migration steps
Sign up at chiroup.com for the trial of either Essentials or ChiroUp EHR based on whether you want to layer alongside ChiroTouch or replace it outright.
If layering Essentials, configure protocols and exercise prescription to match your existing patient education flow; keep ChiroTouch for claims and scheduling.
If replacing with ChiroUp EHR, export ChiroTouch patient charts, claims history, and outcomes data; ChiroUp imports them into the EHR.
Train providers on the protocols library and outcomes tracking workflow first; the EHR workflow follows the same patterns as ChiroTouch.
Cancel ChiroTouch only after ChiroUp EHR (or ChiroUp Essentials plus an alternative EMR) covers a full clinical, claims, and scheduling cycle.
Not for: Pass on ChiroUp if your value driver is integrated billing, ERA auto-posting, or multi-location group dashboards; ChiroTouch Advanced and Bundle handle those workflows more comprehensively than ChiroUp EHR.
Paid plans from $99.00/mo
When to stay with ChiroTouch
Stay with ChiroTouch if your SOAP notes, claims-and-outcomes flow, and patient engagement on the Advanced tier are tightly tuned, you use the Rheo AI Assistant rapid-SOAP feature daily, or your multi-location rollout depends on Bundle-tier group dashboards and the dedicated CSM relationship. The picks below are honest exits for operators paying for ChiroTouch features they do not use, solo and small-group practices that the Core tier over-prices, or outcomes-led practices that need evidence-based protocols layered on top of (or in place of) a full EMR.
We compared chiropractic EMR platforms across the solo and 1-2 provider through multi-location chain segment on per-provider pricing, SOAP plus claims plus outcomes depth, cloud-native EHR with telehealth, practice management plus insurance plus custom workflows, and evidence-based outcomes plus protocols plus exercise prescription. Picks reflect the four cleanest lanes where alternatives beat ChiroTouch on shape rather than price alone.
Pricing was pulled from each vendor's site on 2026-05-11. ChiroTouch restructured its public pricing page in 2025 to a Core (from $159 per provider monthly) plus Advanced (custom) plus Bundle structure, with the Rheo AI Assistant rapid-SOAP feature on the Bundle tier. ChiroUp split its product into Essentials (clinical resources, international) and ChiroUp EHR (full practice management, US-only) and moved to custom pricing on both tiers. Platinum System pricing is reported in the $65-$235 per provider monthly range across three editions.
Update history2 updates
Initial published version with 4 picks.
Rewritten to Stage 2 schema. ChiroTouch restructured to two main plans (Core from $159/mo, Advanced custom, Bundle with Rheo AI Assistant) verified against chirotouch.com pricing page; 12,500+ practices on the platform. ChiroUp split into Essentials (international, evidence-based clinical resources only) plus ChiroUp EHR (US-only, full practice management) — both custom pricing now, the prior $99 Solo tier name is dated. Platinum System pricing confirmed in $65-$235 range across three editions (Capterra reports starting $65, platinumsystem.com shows $85 starting). Picks unchanged in slug terms (ChiroSpring, Genesis Chiropractic, Platinum System, ChiroUp); rationale and pricing facts updated. Adds structured verdict with deep-links, Quick Verdict (4 picks plus skipIf), Feature Matrix (8 dimensions across 4 picks), Usage Cost Table (3 practice sizes at Standard-tier per-provider annual rates), per-pick author ratings. No sourced operator testimonials in this niche after Reddit, G2 (HTTP 403), Capterra (HTTP 403), and vendor case-page sweep; testimonials field intentionally omitted rather than fabricated.
Frequently asked questions about ChiroTouch alternatives
What is ChiroTouch pricing in 2026?
ChiroTouch Core starts at $159 per provider monthly with chiropractic EHR, scheduling, SOAP notes, ledgers, and integrated payments. ChiroTouch Advanced is custom-quoted and adds electronic claim submissions, ERA auto-posting, claims scrubbing, and insurance verification; typical Advanced quotes anchor in the $300 to $450 per provider monthly range. ChiroTouch Bundle wraps the platform plus Rheo AI Assistant, rapid SOAP notes, multi-location dashboards, and the dedicated CSM relationship.
Is there a free chiropractic EMR?
There is no credible permanent free tier in chiropractic-specific EMR. The cheapest credible paid entry is Platinum System at roughly $65-$85 per provider monthly depending on edition. ChiroSpring at $129 per provider monthly is the next step up and ships telehealth bundled. ChiroUp Essentials is custom-quoted and not a full EHR on its own; layering it alongside another EMR is the typical pattern when protocols and outcomes are the primary value-add.
Which alternative is the cleanest swap for a cloud-native modern UI?
ChiroSpring is the cleanest swap because the cloud-native architecture lands well for practices coming off legacy desktop or older browser-based EMRs, and telehealth is bundled at the entry tier rather than gated behind an upgrade. The $129 per provider monthly Standard rate sits roughly twenty percent below ChiroTouch Core for parity scope on the core clinical workflow.
What replaces ChiroTouch for an insurance-led practice?
Genesis Chiropractic Software is the best replacement for insurance-led practices because the practice-management-first model emphasises insurance verification, claims, and rule-based custom workflows that adapt to specific clinic operational patterns. The Standard tier around $179 per provider monthly and Plus around $279 are the canonical configurations.
When is ChiroUp the right pick over a full EMR?
When your practice's primary value-add to patients is the quality of evidence-based protocols, outcomes tracking, and exercise prescription content rather than the back-office workflow. ChiroUp Essentials layers alongside ChiroTouch or another EMR internationally; ChiroUp EHR consolidates the entire workflow into a single US-only platform. Pricing is custom on both tiers as of 2026.
Ready to switch?
Our top ChiroTouch alternative: ChiroSpring
ChiroSpring is the cloud-native modern UI alternative with telehealth and outcomes bundled at the entry tier; the $129 per provider Standard rate is roughly twenty percent below ChiroTouch Core for parity scope.
The team behind subrupt.com. We track subscriptions, surface cheaper alternatives, and publish comparisons where the score formula is on the page so you can recompute it yourself. We do not claim 30,000 hours of testing. What we claim is live pricing from our database, a transparent composite score, and honest savings math against a category baseline.
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