ChiroHD vs Noterro (2026): which should you pick?
As of Nov 13, 2026, Noterro grades higher than ChiroHD: 2.4 against 1.6 out of 4.0.
Checked Nov 12, 2026 and Nov 13, 2026 · graded Nov 12, 2026 and Nov 13, 2026 by ToolGPA
Noterro grades higher on value for money, the free plan and platforms. They get the same grade on features and ease of use.
Price, platforms and features side by side. The table says where each price was read and when.
Noterro
Charting, booking and billing for solo and small clinics
Which one is for you
Pick ChiroHD if
- Fits if you run a chiropractic office that wants charting and scheduling together
- Works for multi-location practices that want one view
Look elsewhere if
- Pricey if you add the patient app and mass messaging, which start on Scale at $509
- Skip it if you're not a chiropractor, since it is built for chiropractic
- Watch out: setup is $799, data migration $499, and texts cost $0.03 each
- Tight if you need forms, which are a $39 a month add-on on Entry and Scale
- Not for you if you need weekend support, as it is weekdays 9am to 5pm Eastern
Pick Noterro if
- Fits if you are a solo practitioner who wants charts, booking and billing together
- Works for a small clinic that wants a booking app with its own branding
Look elsewhere if
- Pricey if you take insurance: claims and payment tracking are on Max at $77 a month
- Watch out: the AI scribe runs on credits, 300 included, enough for about 18 minutes of recording
- Watch out: file storage is a $5 a month add-on on Core
- Tight if you add staff: extra practitioners are $13.20 to $27.50 a month each
How we grade them
| 1.6GPAChiroHDWeak | 2.4GPANoterroFair | |
|---|---|---|
| Value for money | D$299 a month on the Entry plan, against $95 where the dearest tenth of therapy tools starts, plus $799 to set up and $499 to move data. | CCore is $33 a month for 1 practitioner, Plus $55 and Max $77, against a middle of $39. |
| Free plan and trial | FNo free plan and no trial are on record for this product. | CA 14-day trial with no card, and no free plan. |
| Features | BSOAP charting, scheduling, billing and insurance claims, a patient app and messaging, and multi-location views. Custom forms, and texting setup, cost extra. | BCharts, forms, booking, billing, telehealth, an AI scribe and insurance billing, with nothing missing from the core job. Claims need Max. |
| Ease of use | CSetup and data migration are quoted as paid onboarding; no store rating on record. | CNo store rating on record. A practice system means building forms and setting up booking first. |
| Platforms and integrations | CWeb only, with links to CLA Synapse and Go High Level. | BA web app with Google Calendar, Zoom, TELUS eClaims, Availity and Office Ally. |
| Best for | EHR and scheduling for chiropractic offices | solo and small clinics that chart, book and bill |
The GPA is the average of the five grades: an A is 4 points, an F is none. The full reasons are on each tool's page: ChiroHD and Noterro. How we grade
Price against what you get
ChiroHD starts at $299 a month and scores 2.3 out of 4 on features, ease of use and platforms. Noterro starts at $33 a month and scores 2.7.
Noterro scores higher and starts $266 a month lower. Of the other therapy and clinic software on the chart, 13 score higher than ChiroHD for less, and none scores higher than Noterro for less.
Features, ease of use and platforms, averaged
What paid plans start at, a month (each step along is roughly double) →
- The best score at each price
- Has a free plan
- No free plan
Where they differ
- ChiroHD also covers review collection.
- Noterro also covers templates, forms and telehealth.
At a glance
| ChiroHD | Noterro | |
|---|---|---|
| Pricing | Paid | Free trial |
| Starts at | $299 per month, annual plan paid monthly ($289 if paid up-front) | $33 per month with 1 practitioner, billed monthly |
| Free plan | None | None |
| Free trial | None listed | 14-day trial, no credit card required |
| Web | ||
| Made by | ChiroHD | Noterro |
| Price read from | chirohd.com | noterro.com |
| Checked | Nov 13, 2026 | Nov 12, 2026 |
Worth knowing
ChiroHD
- Setup costs $799 for implementation plus $499 for data migration, as one-time fees.
- Custom digital patient forms are a $39 a month add-on on Entry and Scale; the texting compliance setup (A2P 10DLC) is $45.
- Support is by email or in-app chat on weekdays, 9am to 5pm Eastern.
Noterro
- The AI scribe and form summaries run on credits: 300 are included, enough for about 60 summaries or 18 minutes of recording.
- Insurance claims and payment tracking are on Max; file storage is a $5 a month add-on on Core.
- The page lists the three plans' monthly prices; which price applies after the toggle is set to annual is not shown in the page text.
- It is a web app, with iPhone and Android devices supported through the browser.
Key features
ChiroHD
- SOAP charting
- Custom smart-note buttons, macro chaining and auto-complete for SOAP notes, plus chief complaint history and subluxation findings.
- Scheduling
- Per-provider calendars, unlimited appointment types and sub-types, and drag-and-drop booking, with text reminders.
- Billing and insurance claims
- Integrated payments plus insurance claim management and tracking are listed on the Entry plan.
- Patient app and messaging
- From Scale up, the SKED mobile app, 2-way texting, mass SMS, email and push notifications keep patients in contact.
- Reactivation and AI
- Performance adds recall sequences and drip campaigns. Autopilot adds the SPARK engine and a chatbot for website visitors.
- Multi-location view
- Franchises and multi-office groups can see every location on one dashboard or open a single location's data.
Noterro
- Booking and reminders
- Online booking through a clinic-branded app, Google Calendar 2-way sync, and email reminders, with text and call reminders from Plus.
- Charts and clinical notes
- Charting with note templates, drawing and tagging, predictive charting and snippets, plus intake forms and form summaries.
- Noterro Scribe
- An AI scribe and form summaries on every plan, billed by usage. Each plan includes 300 credits at $0.01 each.
- Insurance billing
- Insurance codes and policies from Plus; claims and payments on Max, with TELUS eClaims in Canada and Availity, Office Ally and Trizetto compatibility in the US.
- Telehealth
- One-to-one and group online appointments, with support for Zoom, Google and similar tools listed in the feature table.
Plans
ChiroHD
Entry$299
per month, annual plan paid monthly ($289 if paid up-front)
The ChiroHD EHR: scheduling, billing, records, care plans, 2-way texting, reminders and online scheduling. Texts cost $0.03 each.
Scale$509
per month, annual plan paid monthly ($489 if paid up-front)
Entry plus SKED: patient mobile app, mass SMS, email and push, and a Google review booster. 8,500 texting credits a month.
Performance$599
per month, annual plan paid monthly ($569 if paid up-front)
Scale plus reactivation and recall sequences, drip campaigns, custom digital forms and CLA Synapse and Go High Level links. 12,500 credits.
Autopilot$759
per month, annual plan paid monthly ($719 if paid up-front)
Performance plus the SPARK AI reactivation engine, a website chatbot, managed services and concierge support. 15,000 credits a month.
Noterro
Core$33
per month with 1 practitioner, billed monthly
Charts, forms, scheduling, billing and a clinic-branded booking app. Extra practitioners $13.20 a month; annual saves 15%.
Plus$55
per month with 1 practitioner, billed monthly
Adds file storage, text and call reminders, waitlists, insurance codes and Noterro GO. Extra practitioners $22 a month.
Max$77
per month with 1 practitioner, billed monthly
Adds packages, memberships, automatic payments, insurance claims and payments. Extra practitioners $27.50 a month.
Ways to pay less
ChiroHD
- Other savings
New graduate pricing
ChiroHD's pricing FAQ says it offers special pricing for new chiropractic graduates; the amount is not listed there.
Noterro
- Annual discount
15% off with annual billing
The pricing page offers a 15% saving on every plan when billed annually.
- Other savings
Three months free if you subscribe by Dec 31
An end-of-year sale adds 3 months to eligible accounts that subscribe by December 31, added after the promotional period ends.
Common questions
Which is cheaper, ChiroHD or Noterro?
As of Nov 13, 2026, Noterro is cheaper to start with: $33 a month, against $299 a month for ChiroHD. ChiroHD starts at $299 per month, annual plan paid monthly ($289 if paid up-front), and Noterro starts at $33 per month with 1 practitioner, billed monthly.
Which has a free plan, ChiroHD or Noterro?
As of Nov 13, 2026, neither ChiroHD nor Noterro has a free plan. Noterro has a free trial.
More comparisons
How this page was made
- The verdict at the top follows a fixed rule. When both tools are in the same category and either is in our top three for it, the verdict follows that ranking: the higher-placed tool is our pick. The top three weigh who each tool suits as well as its grades, so a pick can go against the GPA. Otherwise the page does not pick one and says which grades higher: the higher GPA first; on a tie, the one with a free plan, then the one that starts cheaper in dollars a month, counted the same way for both; if they are still level, what the choice depends on.
- The grades are our own, from each tool’s review or report card. The GPA is their average.
- Prices, plans and platforms come from each tool’s listing. The table above says where each price was read and when.
- The differences and the answers to the questions are worked out from those listings.