Six platforms, each read at the vendor’s own pricing page. Pick by discipline and billing, then price it per practitioner.
Jane, for most Canadian clinics: $79 CAD a month on Practice including one full-time practitioner, plus $35 for each extra full-time, with TELUS eClaims, Teleplan and Pacific Blue Cross billing as an add-on from $20.
New Jane clinics get one month free with code LEDGERLOGIC1MO through our link. Noterro for a massage or RMT clinic on a budget (from $33), Juvonno for multi-location rehab with HCAI, Owl Practice for therapy-only practices, Cliniko for a solo practitioner who wants Xero, and Practice Better for nutrition and coaching programmes.
Enter code LEDGERLOGIC1MO in the Grace code field on Step 1 of Jane’s sign-up page. Jane applies the free month to new clinics; the link alone does not apply it.
Copy the code: 1 month free
Monthly, in CAD before tax, read at each vendor on Oct 8, 2026. “From” is the plan a full-time practitioner with unlimited appointments needs.
| Platform | From, a month | Each extra practitioner | Canadian direct billing | To your books | Trial |
|---|---|---|---|---|---|
 Our pickBalance, Practice and ThrivePractice; Balance $59 caps at 20 appointments | $79a monthPractice; Balance $59 caps at 20 appointments | +$35 full-time, +$17.50 part-time | Add-on$20: eClaims, Teleplan, PBC | CSV export | Get 1 month free Enter code LEDGERLOGIC1MO at signup |
 Core, Plus and MaxCore, billed monthly | $33a monthCore, billed monthly | +$13.20 per seat on Core | Higher planeClaims on Max ($77) | Xero, QuickBooks file export | Visit 14 days, no card |
 Launch, Grow and ScaleLaunch, one location only | $55a monthLaunch, one location only | +$34 per extra user licence | Higher planeClaims on Grow ($99); HCAI +$99 | Reports; lists a Xero link | Visit Demo, no free trial |
 One plan, priced by practitioner countOne practitioner, every feature | $49a monthOne practitioner, every feature | Bands: 2 to 5 $99, 6 to 8 $149, up to $399 | NoneNo Canadian insurers | Native Xero sync | Visit 30 days, no card |
 Growth, Advanced and ProfessionalAdvanced; Growth $60 caps at 20 sessions | $80a monthAdvanced; Growth $60 caps at 20 sessions | Groups: by quote | Higher planeClaims on Advanced ($80) | Billing reports for your accountant | Visit 14-day free trial |
 Sprout, Starter, Professional, Plus and TeamProfessional, 300 clients; Starter $35 | $69a monthProfessional, 300 clients; Starter $35 | Team $155 for 2, then +$50 | NoneSuperbills only in Canada | Xero, QuickBooks sync: $49 add-on | Get 20% off 14 days (30 on Team) |
All six bill Canadian clinics in CAD (Juvonno’s cards show no currency; its pricing FAQ says CAD). Noterro and Juvonno open on yearly prices; these are monthly. Charting, telehealth and every plan are in each card below.
Three typical clinics first, then your own mix. Monthly, in CAD before tax.
| Platform | Solo1 full-time, no insurance add-on | Team of 43 full-time + 1 part-time, one location, TELUS eClaims | Team of 108 full-time + 2 part-time, two locations, TELUS eClaims |
|---|---|---|---|
| Jane | $79 | $199 | $419 |
| Noterro | $33 | $159.50 | $324.50 |
| Juvonno | $55 | $201 | $470 |
| Cliniko | $49 | $99 (does not bill Canadian insurers) | $199 (does not bill Canadian insurers) |
| Owl Practice | $80 | Quote | Quote |
| Practice Better | $69 | $255 (does not bill Canadian insurers) | $555 (does not bill Canadian insurers) |
Solo: 1 full-time, no insurance add-on. Team of 4: 3 full-time + 1 part-time, one location, TELUS eClaims. Team of 10: 8 full-time + 2 part-time, two locations, TELUS eClaims.
† Does not bill Canadian insurers, so it misses the eClaims profile. Teal: the lowest price that meets the profile. HCAI, OHIP or Manitoba Health billing is Juvonno only, at $99 a month more.
None of these replaces Xero or QuickBooks; budget the ledger and bookkeeping separately.
Set your practitioners. Each row starts from the plan with unlimited appointments and adds the vendor’s published per-practitioner rate.
Not priced for these inputs: Owl Practice prices groups by quote.
The pick changes with the discipline and with how the practice gets paid.
One site or a few, billing insurers from the appointment.
Also: Juvonno for a multi-location group billing HCAI, OHIP or Manitoba Health daily.
Chiropractors are on Jane’s TELUS eClaims list.
Also: Juvonno in Manitoba: Grow includes Manitoba Health chiro billing.
The lowest per-seat price, with charting for manual therapy.
Also: Jane once you direct-bill daily or share a roof with other disciplines.
Built only for talk therapy, priced in CAD.
Also: Jane for a group paying associates: Jane Payroll runs outside Quebec.
Jane covers booking, charting, telehealth, invoicing and Canadian insurance billing in one CAD subscription that scales per practitioner. The trade-offs are the books, where Jane exports rather than integrates, and the add-ons, which grow the bill with the feature list.
Enter code LEDGERLOGIC1MO in the Grace code field at signup; Jane applies the free month to new clinics.
Copy the code: 1 month free
Prices verified at jane.app/pricing on Oct 8, 2026. Jane pays us a referral fee.
Who each one is for, one strength and one thing to watch. The full verdict and facts fold under each card.
From $33/moBest for: Massage therapists and small RMT clinics that want charting and billing at the lowest price.
For a massage or RMT clinic watching costs, Noterro puts the essentials in Core at $33 with the lowest per-seat rate here. Clinics that direct-bill insurers move to Max, where TELUS eClaims sits.
When the clinic adds disciplines or needs deeper reporting, look at Jane.
Verified Oct 8, 2026 at the vendor’s page.
From $55/moBest for: Multi-location physio, chiro and rehab groups that bill HCAI and provincial plans.
Juvonno is the pick when the clinic is an operation: several locations, front-desk staff, and HCAI or provincial billing every day. Per-location pricing plus a licence for every concurrent user is the cost of entry.
For a single location that wants insurance billing with less setup, the pick is Jane.
Verified Oct 8, 2026 at the vendor’s page.
From $49/moBest for: Solo practitioners and small teams who want simple pricing and revenue flowing into Xero.
Cliniko suits a solo or small practice that values simple pricing and a clean path into Xero over Canadian insurance billing. Every feature is on every tier. Once TELUS eClaims matters, Jane is the better fit.
When Canadian insurance billing becomes the daily job, the platform built for it is Jane.
Verified Oct 8, 2026 at the vendor’s page.
From $60/mo + taxBest for: Psychologists, counsellors and social workers who want a Canadian, mental-health-only platform.
For a therapy practice, Owl speaks the language: sessions, sliding scales, supervision and a client portal, priced in CAD. It is not built for clinics with physio tables and insurers on the phone.
For a clinic that mixes therapy with physio, chiro or massage under one roof, the multi-discipline platform is Jane.
Verified Oct 8, 2026 at the vendor’s page.
Free, then from $35/moBest for: Nutritionists, dietitians, naturopaths and coaches who sell programmes and courses.
Practice Better fits a programme-driven practice: nutrition, naturopathy, coaching, courses. It bills US insurers but not Canadian ones, so compare it on programmes and client engagement, not insurance billing.
For a clinic that bills insurers and runs practitioners on tables rather than programmes, the platform is Jane.
Verified Oct 8, 2026 at the vendor’s page.
Still deciding?
Pick your situation for a one-line answer, or price your own mix of practitioners.
Back to the picker Price your clinicJane for most clinics: $79 CAD a month on Practice including one full-time practitioner, booking, charting, telehealth and invoicing on every plan, and TELUS eClaims, Teleplan and Pacific Blue Cross billing as an add-on from $20. Noterro for massage and RMT clinics from $33, Juvonno for multi-location rehab with HCAI, Owl Practice for therapy practices, Cliniko for a solo practitioner who wants Xero, and Practice Better for nutrition and coaching programmes.
Jane: $79 a month including one full-time practitioner, then $35 per extra full-time and $17.50 per part-time. Noterro: $33 including one, then $13.20 each on Core, $22 on Plus or $27.50 on Max. Cliniko: $49 for one, $99 for two to five, $149 for six to eight, up to $399 for 26 to 200. Juvonno: Launch is $55 for one location with one licence, plus $34 per extra licence; Grow is $99 per location. Owl Practice: $60 to $100 for a solo practitioner; groups by quote. Practice Better: free to $99 for one practitioner, and Team is $155 for two plus $50 each. All CAD, billed monthly.
Jane, through its Insurance Billing add-on ($20 a month plus $5 per extra full-time practitioner, on Practice and Thrive), which also submits to Teleplan and Pacific Blue Cross PROVIDERnet. Juvonno includes TELUS eClaims on Grow and Scale, Noterro on its $77 Max plan, and Owl Practice on Advanced and Professional. Cliniko and Practice Better do not bill Canadian insurers directly.
Juvonno, which sells HCAI, OHIP and Manitoba Health billing as a $99 a month add-on on every plan, alongside TELUS eClaims and Manitoba Health chiro billing on Grow and Scale. Jane’s Canadian direct billing is TELUS eClaims, Teleplan and Pacific Blue Cross, with no HCAI listed. For a clinic where HCAI claims are a daily task, Juvonno is the platform designed for it.
The cheapest paid full system is Noterro at $33 a month on Core ($28.05 billed yearly), with unlimited assistants and locations. Practice Better’s Sprout plan (3 clients) and Zdrovia’s Solo plan are free for one practitioner, with limits. Cliniko is $49 for one practitioner, Jane’s Balance plan $59 for one practitioner and 20 appointments a month, and Owl Practice $60 for up to 20 sessions.
No. These platforms invoice patients and report revenue, but none of them keeps a general ledger, reconciles the bank, tracks expenses or files GST/HST. Cliniko syncs to Xero, Practice Better syncs through a $49 add-on, and Jane and Noterro export files for Xero or QuickBooks. Every clinic still needs the ledger, and our Jane bookkeeping guide shows the monthly export workflow.
Cliniko, which has a native Xero integration on every tier that syncs invoices and payments. Practice Better syncs with Xero and QuickBooks through its Connector Hub add-on ($49 a month, Plus and Team). Juvonno lists Xero on its integrations page without saying what syncs. Noterro exports files for Xero and QuickBooks, Jane exports CSV reports that our Jane-to-Xero guide walks through, and Owl Practice exports billing reports for your accountant.
Cliniko offers 30 days with no card and free data transfer. Noterro offers 14 days with no card, Owl Practice 14 days on any plan, and Practice Better 14 days (30 on Team). Juvonno offers a demo. Jane has no free trial but includes a free data import and onboarding call, and new clinics get one month free with code LEDGERLOGIC1MO through our link.
Yes. Code LEDGERLOGIC1MO gives a new Jane clinic one month free. On Jane’s sign-up page (Step 1 of 4), scroll down to "Have a promo code?" and enter LEDGERLOGIC1MO in the Grace code field. Our Jane deal page has the steps. Jane’s pricing page lists no coupon codes, and we could not verify the codes posted on coupon sites.
Jane includes 5 free AI Scribe notes a month on every plan, and unlimited notes cost $15 a month per practitioner. Juvonno includes AI Scribe for the whole clinic on every plan. Noterro gives 300 free Scribe credits to start, then charges by use. Practice Better’s AI Charting Assistant starts at $10 a month per practitioner, and Owl Practice sells Smart Notes as an add-on. Cliniko has no scribe of its own; its app directory lists third-party ones.
Jane includes one-to-one telehealth on every plan and sells group telehealth at $15 a month per practitioner. Cliniko includes telehealth on every tier, Owl Practice on every solo plan, and Practice Better from Starter up (not on its free plan). Juvonno includes one-to-one telehealth and sells group telehealth as a $20 add-on. Noterro does not list telehealth on its pricing page.
Jane covers scheduling, invoicing, receipts and direct insurance billing for physio, chiro, massage and counselling. Juvonno adds multi-location scheduling with HCAI and provincial billing for rehab. Noterro covers scheduling, billing and simple insurance for massage clinics, with TELUS eClaims on Max. All three are Canadian companies.
All six bill Canadian clinics in Canadian dollars. Jane and Owl Practice publish CAD prices, and Cliniko, Noterro and Practice Better show CAD prices to visitors in Canada. Juvonno’s cards show no currency to Canadian visitors and its pricing FAQ says it bills Canadian clinics in CAD, so confirm the currency on your quote.
Jane is built for that: unlimited locations and admins, discipline-specific charting templates, one calendar, and insurance billing across physio, chiro, massage and counselling. Juvonno does it for rehab-focused groups at scale. Owl Practice is for mental health only, Practice Better is built for wellness and nutrition practices, and Noterro is strongest for manual therapy.
Jane for a multi-discipline clinic that bills insurers; the other five for the one job each does best. Whichever you choose, the ledger is separate: getting revenue into Xero or QuickBooks each month is a job your bookkeeper should own from day one.
Sebastien Prost, CPA. Prices verified Oct 8, 2026. Jane and Practice Better pay us a referral fee; the ranking would read the same without them.
Prices and plan rules were read on Oct 8, 2026 at each vendor’s own pricing and help pages, rendered from British Columbia so the Canadian prices show; the URLs are in this page’s source. Nothing came from third-party roundups or our older pages. Jane and Practice Better pay a referral fee when a practice signs up through this page; Noterro, Juvonno, Cliniko and Owl Practice pay nothing.