Jane alternatives: 11 physical therapy tools compared
Clinics look for a Jane alternative when the price per practitioner stops matching how they work, when insurance billing or payroll must be added as extras, or when they need a system built around US payers rather than Canadian ones. Some want a quote-led platform with more reporting, others a simpler tier list with every amount printed.
Short answer: Looking for a replacement for Jane? Nookal, Zanda and PtEverywhere come first in our physical therapy software ranking. Places 1 to 3 go to challengers, vendors outside the best-known brands in a category, wherever the category has them; the established names follow from place 4 in their ranked order. Start with Nookal if you want a per-practitioner price that ignores front-desk staff and a month-long trial. Every one of the 11 products below comes from Best Physical Therapy Software in 2026, with a note on how it departs from Jane.
Vendors can pay for more visibility on this website, for example a higher place in a ranking or more room on a page. Commercial relationships can also affect which products we feature and how prominently. Every vendor link is marked the same, whatever the arrangement behind it. How that works.
Pricing: Published monthly tiers per practitioner, itemised add-ons, demo account instead of a trial
Established in: Not stated by the vendor
Built for: Single-site clinics happy to add billing and scribing as separate monthly items
Not for: Teams that expect a trial period before committing money
01
Why buyers look past Jane
01
Plans are counted per practitioner, by hours
Jane lists Balance at CAD 59, Practice at CAD 79 and Thrive at CAD 99 a month. Balance covers one practitioner profile and 20 appointments a month. Practice and Thrive count one licence per full-time practitioner (24 or more booked hours a week) and a cheaper one per part-time practitioner, so rosters with many part-timers need careful sums.
02
Billing, scribe and telehealth arrive as add-ons
Insurance Billing costs CAD 20 a month plus CAD 5 or 2.50 per extra full or part-time practitioner, AI Scribe and Group Telehealth are CAD 15 per opted-in practitioner each, and Payroll adds CAD 40 plus CAD 6 per staff member. A clinic using all of them pays well above the headline tier.
03
Direct insurance billing names Canadian payers
The Insurance Billing add-on lists TELUS eClaims, Teleplan and Pacific Blue Cross PROVIDERnet as its direct integrations, and several features on the plan comparison carry a Canadian flag. Clinics that bill US payers or other markets have to check what applies to them.
you want modular add-ons and per-visit pricing from the largest name in US therapy software
#11
03
What each one does differently
1
Nookal
Not stated by the vendor · Published
Nookal bills per practitioner who actually sees patients, so reception and admin staff add nothing to the invoice. Essentials and Professional are listed monthly, excluding GST, in Australian dollars, with price pages for eight regions. A 30-day trial needs no card, and contracts run month to month. Enterprise is quoted for multi-site groups.
Switch from Jane if you want a per-practitioner price that ignores front-desk staff and a month-long trial.
Zanda Health Pty Ltd publishes two plans in US dollars. Starter covers one practitioner and 1,000 appointments, while Growth takes a base fee plus a charge for each added practitioner. Both carry a half-price offer for the first six months, so budget for the full rate afterwards. AI, telehealth and SMS are paid extras, with texts billed per message.
Switch from Jane if you run a one-person clinic and want a low entry rate with a 14-day trial.
PtEverywhere prints every price: Starter, Standard and Pro each cover one therapist seat, and further seats get cheaper in steps up to the eleventh. Front-desk accounts are free. Starter stops at 20 visits a month, and SMS, telehealth and fax only arrive on Pro. A Cary, NC address is shown without a country.
Switch from Jane if you want to read every tier and seat rate before talking to anyone.
Physitrack, owned by Physitrack PLC, starts from home exercise programmes assembled from over 18,000 videos and sent through the PhysiApp patient app. Remote therapeutic monitoring costs $8 per active patient per month. Its listed Jane and Raintree integrations show it works beside a practice system, so it adds to Jane rather than replacing it.
Switch from Jane if exercise programmes matter more to you than diary and billing features.
SPRY Therapeutics Inc. counts visits per full-time provider, pro-rata for part-timers, and prints no amount for Essentials. Plus brings an AI scribe, companion app, kiosk and NPS surveys. Unlimited admin and clerical users are included. The optional billing service takes 4 to 6 per cent of collections, which suits clinics that prefer outsourcing claims.
Switch from Jane if you would rather pay by visit volume and hand claims work to the vendor.
MerlinWave, Inc. sells Empower EMR to outpatient private physical therapy practices in two plans, AI Premium and AI Premium Plus. Plus adds an unlimited AI documentation scribe and guidance. The pricing page prints no amounts, states that no long-term contract applies and offers a demo. Unlimited notes and storage are listed, though not by plan.
Switch from Jane if documentation by scribe is your main reason for looking and a contract-free start appeals.
Prompt describes itself as an EMR and practice management platform for physical and rehab therapy, built and supported in the United States. Eligibility tracking, a kiosk, visit checkout, home exercise programmes, claims processing and an integrated clearinghouse are all named. Amounts, tiers and any trial are absent from the site, which offers a demo booking only.
Switch from Jane if you bill US insurers and want eligibility checks and a clearinghouse in one system.
Tebra Technologies, Inc. quotes per clinical provider and includes access for non-clinical staff. Lower pricing applies to providers billing 100 claims or fewer a month. Amounts appear only on add-ons: EPCS setup around $75 per provider once, and PDMP integration at $500 per facility plus about $50 per user each year.
Switch from Jane if your clinic prescribes or sits inside a wider medical group and you want one vendor.
Net Health puts a figure on its estimate: TherapySource EMR from $4 per user per day, and $7 with FOTO Analytics, labelled an estimate and not a quote. Enterprise is custom, and its wound care products say to inquire. A Pittsburgh address and US-based client support are shown, though no country of establishment is stated.
Switch from Jane if you want a daily per-user estimate and outcomes analytics in a hospital-style setup.
Raintree Systems presents its EMR as an AI-driven platform linking clinical, operational and financial work. NoteIQ handles documentation, SchedulerIQ recurring schedules, and Agentic RCM includes an eligibility agent, with over 10 therapy dashboards on top. The site shows demo requests only and states no country, so cost and scope get settled in sales calls.
Switch from Jane if you run many locations and want scheduling, notes and revenue cycle from one supplier.
WebPT names Starter, Enhanced and ULTIMATE EMR plans, plus Engage, Care, Monetize and Plus add-ons, without printing amounts. Pricing can be set per provider per month or per visit. Support is described as unlimited with no stated caps on users or locations. The site offers a demo, and a Phoenix, AZ address appears.
Switch from Jane if you want modular add-ons and per-visit pricing from the largest name in US therapy software.
Zanda: Starter covers one practitioner and 1,000 appointments, with a half-price offer for six months and a 14-day trial.
02
Reception staff should not add to the bill
Nookal: Only practitioners who see patients are counted, and a 30-day trial needs no card.
03
You want to read every tier before booking a call
PtEverywhere: Starter, Standard and Pro are priced per therapist seat, and Starter caps visits at 20 a month.
04
You only need exercise programmes beside Jane
Physitrack: Programmes draw on over 18,000 videos, with a listed Jane integration and a 14-day trial.
05
You bill US insurers and want a clearinghouse
Prompt Health: Eligibility tracking and an integrated clearinghouse are named, though the site shows no prices.
04
When Jane is still the right choice
Jane stays a sound choice for a small clinic that wants every price in public and one account for booking, charting, payments and reminders. All plans include unlimited admins and locations, online booking, intake forms, outcome surveys, 1:1 telehealth and free data import, and the company lists SOC 2 audited security with a 99.9% uptime figure. If your payers are Canadian, compare the add-on total before leaving.
05
What moving off Jane involves
01
Charts and templates need a plan
Check which chart notes, intake forms and outcome measure surveys you can export from Jane, and rebuild templates in the new tool before the first live week. Ask each vendor how patient files and past treatment notes are imported.
02
Online booking links and reminders change
Patients book through your Jane booking site and receive its reminders. Moving means a new booking address and new message wording. Update your website, Google listing and email signatures, and keep the old site running until the last booked appointment has passed.
06
Questions about replacing Jane
6 answers
What does Jane cost?
Jane lists Balance at CAD 59, Practice at CAD 79 and Thrive at CAD 99 a month, with the first practitioner included in the base price. Add-ons are priced separately, and the page's calculator estimates the total.
Does Jane have a free trial?
Jane's pricing page offers sign-up and a demo booking. We did not see trial terms on the page we read, so ask the vendor what applies when you start.
Which alternatives publish their prices?
PtEverywhere, Nookal, Zanda and Physitrack show amounts. Net Health gives per-user daily estimates. SPRY, WebPT, Raintree, Prompt and Empower EMR sell through quotes or demos.
Is there an alternative with an AI scribe?
Empower EMR's Premium Plus plan lists an unlimited AI documentation scribe, and SPRY Plus adds an AI scribe. Jane sells its own at CAD 15 per opted-in practitioner a month, with five free notes.
Where is Jane's data and who runs it?
Jane Software Inc. says it was made in North Vancouver, and its pricing page lists SOC 2 audit, HIPAA, PIPEDA and GDPR compliance. We did not find a country of incorporation stated on the pages we read.
Can I keep Jane and add exercise software?
Physitrack lists an integration with Jane, so some clinics keep Jane for diary and billing and add its programme library. Confirm the current integration scope with Physitrack.
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Sources
Checked 10 November 2026
Jane pricing: Balance CAD 59, Practice CAD 79, Thrive CAD 99, add-on prices, full-time and part-time licences, plan comparison, SOC 2 and 99.9% uptime.
Jane features: Scheduling, charting, telehealth, payments, payroll and marketing features.
Jane security: SOC 2 Type 2, PCI DSS, policies, North Vancouver, Jane Software Inc.
Nookal: Per-practitioner plans in Australian dollars, 30-day trial.
Zanda Health: Starter and Growth plans in US dollars, half-price six months, add-ons.
PtEverywhere: Starter, Standard and Pro seat tiers, visit cap, Cary NC address.
Physitrack: 18,000 videos, $8 per active patient monitoring, Jane integration.
SPRY: Visit-based pricing, Plus features, 4 to 6 per cent billing share.
Empower EMR: AI Premium and Premium Plus, no long-term contract, demo.
Prompt Health: EMR features, US built and supported, demo booking.
Tebra: Per-provider pricing, EPCS and PDMP add-on fees.
Net Health: $4 and $7 per user per day estimates, Pittsburgh address.
Founder of The Knowledge Engineers and of 2 Steps Ahead, an AI search visibility agency. Editorially responsible for every page on this site; research and drafting are AI-assisted.
Checked and edited by Sebastiaan Smits, last on 10 November 2026. The editorial process explains the method.
