What dietitians need from their software, from sources outside Acuity Scheduling and outside Nexa:
Acuity Scheduling covers the booking side of a dietitian's practice well. That includes online booking, custom intake forms, packages and subscriptions, cancelation policies, deposits, and payments through Stripe, Square, PayPal or Venmo. Text reminders and an appointment waitlist are on the higher plans, and Google Calendar and Zoom integrations are on its list of 15. A Business Associate Agreement for HIPAA compliance is offered on its top self-serve tier, which matters for a practice handling health information. Acuity does not track the things this trade has to track. Nothing in its feature list counts Medicare medical nutrition therapy hours per patient per year, records physician orders for extra hours, or flags a same-day conflict between MNT and diabetes self-management training. It also does not track state licence status and renewal. A practice will need a spreadsheet or a separate record for those.
Nexa covers the business side: invoices, recurring invoices and payment plans, a client pay portal through your own Stripe account, a CRM, a public booking page with intake forms and reschedule and cancel links, time tracking, and bookkeeping with expenses, profit and loss, and sales tax tracking. It works offline and has a Spanish interface. Its automated emails (reminders, sequences and workflows) send only while Nexa is open on one of your devices. It has no text messages, no waitlist, no recurring booking series, and no Google Calendar sync (calendar export is an .ics file). It also has no QuickBooks or Xero sync and no app marketplace. It is software you own and run yourself, so there is no vendor support desk or onboarding. Like Acuity, it has nothing that tracks Medicare MNT hours or licence renewals.
Over three years Acuity at $34 a month costs $408 a year, or $1,224. Nexa is $279 once (or 3 payments of $99), and with optional Cloud Sync at $4.99 a month it comes to $458.64 over the same three years. Nexa is cheaper, but it replaces Acuity only if you can live without text reminders, a waitlist and Google Calendar sync. A solo dietitian who already uses Acuity for scheduling and reminders should stay and track MNT hours and licences separately. A practice that mostly needs invoicing, a client pay portal and bookkeeping, and can accept emails that send only while the app is open, could reasonably try Nexa.
Our read for dietitians: Stay with Acuity Scheduling if you rely on its text reminders, waitlist, Google Calendar sync and HIPAA agreement, since Nexa lacks the first three and neither tool tracks MNT hours or licences.
Read on each linked page in October 2026. Check them again before you decide; vendors change plans often.
Acuity Scheduling costs dietitians $408/year at today's list price. Nexa is $279 once for invoicing, scheduling, CRM, time tracking and accounting in one suite — so after 8.2 months it has cost less than Acuity Scheduling, and you own it after that. What it is not: hosted-for-you software with a support desk and a roadmap you can lobby. That is the trade, and the rest of this page is the detail behind it.
Nexa is $279 once, about $23 a month over its first year. Its Drain Guard reads your expenses (from a linked bank, an imported statement, or ones you type in), finds the charges that repeat, and adds them up by the month. Keep or Cut then walks you through them one at a time. Cancel $23 a month of charges you'd forgotten about and Nexa has paid for itself inside the first year, before you count the Acuity Scheduling bill you'd stop paying.
It depends on what you find and what you cancel, so we don't promise a number. In our demo data, Drain Guard finds 5 subscriptions adding up to $110.13 a month. That is sample data, not a customer's.
The verdict for dietitians: Stay with Acuity Scheduling if the needs in our read above apply to you. If they don't, Nexa covers the core invoicing, scheduling and books for $279 once against $1,224 for Acuity Scheduling over three years.
Scheduling, client records, invoicing and time tracking are the pieces of that day. Some tools rent you each piece separately. A few — Nexa among them — bundle the lot and carry their own booking link, with no per-appointment cut. The sections below price both routes honestly.
None of that is a software problem you can buy your way out of in one click — it is why the tool you pick matters more than what it costs. Acuity Scheduling solves some of it. So does Nexa. The difference is what you are left holding in three years.
Today's list price is $34/month — $408 a year, from Acuity Scheduling's own pricing page. Every figure below is that price, multiplied. Nothing is projected.
Nexa: $279 once (or 3 × $99). Over the same three years, that is $945 less.
If Acuity Scheduling raises its price, the three-year cost goes up; if it cuts it, the cost comes down. We don't guess which. Add-ons, extra seats and card-processing fees are not included, on either side.
| Feature | Acuity Scheduling | Nexa |
|---|---|---|
| Invoicing | ✗ | ✓ |
| Scheduling | ✓ | ✓ |
| CRM | ✗ | ✓ |
| Time Tracking | ✗ | ✓ |
| Full Accounting | ✗ | ✓ (SIMPL) |
| Task Management | ✗ | ✓ |
| Works offline | — | ✓ |
| Price | $34/mo | $279 once or 3 × $99 |
| 3-Year Total | $1,224 | $279 |
| You own it? | No — stop paying, lose access | Yes — forever |
✓ and ✗ for Acuity Scheduling come from its own published feature list. — means the feature isn't in that list, which is not the same as Acuity Scheduling lacking it: check with them. Three years is at today's price.
Straight from Acuity Scheduling's own feature set. If one of these is the reason you pay them, that reason does not disappear because Nexa is cheaper.
Acuity Scheduling is the better call if you need intake forms specifically, or if your team is large enough that per-seat pricing still beats buying software outright.
Acuity says it is for "anyone in the business of time," from solo practitioners to multi-location teams. It lists beauty, business services (consulting, coaching), wellness, fitness, visual and performing arts, and education. (acuityscheduling.com)
What people outside Acuity Scheduling and outside Nexa say:
Read on each linked page in October 2026. Check them again before you decide; vendors change plans often.
Software doesn't do the actual work — it automates the business around it. And that part is the same for every dietitian: find the work, manage it, bill for it, get paid. Each step has a tool — and the right single tool runs the whole loop, so the handoffs are automatic and you get back to the actual work. Tap a step to see what gets automated.
An inquiry becomes a proposal becomes a signed engagement — the terms and the retainer set.
The work you're paid for — with the hours, tasks, and expenses tracked against the engagement instead of reconstructed at month-end.
The work becomes the invoice — the hours, the add-ons, the materials, the deposit credited — totaled and sent, instead of re-typed at 9pm.
Paid by card or link, the deposit credited, and what's overdue chased — without you doing it by hand.
You can stitch four separate subscriptions across these four steps, or run one tool that does the whole flow so a booking becomes a job becomes an invoice becomes a payment without re-typing. Either way the goal is the same: less time on the business of the business, more on the actual work. (Nexa is built to be the one — but the honest options for each step are above and below.)
Acuity Scheduling plus whatever else you're paying for:
Email yourself this comparison?
The median dietitian earns $50,000/year. At $408/year, Acuity Scheduling is a recurring slice of that — paid again every year, whether the year was good or not. Owning the same jobs outright is $279 once, and the slice stops.
Nexa is $279 once. Invoicing, scheduling, CRM, time tracking, accounting — all connected, built for dietitians. You own it like you own your Nutrition analysis software.
An honest fit check — because the wrong tool is worse than no tool.
The honest fit: if you're a solo or small dietitians business that owns its tools and is sick of renting software, Nexa replaces your whole stack for $279 once. If you're scaling into a large team with dedicated admin staff, a bigger platform may fit better — and we'd rather tell you that now than sell you the wrong thing.
Your people are already online — swapping real numbers, tool picks, and war stories. Here's where to find them.
Active community — tool picks, pricing, and day-to-day questions.
Open on Reddit →Active community — tool picks, pricing, and day-to-day questions.
Open on Reddit →Active community — tool picks, pricing, and day-to-day questions.
Open on Reddit →Scheduling, client records, invoicing and time tracking are the pieces of that day. Some tools rent you each piece separately. A few — Nexa among them — bundle the lot and carry their own booking link, with no per-appointment cut. The sections below price both routes honestly.
Most of my clients come to me with a diagnosis or a goal: diabetes, high blood pressure, digestive problems, pregnancy, weight or an athlete wanting to perform better. The first appointment is an hour of assessment: medical history and lab results, medications, what they actually eat on a normal day, their schedule, budget and cooking skills, because a plan they can't follow is useless. From that I build recommendations and a practical plan, often starting with two or three changes rather than a complete overhaul. Follow-up sessions track progress, adjust the plan and deal with what got in the way. Everything is documented, and for clients with medical conditions I coordinate with their doctor. Many of my clients' visits are covered by insurance, which means verifying benefits, getting referrals where required, submitting claims and handling denials; others pay privately or in packages. I stay current with research and complete continuing-education credits to keep my credential and licence. Some weeks include a workshop for a local employer or a talk at a community centre.
Real dietitians near you who run their business on Nexa — book directly, no platform fee. Are you a dietitian? Post your business and get found in your area — $2.99 one-time. Or browse every dietitian on Nexa →
The tools of the trade — each a one-time buy that earns its keep for years.
You paid for these once because good tools last. That's the bar your software should clear too — priced like a tool you own, $279 once, not a subscription that costs more than your kit every year.
We build a dietitian's guide the same way every time, and we'd rather you trust it than take it on faith. Nexa is our product, so the test we hold ourselves to is simple: a tool only "wins" a job here when it genuinely does that job better for a dietitian — and where something free, open-source, or buy-once does it better, we say so and link you to it. Where Nexa falls short (payroll is the honest example), we name the alternative outright.
Found something out of date? Prices change and we don't catch every move the day it happens. This guide is published and maintained by the Nexa team; if a figure here is wrong, tell us and we'll fix it — getting it right matters more to us than the sale.
For solo dietitians and small teams, yes. invoicing, scheduling, CRM, time tracking, task management, and full accounting — all for $279 once. Acuity Scheduling may be better if you have a large team (10+) or need enterprise-specific features.
Acuity Scheduling has features like Intake forms and Package and subscription billing that some businesses rely on. For most solo dietitians, these aren't dealbreakers.
At $34/month, Nexa pays for itself in 8.2 months. After that: $408 saved every year.
Yes. Nexa is $279 as a one-time payment, or 3 payments of $99 ($297 total). Either way it's a one-time purchase — no subscription, no recurring fees ever.
Own your tools. Stop renting your software.
Get Nexa — $279 Once