What educational therapists need from their software, from sources outside Acuity Scheduling and outside Nexa:
Acuity Scheduling covers the booking side of this trade well. Families pay directly by the hour, with no insurance claims, and Acuity takes those payments through Stripe, Square, PayPal or Venmo on every plan. It also offers custom intake forms, packages and subscriptions, text reminders and a waitlist on the higher plans, and Google Calendar and QuickBooks connections. It does not give you a case file that runs from intake through ongoing sessions to exit, and it does not track association credentials, liability coverage or contractor and payroll records. Those stay your own paperwork, kept elsewhere.
Nexa covers more of the business-records side. It has per-session and recurring invoices, payment plans, and a client pay portal where parents pay by card through your own Stripe account. It has a public booking page with intake forms and reschedule and cancel links, a CRM with notes linked to each client, time tracking, expenses, profit and loss, and 1099 summaries. It does not have text messages, Google Calendar sync (calendar export is an .ics file), a waitlist, or recurring booking series. It has no QuickBooks sync either. Its automated emails and reminders send only while Nexa is open on one of your devices, and it is software you run yourself, with no vendor support desk.
Over three years Acuity at $34 a month costs $1,224. Nexa costs $279 once, or $458.64 with optional Cloud Sync at $4.99 a month. A solo practitioner who relies on text reminders, a waitlist or a live calendar link should stay with Acuity and keep records separately. Someone who mostly needs invoicing, parent payments and client notes, and who is fine with email-only reminders sent while the app is open, could save money by switching.
Our read for educational therapists: Stay with Acuity Scheduling if you rely on text reminders, a waitlist or Google Calendar sync, which Nexa lacks. Consider Nexa only if invoicing and client records matter more to you than those features.
Read on each linked page in October 2026. Check them again before you decide; vendors change plans often.
Acuity Scheduling costs educational therapists $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 educational therapists: 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 and invoicing 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 educational therapist: 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.)
This is the connection that makes the rest worth it. A educational therapist's job already holds the services, the hours, the add-ons, and the materials — so the invoice builds itself from the work instead of you re-typing it at 9pm. Toggle an add-on or nudge the hours and watch it recompute.
You didn't write this invoice — the job did.
Acuity Scheduling plus whatever else you're paying for:
Email yourself this comparison?
The median educational therapists earns $42,000/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 educational therapists. You own it like you own your Standardized assessment instruments (Woodcock-Johnson, KTEA, WIAT).
An honest fit check — because the wrong tool is worse than no tool.
The honest fit: if you're a solo or small educational therapists 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.
Scheduling, client records and invoicing 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.
At 9 I'm across a small table from a 9-year-old doing Woodcock-Johnson achievement subtests: letter-word identification, word attack, passage comprehension, spelling. We take breaks for a snack and a fidget ball so I get her real performance and not her tiredness. By 10:30 I'm scoring by hand, checking standard scores against grade norms, and noting error patterns. She's guessing from the first letter and skipping vowel teams. At noon I sit in on an IEP meeting at the district office as the parents' advocate, asking for specific accommodations and progress-monitoring language in writing. That hour is billable, but it's never at the same time twice. At 2 a 7-year-old comes in for Orton-Gillingham: sound card drill, blending with letter tiles, tapping out syllables, red words traced in sand, then a short decodable reader. It's session three of the four in his package. At 3:30 I write my session notes while they're fresh. At 4 I'm drafting reports for a previous client, and there are two versions: a plain-language one for the parents with things to do at home, and a formal one for the school with scores and recommendations. At 6 I sort out billing, which is never simple. The assessment is billed at one rate, ongoing sessions at another, the IEP hour separately, and the district reimbursement I submitted is now 60 days out with no answer. I finish by sending two intake forms and booking next week's assessment.
Real educational therapists near you who run their business on Nexa — book directly, no platform fee. Are you an educational therapist? Post your business and get found in your area — $2.99 one-time. Or browse every educational therapist on Nexa →
The tools of the trade — each a one-time buy that earns its keep for years.
Here's the bar that matters: you spent $2,010–$10,450 on tools that last for years, and never thought twice. So why should the software cost more than your whole kit — every single year? Hold it to the same standard as a good tool: $279, once.
We build an educational therapist'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 an educational therapist — 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 educational therapists 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 educational therapists, 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