1. The three models, and who each one punishes
Per-provider. You pay for each clinician. The entry price looks low — often the lowest on a comparison page — and every hire raises it. This model is built for practices that grow slowly and bill insurance, where a new provider brings billable volume that covers the seat.
Per-user. You pay for everyone with a login, including the front desk, the medical assistant and the person who only checks inventory. This is the model that surprises cash-pay clinics hardest, because optimization medicine runs on a high ratio of support staff to prescribers.
Flat tier. You pay a fixed amount for a band of prescribers, with support staff included. The entry price is higher and it stops moving. This suits clinics whose headcount is lumpy — one prescriber and five staff, then two prescribers and eight.
None is dishonest. They are bets on how you will grow, and the right answer depends on whether your next hire is a prescriber or a coordinator.
2. Run the number you will pay in year two
Compare on the headcount you expect in eighteen months, not today. The exercise takes five minutes and changes most decisions.
Write down prescribers now and prescribers expected. Then non-prescribing staff now and expected — front desk, MAs, injectors, coordinators, the bookkeeper. Then price each platform at both points. A platform that is cheaper today and $400/month dearer at your expected size is not cheaper; it is a loan.
Two questions do most of the work. What happens to the bill the month I add one prescriber and two support staff? And is there a headcount at which I am forced into a higher tier for reasons unrelated to how many providers I have?
3. The costs that are not in the monthly number
Onboarding or implementation, usually one-time and rarely on the pricing page. Data migration, which some vendors bundle and others quote separately. Payment processing, which is a percentage rather than a subscription and will exceed your software bill at any real volume. E-prescribing, which is commonly priced per prescriber on top of the platform. Telehealth minutes, SMS and email overages. And the exit cost — what a full export of your own records costs on the way out.
That last one belongs in the comparison. A platform that is a little cheaper monthly and charges thousands to release your data has priced your ability to leave, and you will only discover it at the moment you have least leverage.
4. What Aminova charges, and why it is structured this way
Flat tiers by prescriber count, with unlimited non-prescribing staff on every plan. Solo is $199/mo for one prescriber. Duo is $379/mo for up to two. Core is $599/mo for up to three. Growth is $949/mo for up to five. Each carries a one-time onboarding fee, and Enterprise is quoted for eight or more.
The reason support staff are unlimited is the shape of this specialty. A hormone or weight-loss clinic commonly runs one prescriber against four or five other people — a front desk, an injector, a coordinator, a bookkeeper. Charging per login taxes exactly the staffing model the work requires, and we would rather clinics add the coordinator who improves follow-up than ration seats.
You can check the current numbers on the pricing page, which is the source of truth if this post ever drifts from it.
5. Frequently asked questions
Is per-provider pricing always more expensive?
No. For a solo practitioner with no hiring plans it is frequently the cheapest option, and a flat tier is overpaying for headroom you will not use. It becomes expensive at the point you add clinicians, which is why the comparison has to be run at your expected size rather than your current one.
Why do some platforms charge per user instead of per provider?
It is simpler to meter and it scales with the size of the organisation rather than its clinical capacity. It fits practices where most logins generate revenue. It fits cash-pay optimization clinics badly, because those run a high ratio of support staff to prescribers and every one of them needs a login to do their job.
What does clinic software cost in 2026?
Entry pricing spans roughly $79 to $200 per month depending on the model, and the range widens sharply with headcount — a per-provider platform at $79 costs $395 at five clinicians, while a flat tier at that band does not move. Add payment processing, which is a percentage and usually the largest line at volume, plus one-time onboarding and any per-prescriber e-prescribing fee.
Is this comparison independent?
No. Aminova publishes it and uses flat pricing, so we have an interest in how the question is framed. The models are described as they work rather than rated, our own numbers are stated so you can check them against our pricing page, and no competitor figure is asserted here that is not published by that vendor.