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Cliniko Alternatives: Real Pricing Compared for 2026

Cliniko publishes its whole practitioner-count ladder openly and is cheaper than most alternatives up to twelve practitioners. Past that, and for anything beyond clinical records, the maths shifts.

Cliniko is allied health practice management — physiotherapy, osteopathy, podiatry, massage — with clinical records, treatment notes, and a reputation for being reliable and unfussy. It also publishes its full pricing ladder openly, which is rarer than it should be. Mako is the business platform for a service company, without a clinical records layer. The two overlap on booking and payments and diverge sharply either side of that.

Pricing

Cliniko: Published and banded by practitioner count. 1 practitioner $45/month, 2–5 $95, 6–8 $145, 9–12 $195, 13–25 $295, 26–200 $395. You can move up and down the bands as your team changes, which is genuinely fair.

Mako: Pulse is free. Basic at $139/month — the complete platform with three team members. Team at $249/monthfifteen team members, advanced reporting, QuickBooks sync. Enterprise at $999/month — unlimited members. Roughly 20% off annually, no contract.

The crossover: at one practitioner Cliniko is $45 against $139 — Cliniko comfortably. At 2–5 it is $95 against $139, still Cliniko. At 6–8 it is $145 against Mako Team at $249 — Cliniko again. At 13–25 practitioners Cliniko is $295 against Mako Team at $249, and Mako edges ahead. Cliniko is cheaper across most of the range, and it is worth saying so.

The Clinical Records Boundary

Cliniko holds clinical records: treatment notes, patient history, and documentation structured for regulated allied health. Mako does not, and does not market itself as doing so.

If your practice needs that — physiotherapy, osteopathy, anything where a regulator or insurer may review your records — Cliniko meets the requirement and Mako does not. That decides it. Check the specifics against your own licensing body rather than any vendor's page.

If your practice is wellness rather than clinical, the records layer is not what you are buying, and business operations decide instead.

Where Cliniko Wins

Clinical Records

Proper treatment notes and patient history for regulated practice, in the same system as the diary.

Published Banded Pricing

The full ladder is on the page, and moving between bands as your team changes is straightforward. That is unusually honest for this category.

Cost Across Most Team Sizes

From one practitioner to twelve, Cliniko is cheaper than Mako on the software line. Not marginally — clearly.

Reliability and Focus

Cliniko does allied health and does not sprawl. Practitioners consistently report it simply working.

Where Mako Wins

Business Financials

Profit per service after practitioner pay and consumables, cash-flow forecasting, unit economics. Cliniko reports appointments and revenue; it is not built to tell you which service lines carry the clinic.

Commissions and Team Pay

Percentage splits varying by service and practitioner, tips, timesheets and payouts — native, and calculated against the rate in force on the day of the appointment.

Retail and Inventory

Products, supplements, and consumables with stock levels and margin per item.

Beyond the Clinic

If you run classes, memberships, or a second business alongside treatments, Mako handles them on the same platform.

Free Retention Benchmarking

Pulse costs nothing, imports from other systems, and compares your rebooking against market averages — usable alongside Cliniko without switching anything.

The Decision

Pick Cliniko if:

  • You need clinical records for regulated allied health
  • You have twelve or fewer practitioners — it is cheaper across that whole range
  • You want published, predictable banded pricing
  • Your clinic is treatments and nothing else

Pick Mako if:

  • Your practice is wellness rather than clinical
  • You need profit per service and commission handling, not appointment counts
  • Retail and consumables are a real revenue line
  • You run classes, memberships or a second business alongside treatments

Your practice is a business. Not a hobby, not a side project, not a calendar with a cash register. It deserves software that treats it accordingly. If your platform cannot tell you whether you are financially healthy, it is not doing its job. And in 2026, you have better options.

See Mako in action — no sales call required

Mako is built for independent practice owners who would rather spend their time on clients than on demo calls. Open the live demo, poke around, and see exactly how booking, payments, and financial intelligence come together in one place.

Try the demo: https://app.makocrm.so/demo

Self-serve. Instant access. No forms, no calendars, no "talk to sales."

Run the business, not the admin

Put the ideas into practice.

Mako brings bookings, customers, payments, your team, and real-time financials into one place.