ModMed (EMA) vs. Nextech: Which One Actually Fits Your Dermatology practice?
These two aren't really competing for the same customer. The right pick comes down almost entirely on team size and integration fit, not which one has more features.
ModMed $1,600/mo vs. Nextech $1,300/mo — $300/mo gap, the right pick depends on your practice complexity
Pricing for dermatology EHR and practice management platforms.
Monthly cost comparison
Most comparisons of ModMed (EMA) and Nextech read like a features checklist — which one has better reporting, which one has a nicer mobile app. That's the wrong lens. Both are capable dermatology ehr & practice management platforms. The actual decision is about fit: what size crew are you running, and what are you paying for capability you don't need yet (or capability you've already outgrown)?
ModMed (EMA): $1,600/mo — built for 5-150 employees
Dermatology-specific EHR and practice management platform with specialty templates for skin exams, biopsy tracking, and cosmetic procedure charting. Priced accordingly for the team size it serves.
Nextech: $1,300/mo — built for 5-150 employees
Specialty EHR and practice management platform for dermatology and plastic surgery practices, a direct alternative to ModMed. Priced accordingly for the team size it serves.
Fit comparison
| Criterion | ModMed (EMA) | Nextech |
|---|---|---|
| Team size range | 5-150 | 5-150 |
| Monthly cost | $1,600 | $1,300 |
| Derm-specific templates | ||
| Biopsy tracking | ||
| Cosmetic procedure charting |
Running both ModMed and Nextech simultaneously costs $2,900/mo — a pure duplicate for EHR and practice management. The specialty templates overlap almost entirely.
The actual decision rule
Where your practice sits on the growth curve matters more than which platform has more features.
- Under ~75 employees: Nextech almost always wins on pure fit-for-cost — you're not yet running the complexity that ModMed (EMA) is built to manage.
- 75-150 employees: this is the real gray zone. If you're growing fast and expect to cross 150 within a year, the migration cost of switching platforms later is real — it may be worth paying for the deeper platform now.
- Above ~150 employees: ModMed (EMA)'s deeper reporting and coordination features usually justify the cost difference outright.
Under ~75 employees → Nextech ($1,300/mo) saves $3,600/yr. Above 150 → ModMed ($1,600/mo) for deeper specialty templates and integrated imaging.
One thing worth naming directly: a lot of "best dermatology practice software" content online is written by, or paid by, the vendor with the bigger affiliate budget — which tends to be the more expensive platform. That's exactly the incentive our engine is built to be blind to; it ranks purely on your team-size fit, not on which vendor pays the biggest bounty.
Run the free audit with your real headcount and current spend to see which one — plus the rest of your stack — actually fits.