Is Cliniko or Sectra better?

Neither clearly leads. Cliniko starts at Free and Sectra at On request, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.

Which is cheaper, Cliniko or Sectra?

Cliniko has a free tier; the other does not. Paid plans start at Free for Cliniko and On request for Sectra.

Does Cliniko or Sectra run on more platforms?

Cliniko runs on Web, Mobile. Sectra runs on Windows, Web, Cloud, On-premise.

Can I use Cliniko for free?

Yes. Cliniko has a free tier, so you can try it without paying. Sectra starts at On request.

What is Cliniko best used for?

Cliniko is most often used for practice management for allied health clinics, appointment scheduling and online bookings, clinical notes and patient records, telehealth consultations. Of those, practice management for allied health clinics and appointment scheduling and online bookings are not what Sectra is typically brought in for.

What can Cliniko do that Sectra cannot?

Cliniko covers Appointment Scheduling, Online Booking, Client Management, Invoicing. Sectra covers Sectra IDS7, Digital pathology module, Sectra VNA, Sectra UniView.

Healthcare · head to head

Cliniko vs Sectra

Cliniko

Healthcare

Clinic management software for health practitioners

From: Free
Rated: -

Full review Website

Sectra

Healthcare

Enterprise imaging and PACS from a Swedish vendor that also sells the pathology and cardiology modules on one platform

From: On request
Rated: -

Full review Website

The short version

Only Cliniko has a free tier, so it costs nothing to try first.
Each has a real cost: Cliniko priced in practitioner bands rather than per seat, so a clinic adding a sixth practitioner jumps from $95 to $145 a month; Sectra sectra does not make scanners, so it cannot cross-subsidise software against modality hardware the way an integrated manufacturer can, and it often loses on headline price in a bundled tender.
They diverge on capability: Cliniko covers Appointment Scheduling, Sectra covers Sectra IDS7.
Prices and features above were last checked on 1 September 2026.

Where they differ

Only the attributes on which Cliniko and Sectra actually diverge.

Attributes where Cliniko and Sectra differ
Attribute	Cliniko	Sectra
Starting price	Free	On request
Pricing model	subscription	quote
Free tier	Yes	No
Platforms	Web, Mobile	Windows, Web, Cloud, On-premise
Founded	2012	Unknown

Identical on both: user rating (Not yet rated), category (Healthcare).

What each one covers

Drawn from each product's published feature list. An absence here means we hold no record of it - not that the product lacks it.

Only in Cliniko

Appointment Scheduling
Online Booking
Client Management
Invoicing
Patient Portal
Telehealth
Payment processors
Online forms

Only in Sectra

Sectra IDS7
Digital pathology module
Sectra VNA
Sectra UniView
Image Exchange Portal
Sectra Amplifier
Breast imaging workflow
Sectra One Cloud

What people use each for

The jobs each tool is most often brought in to do.

Cliniko

Practice management for allied health clinicsnot Sectra
Appointment scheduling and online bookingsnot Sectra
Clinical notes and patient recordsnot Sectra
Telehealth consultationsnot Sectra
Invoicing and payment tracking for a multi-practitioner clinicnot Sectra

Sectra

A hospital group digitising histopathology that does not want a second image archive and a second integration project alongside radiologynot Cliniko
A regional health service replacing several departmental PACS with one archive and one clinician viewernot Cliniko
An imaging provider moving off a capital refresh cycle to a cloud subscription with predictable annual costnot Cliniko
A trust that needs to send and receive studies with neighbouring organisations routinely, where the Image Exchange Portal is already the regional normnot Cliniko

Where each one falls short

Documented limitations, not opinions. Every one is a constraint you would hit in normal use.

Cliniko

Priced in practitioner bands rather than per seat, so a clinic adding a sixth practitioner jumps from $95 to $145 a month
The top published band stops at 200 practitioners
SMS is charged separately at 10 cents a message
Telehealth requires entering card details before it unlocks, even during the trial
There is no free tier, only a 30 day trial

Sectra

Sectra does not make scanners, so it cannot cross-subsidise software against modality hardware the way an integrated manufacturer can, and it often loses on headline price in a bundled tender.
Diagnostic AI is not built in house; Amplifier orchestrates third party algorithms, so the algorithms themselves need separate licences, separate clinical validation and separate information governance sign off.
Sectra One Cloud is priced against a committed annual study volume, and organisations whose imaging activity grows faster than forecast meet overage charges partway through the term.
The pathology module assumes you have already solved slide scanning and laboratory workflow, which is the larger and more expensive part of digitising histopathology and is not in Sectra scope.
Depth of Epic and Oracle Health integration varies by region and by which modules you buy, so a reference site in Sweden is a weak predictor of what integration will cost a United States buyer.

Pricing, plan by plan

Cliniko

Free

1 Practitioner$45/month
2-5 Practitioners$95/month
6-8 Practitioners$145/month
9-12 Practitioners$195/month

Sectra

On request

Sectra Enterprise Imaging$undefined/year
- Perpetual licence plus annual maintenance, or Sectra One Cloud subscription
- Priced on committed annual study volume and modules selected
- Pathology, cardiology and ophthalmology licensed as separate modules

Which should you pick?

Choose Cliniko if

You need appointment scheduling.
You want to start without paying.
You work on Web, Mobile.
You also want online booking.

Cliniko review

Choose Sectra if

You need sectra ids7.
You work on Windows, Web, Cloud, On-premise.
You also want digital pathology module.

Sectra review

Questions people ask

Is Cliniko or Sectra better?: Neither clearly leads. Cliniko starts at Free and Sectra at On request, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, Cliniko or Sectra?: Cliniko has a free tier; the other does not. Paid plans start at Free for Cliniko and On request for Sectra.
Does Cliniko or Sectra run on more platforms?: Cliniko runs on Web, Mobile. Sectra runs on Windows, Web, Cloud, On-premise.
Can I use Cliniko for free?: Yes. Cliniko has a free tier, so you can try it without paying. Sectra starts at On request.
What is Cliniko best used for?: Cliniko is most often used for practice management for allied health clinics, appointment scheduling and online bookings, clinical notes and patient records, telehealth consultations. Of those, practice management for allied health clinics and appointment scheduling and online bookings are not what Sectra is typically brought in for.
What can Cliniko do that Sectra cannot?: Cliniko covers Appointment Scheduling, Online Booking, Client Management, Invoicing. Sectra covers Sectra IDS7, Digital pathology module, Sectra VNA, Sectra UniView.

Answered from the vendors’ own pages

Cliniko: How much does Cliniko cost for a practice?

Cliniko uses per-practitioner pricing: 1 practitioner $45/month, 2-5 practitioners $95/month, 6-8 practitioners $145/month, 9-12 practitioners $195/month, 13-25 practitioners $295/month, 26-200 practitioners $395/month.

Source

Sectra: Does Sectra include diagnostic AI?

No. Sectra Amplifier is a marketplace and orchestration layer for third party algorithms, each licensed and validated separately.

Cliniko: Does Cliniko offer a free trial?

Cliniko is free to try for the first 30 days with no credit card required initially. A credit card is required to unlock features like Telehealth after the trial begins.

Source

Sectra: Is pathology really on the same platform as radiology?

Yes, the pathology module uses the same archive and workflow engine, which is the main reason buyers digitising histopathology shortlist Sectra.

Cliniko: What is included in all Cliniko plans?

Every Cliniko subscription includes complete feature access, unlimited admin and reception users, unlimited locations, unlimited file storage, unlimited patients, 24/7 monitoring, automatic backups, regular updates, and 24/7 customer support.

Source

Sectra: How is Sectra One Cloud priced?

On committed annual study volume plus the modules selected, as a subscription rather than a capital purchase. The vendor does not publish rates.

Cliniko: Does Cliniko charge extra for SMS and what discounts apply?

SMS messaging costs 10 cents per message (pre-paid credits required). Annual billing includes one month free every year. Charities and educational institutions qualify for free access. Cliniko commits to no feature-specific fees beyond SMS and offers no annual commitment discounts.

Source

Sectra: Is Sectra CE marked and FDA cleared?

The diagnostic viewing software carries CE marking under the medical device regulation and FDA 510(k) clearance for diagnostic interpretation, but the exact cleared indications differ per module and per market, so confirm for pathology specifically.

Cliniko vs Sectra

Cliniko

Sectra

The short version

Where they differ

What each one covers

Only in Cliniko

Only in Sectra

What people use each for

Cliniko

Sectra

Where each one falls short

Cliniko

Sectra

Pricing, plan by plan

Cliniko

Sectra

Which should you pick?

Choose Cliniko if

Choose Sectra if

Questions people ask

Answered from the vendors’ own pages

Related pages

More on Cliniko

More on Sectra

Keep looking

Other head to heads