# SPIRO vs Xacte

The clearest difference is price: Xacte at Free against SPIRO's $3.99. Xacte also leads on review sentiment (33% vs 0%) and update cadence (every 3 weeks vs every 7 months). SPIRO's advantage is iOS requirement (12.0 vs 15.0). On ads, in-app purchases and device support there is nothing between them.

Xacte is free to download; SPIRO costs $3.99 up front. Neither carries in-app purchases, so what you see is what you pay.

SPIRO ships an update every 7 months, Xacte every 3 weeks. The most recent releases landed on July 9, 2026 and August 10, 2026 respectively.

## The numbers

| Metric | SPIRO | Xacte |
| --- | --- | --- |
| Price | $3.99 | **Free** |
| Positive reviews | 0.0% of reviews | **33.3% of reviews** |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | Every 7 months | **Every 3 weeks** |
| Monetization | Paid | **Free** |
| Size | 125 MB | 192 MB |
| Requires iOS | **12.0** | 15.0 |
| Devices | iPhone, iPod | **iPhone, iPad, iPod** |
| Age rating | 12+ | 4+ |
| Developer | [Universite Laval](https://appshunter.io/developer/386592978) | [Xacte](https://appshunter.io/developer/594942604) |

## What reviewers say

### SPIRO

[App page](https://appshunter.io/ios/app/spiro/id1135982423)

This medical app assists healthcare professionals and students in interpreting spirometry tests. It provides diagnostic and treatment suggestions based on entered data and offers access to educational materials and respiratory health guidelines.

**Highlights:** Interpret spirometry tests, Diagnostic suggestions, Treatment suggestions, Access respiratory guidelines, Educational material, Patient follow-up tool

**In-app purchases:** none


### Xacte

[App page](https://appshunter.io/ios/app/xacte/id1149105327)

Streamline your medical billing with this app, offering electronic billing, code selection, and automatic scanning of patient information. It helps prevent errors and payment refusals, providing access to past visit records.

**Highlights:** Intuitive electronic castonguette, Checklists for billing codes, Automatic HIN scanning, Amount visualization before sending, Validation system to prevent errors, Account statement reconciliation, Access to past visit records

**In-app purchases:** none


## Frequently asked questions

### Is SPIRO free?

SPIRO costs $3.99, with no in-app purchases.

### Is Xacte free?

Xacte is free to download, with no in-app purchases.

### Do SPIRO or Xacte have ads?

Neither SPIRO nor Xacte shows ads.

### Which is updated more often, SPIRO or Xacte?

SPIRO ships an update every 7 months, and Xacte every 3 weeks. Most recently, SPIRO was updated on July 9, 2026 and Xacte on August 10, 2026.

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*Compared by [AppsHunter](https://appshunter.io/) from daily US App Store data. Review summaries are generated from verbatim App Store reviews.*