# UpToDate vs Eko

The clearest difference is rating: Eko at 4.9 against UpToDate's 3.6. Eko also leads on review sentiment (51% vs 28%) and ratings volume (11K vs 585). UpToDate's advantage is in-app purchases (none vs 2). On price, ads, device support and iOS requirement there is nothing between them.

Both are free to download. Eko sells 2 in-app purchases, starting at $12.99 per month. UpToDate asks for nothing beyond the download.

Eko holds the better App Store score, 4.9 against 3.6. That said, the two scores are not equally well evidenced: Eko has 11K ratings behind it against 585, so its average is the more settled of the two. Written reviews point the same way: 28% of UpToDate's written reviews are positive against 51% of Eko's.

UpToDate ships an update every 5 weeks, Eko fortnightly. Both last shipped on November 1, 2026.

## The numbers

| Metric | UpToDate | Eko |
| --- | --- | --- |
| Price | Free | Free |
| Rating | [3.6 (585 ratings)](https://appshunter.io/ios/app/uptodate/id334265345/reviews) | **[4.9 (11K ratings)](https://appshunter.io/ios/app/eko-digital-stethoscope-plus-ecg/id1026457544/reviews)** |
| Number of ratings | 585 | **11K** |
| Positive reviews | 28.2% of reviews | **51.4% of reviews** |
| In-app purchases | **No** | Yes |
| Ads | No | No |
| Update frequency | Every 5 weeks | **Fortnightly** |
| Monetization | Subscription | **Free with in-app purchases** |
| Best chart rank | — | **#7** |
| Size | 56 MB | 159 MB |
| Requires iOS | 18.0 | 18.0 |
| Devices | iPhone, iPad | iPhone, iPad |
| Age rating | 17+ | 17+ |
| Developer | [UpToDate, Inc.](https://appshunter.io/developer/334265348) | [Eko Health, Inc.](https://appshunter.io/developer/505874291) |

## What reviewers say

### UpToDate

[App page](https://appshunter.io/ios/app/uptodate/id334265345)

This clinical decision support tool provides healthcare professionals with evidence-based guidance to improve patient care. It features AI-powered conversational answers, continuously updated medical content, and tools for drug reference, calculations, and patient education.

**Highlights:** Expert AI conversational guidance, Gold standard clinical content, Practice-changing updates, Patient education materials, Drug reference and interactions, Clinical calculators, Kidney dosing guidance

**Features:** Vision Pro support

**In-app purchases:** none

**What reviewers like**

- 💎 Invaluable medical resource
- 🚀 Quick and easy to use
- 🔍 Comprehensive and up-to-date content

**What reviewers complain about**

- 🐛 Frequent crashes and freezing issues
- 🔌 Unreliable offline functionality
- 💰 Expensive subscription cost

**Reported bugs**

- Inability to download offline content
- Constant need to re-authenticate
- Incompatibility with recent iOS updates

**Requested features**

- Highlight and annotate content
- Improved institutional login support
- Dark mode and font size options


### Eko

[App page](https://appshunter.io/ios/app/eko-digital-stethoscope-plus-ecg/id1026457544)

**Currently charting:** #7 Top Grossing · Medical, #159 Top Free · Medical (US App Store)

This app enhances physical exams by detecting heart and lung conditions early. It records and analyzes sounds, aids in systematic assessments, and generates shareable reports. Compatible with digital stethoscopes for seamless integration into clinical workflows.

**Highlights:** Detects structural murmurs, Flags AFib, tachycardia, bradycardia, Guided multi-point exams, Wireless audio playback, Auto-connect to stethoscope, Record, annotate, and save sounds/ECG, Build patient profiles, Generate PDF reports

**Features:** Vision Pro support

**In-app purchases (2)**

| Purchase | Price | Billing |
| --- | --- | --- |
| Eko+ Monthly Membership | $12.99 | per month |
| Eko+ Annual Membership | $119.99 | per year |

**What reviewers like**

- 🚀 Clear sound amplification
- 🚀 Useful for noisy environments
- 👍 Convenient Bluetooth connectivity
- 👍 Helpful for hearing-impaired providers
- 👍 Valuable for cardiac/respiratory assessment

**What reviewers complain about**

- 🐛 Bluetooth connectivity issues
- 🔋 High battery consumption
- 👎 Subscription model for key features
- 👎 Reduced functionality after app updates
- 👎 Poor audio playback quality

**Reported bugs**

- Inconsistent heart rate detection
- Inability to save/playback recordings
- Frequent error messages during use

**Requested features**

- Apple Watch app integration
- Independent volume control for heart/lung modes
- Ability to save/share recordings without subscription
- Improved background noise cancellation


## Frequently asked questions

### Is UpToDate free?

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

### Is Eko free?

Eko is free to download, with in-app purchases available.

### Which has better reviews, UpToDate or Eko?

Eko is rated higher. UpToDate averages 3.6 out of 5 from 585 ratings, while Eko averages 4.9 from 11K ratings.

### Do UpToDate or Eko have ads?

Neither UpToDate nor Eko shows ads.

### Which is updated more often, UpToDate or Eko?

UpToDate ships an update every 5 weeks, and Eko fortnightly. Most recently, UpToDate was updated on November 1, 2026 and Eko on November 1, 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.*