# ECHO vs iCCAM

The clearest difference is in-app purchases: ECHO at none against iCCAM's 2. ECHO also leads on iOS requirement (9.0 vs 26.0). iCCAM's advantage is update cadence (every 5 weeks vs every 26 months). On price, ads and device support there is nothing between them.

Both are free to download. iCCAM sells 2 in-app purchases, starting at $1.99 per month. ECHO asks for nothing beyond the download.

ECHO ships an update every 26 months, iCCAM every 5 weeks. Both last shipped on November 6, 2026.

## The numbers

| Metric | ECHO | iCCAM |
| --- | --- | --- |
| Price | Free | Free |
| Positive reviews | — | 77.8% of reviews |
| In-app purchases | **No** | Yes |
| Ads | No | No |
| Update frequency | Every 26 months | **Every 5 weeks** |
| Monetization | — | Freemium |
| Size | 59 MB | 42 MB |
| Requires iOS | **9.0** | 26.0 |
| Devices | **iPhone, iPad, iPod** | iPhone, iPad |
| Age rating | 17+ | 4+ |
| Developer | [GoodBarber](https://appshunter.io/developer/1475258056) | [Michael Ghez](https://appshunter.io/developer/1207762290) |

## What reviewers say

### ECHO

[App page](https://appshunter.io/ios/app/echo-loco/id493951025)

**Features:** macOS Compatibility, Vision Pro support

**In-app purchases:** none


### iCCAM

[App page](https://appshunter.io/ios/app/iccam/id1056202318)

This app provides access to the complete CCAM medical coding classification. It offers quick searches, favorite lists, and fee calculations for medical procedures. An optional subscription unlocks advanced features and a free trial is available.

**Highlights:** Full CCAM classification access, Fast and easy act search, Create favorite act lists, Calculate fees for procedures, Offline functionality, iPad multitasking support, Mac version synchronization

**Features:** Vision Pro support, iPhone Duo support

**In-app purchases (2)**

| Purchase | Price | Billing |
| --- | --- | --- |
| iCCAM Plus monthly | $1.99 | per month |
| iCCAM Plus yearly | $8.99 | per year |


## Frequently asked questions

### Is ECHO free?

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

### Is iCCAM free?

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

### Do ECHO or iCCAM have ads?

Neither ECHO nor iCCAM shows ads.

### Which is updated more often, ECHO or iCCAM?

ECHO ships an update every 26 months, and iCCAM every 5 weeks. Most recently, ECHO was updated on November 6, 2026 and iCCAM on November 6, 2026.

---

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