# Clinical Note Exchange vs ClinEcho

The clearest difference is in-app purchases: Clinical Note Exchange at none against ClinEcho's 2. ClinEcho's advantage is update cadence (weekly vs every 6 weeks) and iOS requirement (15.6 vs 18.6). On price, ads and device support there is nothing between them.

Both are free to download. ClinEcho sells 2 in-app purchases, starting at $3.99 per month. Clinical Note Exchange asks for nothing beyond the download.

Clinical Note Exchange ships an update every 6 weeks, ClinEcho weekly. The most recent releases landed on October 1, 2026 and November 9, 2026 respectively.

## The numbers

| Metric | Clinical Note Exchange | ClinEcho |
| --- | --- | --- |
| Price | Free | Free |
| In-app purchases | **No** | Yes |
| Ads | No | No |
| Update frequency | Every 6 weeks | **Weekly** |
| Size | 83 MB | 33 MB |
| Requires iOS | 18.6 | **15.6** |
| Devices | iPhone, iPad | **iPhone, iPad, iPod** |
| Age rating | 17+ | 17+ |
| Developer | [Clinically Speaking](https://appshunter.io/developer/1081494146) | [NeuroStudy](https://appshunter.io/developer/1792301396) |

## What reviewers say

### Clinical Note Exchange

[App page](https://appshunter.io/ios/app/clinical-note-exchange/id6760675852)

**In-app purchases:** none


### ClinEcho

[App page](https://appshunter.io/ios/app/clinecho/id6769541236)

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

**In-app purchases (2)**

| Purchase | Price | Billing |
| --- | --- | --- |
| Monthly Subscription | $3.99 | per month |
| yearly subscription | $44.99 | per year |


## Frequently asked questions

### Is Clinical Note Exchange free?

Clinical Note Exchange is free to download, with no in-app purchases.

### Is ClinEcho free?

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

### Do Clinical Note Exchange or ClinEcho have ads?

Neither Clinical Note Exchange nor ClinEcho shows ads.

### Which is updated more often, Clinical Note Exchange or ClinEcho?

Clinical Note Exchange ships an update every 6 weeks, and ClinEcho weekly. Most recently, Clinical Note Exchange was updated on October 1, 2026 and ClinEcho on November 9, 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.*