Short answer
The best plastic surgery EMR depends first on insurance. If payers cover a large share of your procedures, start with Nextech, ModMed, Symplast or 4D EMR, which document claims tools inside the EMR; Symplast and 4D EMR were built for plastic surgery first. If your practice is cash-pay aesthetic surgery, or runs injectables and lasers alongside surgery, Prospyr and PatientNow keep consults, surgical charting, photos and the med spa side on one patient record.
What is a plastic surgery EMR?#
A plastic surgery EMR is the electronic medical record and practice system for a surgical practice: consult and operative notes, surgery scheduling, consents, pre-op and post-op photos, prescriptions and labs, and follow-up through recovery. Most also carry the business side, from the first inquiry to the booked case and the final payment.
Plastic surgery sits between two kinds of software. General specialty EMRs handle the medical record and insurance claims well but treat cosmetic work as a side line. Aesthetic EMRs handle consults, photos, memberships and marketing well but vary on insurance. Which side your revenue sits on decides which list you start from.
Best plastic surgery EMR in 2026: comparison table#
The 7 plastic surgery EMR platforms below are grouped by the kind of practice they fit. Select a name for the full review.
| Platform | Best for | Insurance billing | Starting price |
|---|---|---|---|
| 1Prospyr | Cash-pay surgery plus the med spa side | Not today | Quote only |
| Built for plastic surgery first | |||
| 2Symplast | Mobile-first, founded by a plastic surgeon | Built in | Quote only |
| 34D EMR | Consult-and-quote with published pricing | Built in | $750/mofirst provider |
| Specialty EMRs with a plastic surgery product | |||
| 4Nextech | Specialty practices with revenue cycle services | Built in | Quote only |
| 5ModMed | Insurance-led plastic surgery and dermatology | Built in | Quote only |
| 6Remedly | Multi-specialty with billing services | Built in | Quote only |
| Aesthetic EMRs used by surgical practices | |||
| 7PatientNow | Standardized clinical photography | Not documented | Quote only |
Insurance billing as each company documents it on its own site. Prices from each company’s own pricing page in the month shown in its review.
What should you look for in a plastic surgery EMR?#
Start with insurance, then score each platform on the workflow from consult to recovery.
Insurance billing, or not
Reconstructive and insurance-covered procedures need coding, claims, remittance and denial work inside the EMR. A cash-pay aesthetic practice pays for that machinery and never uses it. Decide this first; it splits the field in two.
Consult to booked case
Most revenue is decided between the consult and the surgery date. Look for a pipeline that tracks each consult to a booked case, plus quotes or estimates, deposits and financing at the point of decision.
Lead managementSurgery scheduling
Operating-room time, surgeon blocks, pre-op and post-op visits should sit on the same calendar as consults, so nobody double-books the surgeon or the room.
SchedulingPre-op and post-op photos with consent
Standardized photos stored on the chart, side-by-side comparisons for consults, and consent recorded for each use, so a before-and-after can go into marketing without a second check.
Media archiveConsents and history before the visit
Procedure consents, H&P and intake completed and signed before the patient arrives, stored on the chart rather than scanned in afterward.
Digital intakeRecovery follow-up
Check-ins on the cadence each procedure's recovery needs, over weeks or months, without depending on someone to remember.
Follow-up messagesThe non-surgical side
If the practice also runs injectables, lasers or skin care, check unit-level injectable tracking, memberships and packages. Running them in a second system splits the patient history in two.
Best med spa softwareWhich platform fits your practice?#
Cash-pay aesthetic surgery with a med spa side
Consults, surgery, photos, injectables and memberships on one patient record.
Insurance claims inside the EMR today
Coding, claims and remittance documented in the product.
A product built around plastic surgery
Both were built by plastic surgeons, for surgical practices first.
The 7 plastic surgery EMRs, reviewed#
Each review covers who the platform fits, what it documents for plastic surgery, insurance billing, published pricing and the one thing to check in your demo.
1Prospyr
Updated October 2026
- Best for
- Cash-pay aesthetic surgery practices, and surgical practices that also run injectables and lasers, that want consults, surgery, photos and the med spa side on one patient record.
- For plastic surgery
- Consult and procedure note templates with image markup, surgery scheduling including operating-room time on the same calendar as consults and post-op visits, pre-op and post-op photos with consent tracked, consents signed before the visit, e-prescribing and lab orders, recovery follow-up on each procedure's cadence, a consult pipeline, deposits and financing on the invoice.
- Insurance billing
- Not today
- Pricing
- Quote-based after a demo.
- Not a fit if
- Insurance billing isn't available today. A practice that depends heavily on payer revenue should keep its claims system or look at the insurance-ready EMRs below.
Built for plastic surgery first
Start here if surgery is the core of the practice and you want a vendor whose product is organized around surgical consults, quotes and photography, with claims tools available.
2Symplast
Checked September 2026
- Best for
- Aesthetic plastic surgery practices that want surgical workflows, native iOS and Android apps for the team and patients, and insurance claims in the same system.
- For plastic surgery
- Plastic surgery charting templates with digital H&P and ICD-10/CPT coding in the note, a consent-tracked media archive, and ICD-10/CPT claims through the TriZetto clearinghouse. Symplast names a 2026 Best in KLAS award for ambulatory plastic surgery.
- Insurance billing
- Built in
- Pricing
- Not published. A standard one-year agreement with monthly payments, a one-time setup fee and a data-migration fee quoted up front (September 2026).
- Check in the demo
- Symplast's FAQ answers the migration-fee question two ways, and which AI features come with which package isn't settled on its site. Get both in writing.
34D EMR
Checked September 2026
- Best for
- Surgical practices that want consult-and-quote workflows, published per-provider pricing, a month-to-month agreement and insurance billing support.
- For plastic surgery
- Consult, quoting and surgical photography workflows, unlimited photo and video storage with before-and-after composites, an ambient scribe that drafts SOAP and H&P notes, and CPT/ICD coding with claim submission.
- Insurance billing
- Built in
- Pricing
- $750 a month for the first provider and $325 for each additional, with unlimited team members, locations and devices; month to month with no cancellation fee (September 2026).
- Check in the demo
- It runs in the browser with no native app documented, and its insurance billing support is described in a buyer's-guide article rather than on a product page. Ask to see a claim go out.
Specialty EMRs with a plastic surgery product
Start here if insurance is a large share of revenue, or the practice is part of a larger specialty group that wants one vendor across departments.
4Nextech
Checked September 2026
- Best for
- Specialty surgical practices that need insurance claims and revenue cycle services in the same system, with a separate med spa line if they run one.
- For plastic surgery
- NexCloud for dermatology and plastic surgery, Practice+ for scheduling, claims, denial management and payment posting, Nextech RCM Services for outsourced billing, and TouchMD for guided photo capture and 3D patient education, each contracted separately.
- Insurance billing
- Built in
- Pricing
- Not published. The med spa agreement sets a two-year term and a year-one exit fee of 50% of remaining fees plus $2,500 (re-read September 2026).
- Check in the demo
- Each module is contracted separately. Ask for every agreement you'd sign and the term on each.
5ModMed
Checked September 2026
- Best for
- Plastic surgery and dermatology practices that need specialty charting, a quoting tool, supplier purchasing and insurance billing together.
- For plastic surgery
- EMA with in-chart photo capture, annotation and 3D body diagrams, integrated eConsents, a Quoting Tool for itemized out-of-pocket estimates, and claims and revenue cycle tools. ModMed also runs programs for ambulatory surgery centers.
- Insurance billing
- Built in
- Pricing
- Not published; quote only (September 2026). Patient self-scheduling is described as part of a Premium+ solution and ModMed Pay as an add-on.
- Check in the demo
- Recurring membership plans and consent recorded per photo aren't documented on ModMed's site, so check both if you run a cosmetic side.
6Remedly
Checked September 2026
- Best for
- Practices that want insurance claims and revenue cycle management, including outsourced billing, alongside configurable clinical documentation.
- For plastic surgery
- A plastic surgery product with a full body map, sketching on photos, procedure cost estimates and anesthesia fees, plus electronic claims with TriZetto scrubbing and ERA/EOB remittances.
- Insurance billing
- Built in
- Pricing
- Not published; plans are quoted by sales after a demo, with a trial offered afterward (September 2026).
- Check in the demo
- No native mobile app is documented, and photo consent and capture guides aren't described. Test charting from a phone.
Aesthetic EMRs used by surgical practices
Start here if the practice is cash-pay aesthetic surgery, or the injectable and laser side matters as much as the operating room.
7PatientNow
Checked August 2026
- Best for
- Established plastic surgery, dermatology and med spa practices that rely on RxPhoto's ghosting overlays and positioning guides for standardized photos.
- For plastic surgery
- A Pro package for plastics and dermatology, RxPhoto for standardized before-and-after capture, multi-location and asset scheduling, and marketing services sold alongside the software.
- Insurance billing
- Not documented
- Pricing
- Not published. Essentials and Pro packages are quoted after a call; the pricing page advertises no contract and free onboarding (August 2026).
- Check in the demo
- RxPhoto runs as a connected app rather than inside the EMR, so ask how photos move if you ever leave. Insurance claims aren't documented.
How much does plastic surgery EMR software cost?#
Most plastic surgery EMRs don't publish prices. Of the seven here, only 4D EMR does: $750 a month for the first provider and $325 for each additional, month to month, as of September 2026. Nextech, ModMed, Symplast, PatientNow, Remedly and Prospyr quote after a call or demo.
The quote is only part of the cost. Ask about setup and migration fees (Symplast quotes a flat migration fee), separately contracted modules (Nextech contracts charting, practice management, CRM, TouchMD and billing services separately), outsourced billing services, and the contract term and exit fee.
What to ask in every demo#
- What's the total monthly cost at our surgeon, provider and location count, with every module we'd use?
- Show a consult becoming a quote, a deposit and a booked surgery date, with the OR time on the calendar.
- Show pre-op and post-op photos side by side on the chart, and where the patient's photo consent is recorded.
- If we bill insurance: show a claim going out, a denial coming back and how it's worked.
- If we run injectables and lasers: show unit-level product tracking and a membership on the same patient record.
- Who migrates our charts and photos, what does it cost, and what won't come over?
- What's the contract term, and what does it cost to leave in year one?
FAQ: plastic surgery EMR#
What is the best EMR for plastic surgery?
It depends on how much of your revenue runs through insurance. Nextech, ModMed, Symplast, 4D EMR and Remedly document insurance claims inside the EMR, and Symplast and 4D EMR were built for plastic surgery first. For cash-pay aesthetic surgery, or a practice with a med spa side, Prospyr and PatientNow keep consults, surgical charting, photos and the non-surgical side on one patient record.
What is the difference between a plastic surgery EMR and a med spa EMR?
A plastic surgery EMR has to handle surgery scheduling and operating-room time, operative and post-op notes, longer recoveries and, in many practices, insurance claims. A med spa EMR centers on injectables, packages and memberships. Practices that do both usually want one patient record, so a filler patient who later books surgery has a single history.
Which plastic surgery EMRs have insurance billing?
Nextech, ModMed, Symplast, 4D EMR and Remedly document coding and claims tools, and Nextech and Remedly also offer outsourced billing services. PatientNow doesn't document claims, and Prospyr doesn't offer insurance billing today.
How much does plastic surgery EMR software cost?
Of the seven platforms compared here, only 4D EMR publishes pricing: $750 a month for the first provider and $325 for each additional, as of September 2026. The others quote after a call or demo, so compare total cost with modules, setup and migration fees, and contract terms.
Can Prospyr schedule surgery and operating-room time?
Yes. In Prospyr, surgery dates, including operating-room time, run on the same calendar as consults, post-op visits and the med spa side, on the same patient record as charts, photos, consents and payments. The one case where Prospyr isn't the right fit today is a practice that depends heavily on insurance billing.
Who publishes this guide?
Prospyr, a practice software company for aesthetic practices including plastic surgery. Competitor details come from each company's own website, checked on the date shown in each review, and each one links to a fuller comparison with sources.