Medical Chronology Software Pricing Comparison: What Every PI Firm Should Know (2026)

If you are shopping for medical chronology software in 2026, the pricing landscape is confusing by design. Some vendors charge per case. Others charge per page. A few charge monthly subscriptions with hidden usage caps. And a managed service charges a published price per case in page bands, with a discount for firms that prepay a set number of cases a month. The model a vendor uses tells you as much about their business incentives as it does about their product.

This article breaks down the pricing for every major medical chronology and medical record summarization tool on the market, shows what each option actually costs at realistic case volumes, and identifies the hidden expenses that vendor sales pages do not mention. If you process medical records for personal injury cases, this is the pricing comparison you need before signing any contract.

Why Pricing Model Matters More Than Price

Before comparing dollar amounts, it is important to understand why the pricing structure matters as much as the sticker price. A $50-per-case tool sounds cheaper than an $825 case review until you count the paralegal hours your staff still spend turning its output into something an adjuster will read. The number that matters is the all-in cost of a finished, reviewed work product, not the price of software.

Pricing models also shape how your firm uses the tool. Per-case and per-page models create a marginal cost for every record processed, which means your staff will instinctively ration usage. They will skip summarization on smaller cases, delay processing to batch records, or avoid re-running a case when new records arrive. Published per-case prices and prepaid packages reduce that friction: the price of the next case is known before the records arrive, and nobody has to guess whether a file is worth sending.

The Four Pricing Models

Per-Case Pricing ($350–$1,200 per case)

This is the most expensive model on a per-unit basis, used by vendors who bundle AI processing with human review, demand package generation, or other value-added services. EvenUp is the most prominent example, charging $350 to $1,200 per demand package depending on case complexity and jurisdiction. Supio operates on a hybrid model with a monthly base fee plus $50 to $150 per case.

Per-case pricing is straightforward to understand but punishing at scale. It is the model that most directly penalizes firm growth: the more successful your marketing and intake processes become, the higher your summarization costs climb.

Per-Page Pricing ($0.05–$0.45 per page)

Per-page pricing ties cost directly to document volume. DigitalOwl charges $0.15 to $0.45 per page depending on the plan. Wisedocs ranges from $0.10 to $0.35 per page. InPractice AI offers the lowest per-page rate at approximately $0.05 per page.

The risk with per-page pricing is unpredictability. A simple soft-tissue case might involve 200 pages, while a complex medical malpractice case could have 3,000. Your monthly costs can swing wildly depending on the mix of cases in your pipeline. At the higher end of the range, a single 1,000-page case at $0.35 per page costs $350—just for the summarization.

Monthly Subscription ($30–$800 per user per month)

Subscription models provide more budget predictability but vary enormously in what they include. Dodonai starts at $30 per month but limits features and charges per-page fees on top. CaseFleet starts at $30 per user per month as a case management tool with some summarization features. Legalyze starts at $500 per month (Solo AI, 5,000 pages, 3 users) and scales to $1,000/month (Pro AI, 15,000 pages) and $2,000/month (Growth AI, 40,000 pages). Anytime AI charges $400 to $800 per user per month for full-featured access.

The key questions with subscriptions are: how many users are included, are there processing caps, and what happens if you exceed them? A $1,000/month tool that caps you at 15,000 pages becomes an expensive per-page tool in disguise once you exceed the limit. Always read the usage limits.

Managed Service With Human Review (from $695 per case)

CaseBridge is the managed-service option in this comparison: a service, not software you run. A Case Review costs $695 for a file up to 1,500 pages or $895 up to 3,500 (larger matters are quoted), and comes back in five business days with five deliverables signed by a named reviewer: a Case Summary, a page-cited Medical Chronology with specials ledger, a Merit Review, and a Demand Package made up of an editable demand letter and a medical billing summary. Firms that know their volume prepay a package: five cases a month for $4,125 ($825 a case) or ten for $7,950 ($795 a case), each up to 3,500 pages. Records are processed in a dedicated HIPAA enclave under a BAA with your firm. The package math is covered on our per-case versus package analysis.

Detailed Competitor Pricing Breakdown

Here is the current pricing for every major medical chronology and record summarization tool as of early 2026:

A few notes on this table. EvenUp's pricing varies significantly by market and case type; firms in competitive jurisdictions often report being quoted at the higher end of the range. Supio's base monthly fee varies by plan tier and is not always disclosed publicly. The per-page vendors (DigitalOwl, Wisedocs, InPractice) typically offer volume discounts that bring the per-page rate down for high-volume commitments.

Cost-at-Scale Comparison: 25, 50, and 100 Cases per Month

Raw pricing tells only part of the story. What matters is what you actually spend over a year at realistic case volumes. The following tables assume an average of 500 pages per case for per-page vendors, and use the midpoint of each vendor's pricing range where a range exists.

Annual Cost at 25 Cases per Month (300 cases/year)

Annual Cost at 50 Cases per Month (600 cases/year)

Annual Cost at 100 Cases per Month (1,200 cases/year)

The pattern is clear. Per-case and per-page models scale linearly with volume. Subscription models scale with user count but are more predictable. A managed service scales with volume too, and on sticker it is the most expensive line in each table. The CaseBridge rows are not like-for-like with the software rows: each unit is a finished, signed work product, while every software row still needs a paralegal to turn its output into a chronology and demand an adjuster will read. Add three to four hours of that time at $100 an hour, roughly $300 to $400 per case, to each software row before you compare.

Hidden Costs Nobody Talks About

The prices listed on vendor websites rarely tell the full story. Here are the costs that most firms do not discover until after they have signed:

API and Processing Fees

Several cloud-based tools charge separately for AI processing beyond included quotas. A subscription that looks affordable at $150 per month may include only 30 cases, with each additional case billed at $5 to $15. These overage charges can double your effective monthly cost during busy periods.

Data Migration Costs

If you switch vendors, your historical data—case summaries, chronologies, analysis results—may not be exportable. Some vendors store outputs in proprietary formats that cannot be transferred to a new system. Others charge export fees. Ask every vendor for export in standard formats; CaseBridge delivers Word, Excel, and PDF with page citations, so nothing is locked in a portal.

Training and Onboarding

Enterprise-grade tools like EvenUp and Anytime AI often require dedicated onboarding sessions, which may be included initially but billed for additional staff training later. For a firm with turnover or a growing team, this becomes a recurring soft cost.

Vendor Lock-In

This is not a line item on any invoice, but it is the most expensive hidden cost of all. Once your firm's workflow is built around a specific vendor—your templates configured, your staff trained, your case history stored in their system—switching becomes painful. Vendors know this, and it is reflected in their pricing leverage at renewal time. Firms that signed EvenUp contracts at $350 per case have reported renewal quotes at $500 or higher.

Cloud Processing Privacy Costs

If a cloud vendor experiences a data breach involving your clients' PHI, the costs are not just financial. HIPAA violation penalties, client notification requirements, potential malpractice claims, and reputational damage are all risks that pooled cloud vendors introduce into your practice. A single-tenant enclave under your own BAA, with records purged on a fixed schedule, narrows this category of risk considerably. For more on this topic, see our EvenUp alternative analysis.

What a Fair Comparison Looks Like

Take a small firm running 25 cases a year, the volume most 1–5 attorney PI practices actually see, and compare what each dollar buys:

• CaseBridge Case Review: 25 cases at $695 to $895 = $17,375 to $22,375 a year, each returned as five deliverables signed by a named reviewer. No staff hours to finish them.
• CaseBridge packages: at 25 cases a year, roughly two a month, per-case is the right fit; packages start at five cases a month ($4,125, or $825 a case) and ten ($7,950, or $795 a case) for firms at that volume.
• EvenUp: 25 demands at $500 to $800 = $12,500 to $20,000 a year for a demand package with anonymous review, which your staff still supplement with a chronology and billing work.
• Expert Institute: engagements start at $3,500, so 25 of them is $87,500 or more, and each one is a one-off with no continuity.

The managed service is not the cheapest line on sticker. It is the only line where the price buys the finished work and the person who signed it, at a number published before the records arrive.

Which Pricing Model Is Right for Your Firm

The right choice depends on your case volume, budget structure, and privacy requirements:

• Solo practitioners (a few cases a month): A low-cost subscription like Dodonai may work if budget is extremely tight and you have the hours to finish its output. (Note: Legalyze starts at $500/month, so it is not a budget option.) If you do not have those hours, a CaseBridge Case Review at $695 with no commitment is the simplest way to get a signed set of deliverables when you need one.
• Small firms (4–10 cases/month): This is where a prepaid package starts to pay: five cases a month for $4,125 ($825 a case) or ten for $7,950 ($795 a case), each signed, with three-business-day turnaround.
• Mid-size firms (10–20 cases/month): Per-case vendors like EvenUp become a large and unpredictable line at this volume. The 10-case package gives you a known monthly number, and a second package covers the rest.
• High-volume firms (20+ cases/month): At this scale, CaseBridge quotes the engagement: volume case rates, turnaround, and private deployment if you need it. Any software model will still leave you staffing the review.
• Privacy-sensitive practices: If you handle medical malpractice, cases involving minors, or high-profile clients, a dedicated single-tenant enclave under your own BAA, with a fixed purge schedule and a named reviewer, is a level of control pooled cloud vendors do not offer. Private deployment can be quoted for larger firms.

For a feature-by-feature comparison beyond pricing, see our product pricing page and the 2026 Medical Chronology Software Comparison.