A practice that wants new patients without Zocdoc's per-booking fee has five real routes: other marketplaces and listing sites, a booking link on its free Google Business Profile, its own scheduler paired with Google Ads, insurance directories and referral partners, or a lighter way of using Zocdoc itself. None of them is a straight swap, because each hands over a different amount of control over the patient relationship and the data behind it.
Quick answer
- Other marketplaces charge differently from Zocdoc; check each one's own page before assuming its model matches what you pay now.
- A free Google Business Profile can carry a booking link you add yourself, or bookings through a scheduling provider, which may charge its own fee.
- Your own booking page paired with Google Ads charges per click, not per booking, and it is the only route here that can send a completed visit back to the ad that caused it.
- An insurance directory lists you because you are in the plan's network, and neither it nor a referral partner tells you which patient came from it unless the front desk asks.
- You don't have to drop Zocdoc to try something else; Zocdoc says practices can adjust participation and visibility at any time.
- Before comparing any of this, confirm your practice software can tag each booking's source.
What do the other marketplaces actually publish about their fees?
Zocdoc's own fee is covered in full, with the math for what you can afford to pay it, in the per-booking ceiling; this piece only looks at what the other marketplaces charge instead.
Sesame runs the opposite model. Its signup page for doctors says "It is free for all providers to list on the Sesame platform," that providers set their own rates and are paid by direct deposit weekly, and that patients pay by card or a health savings or flexible spending account because Sesame does not accept insurance (Sesame, checked 2026-10-06). The practice, not Sesame, prices the visit, so there is no booking fee to weigh against a show rate.
Solv, which pitches its provider pages at urgent care, could not be checked: solvhealth.com/for-providers blocked an automated read on 2026-10-06, so this post states nothing about its price or fee structure. Ask in a demo whether a listing is free, whether a fee attaches to a booking or only to scheduling software, and how it counts a visit that never arrives.
For therapists, Psychology Today's own signup page states a flat $29.95 a month, with "No plans or contracts" and cancellation at any time (Psychology Today, checked 2026-10-06). That is a subscription for visibility, not a fee per booking, so a slow month costs the same as a busy one. Therapist marketing runs the caseload math a directory listing like this needs to earn its keep.
Can your Google Business Profile book patients without paying per booking?
The profile itself is free (Google, checked 2026-10-06), and Google describes two ways to take bookings through it. The first is a link you add yourself: from your Business Profile, select Booking on Google Search, or Edit profile and then the transaction type on Google Maps, then Add link, paste the booking page's address and Save. Google allows up to 10 links per category, and its help page names no fee for them (Google, checked 2026-10-06). That works with whatever scheduler the practice already uses.
The second is bookings through a provider: under Bookings on the profile, Get started signs up a scheduling provider, which Google says appears on the profile within a week, and the same page warns that "your provider might charge you" (Google, checked 2026-10-06). Reserve with Google, the booking feature behind it, is available only in certain countries and regions and only for businesses that work with a supported scheduling provider (Google, checked 2026-10-06). Google's pages name no fee of their own.
What does your own booking page add that none of the marketplaces will?
A scheduler on the practice's own site or inside its EHR (electronic health record system), paired with Google Ads, charges per click rather than per booking. Advertisers bidding on the owner search "zocdoc alternatives" face a top-of-page bid range of $2.46 to $9.82 a click, and $2.05 to $13.87 on "zocdoc pricing" (Google Ads Keyword Planner estimates for the US, October 2026); that is what vendors bid to reach owners, not what a practice pays to reach patients.
The real advantage is not the price model; it's what survives the booking. What to check before buying patient scheduling software covers making sure the tool keeps a UTM tag (a label on the link that names where the click came from) or a click id (a code Google adds to each ad click) with each appointment and lets that source be exported, which is the one thing no marketplace listing does for a booking made on its own site.
Do insurance directories and referral partners count as a route at all?
They do, but on different terms than a marketplace. An insurer's provider finder lists the practices in that plan's network; a practice is there because of its contract with the plan, not because it paid a marketing fee, so there is no listing price to weigh. Referrals from other local providers have no listing to price either.
What they don't do is hand the practice a source report. A patient who called after finding the practice in an insurance directory shows up on the schedule looking identical to one a friend sent, unless the front desk asks and records it. So the count has to come from the same intake question that catches every other channel.
Can you keep Zocdoc and just use less of it?
Yes, short of canceling. Zocdoc's own provider page says practices "can adjust participation and visibility at any time," and that its Patient Reach Network spreads a listing to partner sites, with providers enrolled by default for certain partners and free to opt out at any time (Zocdoc, checked 2026-10-06). The same page says its calendar integration shows only bookable times in Zocdoc search; whether specific visit types can be kept off the Marketplace isn't spelled out there, so ask a Zocdoc representative for that control by name.
This is the route to pick when the per-booking ceiling comes out close rather than clearly no.
Which route can actually prove an ad paid for the booking?
| Route | How it charges (as published, checked 2026-10-06) | Who holds the patient relationship and data | Can you count bookings by source |
|---|---|---|---|
| Marketplace or directory (Zocdoc, Sesame, Psychology Today) | Zocdoc: per new-patient booking; Sesame: free to list, provider sets the price; Psychology Today: $29.95 a month | The listing site holds the profile and the first contact | Only inside that site's own dashboard, if it has one |
| Google Business Profile booking | Profile free; a booking provider may charge its own fee | The practice's scheduler, once the patient books | Yes, if the scheduler itself tags the source |
| Own booking page plus Google Ads | Per click | The practice, end to end | Yes, if the scheduler keeps the click id or UTM tag with the appointment |
| Insurance directory or referral partner | No listing price; tied to being in-network | The practice, but the referral itself leaves no record on its own | Only by asking at intake |
| Zocdoc, participation narrowed | Per booking that still goes through the Marketplace | Zocdoc, for the bookings still routed through it | Only inside Zocdoc's own dashboard |
For an anonymized NYC medical practice, I matched calls tracked in CallRail that carried a Google Ads click id to booked appointments that ended in a visit, and sent those back to Google Ads. A marketplace listing can't be wired that way, because the marketplace, not the practice, controls the page the patient lands on.
A Canadian practice should weigh what a listing does with booking data against Canadian privacy law, not HIPAA, which is US law. In Ontario, the Personal Health Information Protection Act, 2004 sets rules for how health information custodians, which include health care practitioners and group practices, collect, use and disclose personal health information, and its rules on use and disclosure also reach anyone a custodian discloses that information to (Ontario, checked 2026-10-06).
What would switching actually cost, in one made-up month?
Illustrative: the practice below is imaginary, every figure in it is made up, and none comes from a client. A single-location physical therapy practice runs two routes side by side for a month to compare cost per attended new patient.
Cost per attended new patient = total route cost ÷ new patients who actually showed up
| Per-booking marketplace | Own booking page plus Google Ads | |
|---|---|---|
| Bookings or clicks | 40 bookings | 150 clicks |
| Fee or spend | $45 per booking | $1,200 total ad spend |
| New patients booked | 40 | 36 |
| Show rate | 70% | 75% |
| New patients who attended | 28 | 27 |
| Total route cost | 40 × $45 = $1,800 | $1,200 |
| Cost per attended new patient | $1,800 ÷ 28 = $64.29 | $1,200 ÷ 27 = $44.44 |
Same practice, two routes, two ways of paying for a miss: the marketplace bills each booking whether or not the patient shows up, and ads bill each click whether or not it becomes a booking. Which route comes out ahead depends entirely on the inputs, so run this with a real month's numbers from the practice's own schedule before reading anything into these.
What should you ask before adding or dropping a route?
- For any marketplace: what triggers the fee, booking or visit, and is there a cap or opt-out short of canceling?
- For a Google Business Profile booking provider: what does the provider itself charge, separate from the free profile?
- For your own scheduler: does it keep a click id or UTM tag with each appointment, and can that be exported?
- For an insurance directory or referral partner: is there any report at all, or does the count depend entirely on what the front desk asks at intake?
- For every route: who, by name, can pull a list of bookings with their source if the practice needs to check the numbers itself?
Tags
Frequently asked questions
Does Sesame charge a practice to list?
Sesame's provider page says listing is free, with no membership fees, and that providers set their own rates and are paid by direct deposit every week. Patients pay by card or a health savings or flexible spending account, since Sesame does not accept insurance, so the practice prices those visits as cash visits.
Does a 'Book online' button on a Google Business Profile cost anything?
Not from Google: a Business Profile is free, and Google's help page for adding a booking link to it lists no fee. Bookings run through a scheduling provider are different, because Google's own help page warns that the provider might charge you, so ask that provider for its price.
Is Psychology Today worth it instead of Zocdoc for a therapy practice?
They charge differently, so they are not a direct swap. Psychology Today bills a flat monthly fee regardless of how many consults the listing brings, while Zocdoc's new-patient fee is tied to each booking, so the math that decides each one is separate. What a directory listing is worth to a caseload is covered on its own in therapist marketing.
Can I count bookings from a marketplace or an insurance directory by source, the way I'd count a Zocdoc booking?
Only if your own front desk records the source when the appointment is made. A marketplace's dashboard counts what happened inside that marketplace, and an insurance directory leaves the count to your intake question, so the count you can compare across routes lives in your practice software.
Do I have to cancel Zocdoc before trying something else?
No. Nothing about the other four routes requires leaving Zocdoc, and Zocdoc's own provider page says practices can adjust participation and visibility at any time and opt out of partner listings in its Patient Reach Network. Run a second route alongside it for a quarter and compare what each one actually brings in.
Written by
Alexander Cheberko
Marketing Analytics & Conversion Tracking Engineer, US and Canada, run remotely
- Media buyer on Google Ads and Meta Ads from October 2023 to September 2025, nearly $700K in spend.
- Set up patient conversion tracking for a New York medical practice (anonymized).
- Upwork Top Rated, 5.0 from 20 reviews.