How Upstream compares

Upstream compared: Birdeye, Yext and six more

We looked at twenty companies that sell some version of listing management. These are the eight a medical practice is most likely to consider. Every fact comes from the company's own website, help center or terms, checked on September 29, 2026.

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01 / Three ways in

How listing companies get your details onto the internet

Platforms you subscribe to. Yext, Birdeye, Semrush, Reputation and Press Ganey send your details out through their own connections to the listing sites, on a yearly or monthly plan.

Done-for-you services. BrightLocal and Whitespark build and clean up your listings for a one-time fee.

Practice software. Tebra includes listings as one part of its practice management subscription.

Upstream. An agent you run in your own Claude or ChatGPT, working with ours. We start at the records the other sites copy from, you make every change on your own accounts, and a person on our team checks each one.

02 / Side by side

The comparison

CompanyBuilt forHow your details get thereMedical directoriesUpdates NPPES, CAQH or PECOS for youWhen you stop payingPrice

Upstream

Medical practices

An agent in your own Claude or ChatGPT, working with ours. You make each change on your own accounts, and a person on our team checks each one.

The full Listing Map, about 25 listing sites.

Yes. We prepare every field, and you or your provider submits.

Nothing of ours to switch off. Upkeep is optional.

$1,500 one time for a practice; $750 for one doctor.

Yext

Large brands and hospital groups

Its own feeds to more than 200 publishers. It asks to be made an owner of your Google profiles.

WebMD and Vitals. Healthgrades since February 2026, for individual providers, as an extra subscription.

No

Its cancellation page asks you to acknowledge that Yext is no longer responsible for your listings.

Not published

Birdeye

Local and multi-location businesses

Direct connections to Google, Facebook, Apple, Yelp and Bing.

Its published health list: WebMD, Vitals, RateMDs, DocSpot and Bing Health, for provider profiles.

No. Its help center recommends updating your NPI record directly.

Its terms renew the plan unless you give 90 days' notice, with an 8% fee at each renewal.

Not published

Semrush Local

Small businesses and agencies

Connects to your Google and Facebook, and sends to more than 70 directories through a partner network.

DocSpot, WebMD, Wellness.com and Vitals.

No

It says it stops updating your listings, and they may change over time.

$60 per location a month with listings

Reputation

Large brands and hospital groups

Sends to the major sites directly, and to the rest through data companies.

Not named on its listings pages.

No

It says you keep permanent ownership of your listing data.

$80 to $150 per location a month

Press Ganey (Doctor.com)

Hospitals and large medical groups

Daily updates to its partner sites.

Healthgrades, WebMD, RateMDs and Vitals.

No

Not published

BrightLocal

Agencies and small businesses

Its team registers your listings, under an email address it creates for your campaign.

It says the doctor sites on its list aren't necessarily ones it can submit to.

No

Your listings stay up.

$3.20 per listing

Whitespark

Small businesses and agencies

Its specialists build and clean up listings by hand.

None named in its packages.

No

Nothing to cancel. Later updates are $139 per location.

$399 per location, one time

Tebra

Private practices, inside its practice software

It claims your Google profile and shares owner access.

Its help center says it doesn't claim Healthgrades or Vitals listings, and WebMD edits take at least four weeks.

No

Its help center says it removes you from its account and you reclaim your profiles.

Bundled, not published

Checked September 29, 2026. Prices are the companies' own published figures; where a company doesn't publish a price, we say so.

03 / Questions

FAQ

Why does fixing the registries matter?

Many medical directories copy their facts from the federal provider registry and from Google. If the registry still has an old address, the old address keeps coming back, even after a directory is corrected by hand.

Do I need to cancel Birdeye or Yext to use Upstream?

No. Upstream works on your own accounts, so it can sit alongside a platform. You can use Upstream to fix the sources and keep a platform for reviews.

Where do these facts come from?

Each company's own website, help center, pricing page or terms, checked on September 29, 2026. Send us a correction and we'll check it and update the page.

04 / Next step