How much does HIPAA-compliant fax cost?
Published prices for plans that include a signed BAA run from roughly $12 to $80 per month, depending on page volume and how many individual users you need. The advertised entry price of a service is often not the price you can lawfully use with PHI — several providers include the BAA only on a higher tier. Overage charges are the other variable that turns a cheap plan expensive.
Three numbers decide your real cost
Base price alone tells you very little. What determines your actual monthly bill:
- The plan that includes the BAA. If HIPAA coverage is gated to a higher tier, that tier is your real starting price.
- Your page volume, counted correctly. Most services count sent and received pages against the same allowance. A busy practice receiving referrals all day consumes pages without sending anything.
- The overage rate. Published rates in this category commonly run between $0.05 and $0.10 per page. At a few hundred pages over your limit, that becomes a meaningful line item.
Published prices for BAA-inclusive plans
Verified against each provider's official pricing page at the review date below:
- SRFax — Healthcare Lite $12.60/mo (200 pages), Healthcare Basic $16.05/mo (500), Healthcare Basic Plus $22.95/mo (800). Overage $0.05/page.
- Documo (mFax) — HIPAA-capable from about $25/mo (300 pages). Overage $0.06/page.
- LuzardoFax — $25/mo (350 pages), $45/mo (800), $75/mo (1,500), $129/mo (4,000). BAA on every paid plan. No automatic per-page overage billing.
- eFax — Business $39.99/mo (500 pages), $0.07/page overage, 5 user licenses, signed BAA.
- Fax.Plus — BAA listed on Enterprise at $79.99/mo, with unlimited members.
- iFax — Plus $24.99/mo (500 pages). Confirm which tier includes the BAA before sending PHI.
Costs that do not appear on the pricing page
Ask about these before you sign:
- Setup fees — some providers charge a one-time fee to activate.
- Extra numbers — typically a few dollars per month each.
- Extra users — if your plan includes fewer logins than you have staff handling PHI.
- Toll-free numbers — usually an add-on.
- Porting out — check whether leaving with your number costs anything.
- Annual commitment — discounts often require paying a year upfront.
A simple way to compare
Take your realistic monthly page count, sent and received combined. For each provider, find the cheapest plan that includes a BAA and covers that volume. Add the overage you would pay in a busy month. That number, not the headline price, is what you are actually comparing.
Primary sources.
We link to the original rule and guidance so you can verify anything here yourself.
This content is provided for general informational and educational purposes only and does not constitute legal, regulatory, compliance, or professional advice. HIPAA compliance depends on the specific facts, systems, policies, and practices of each organization. Organizations should consult qualified legal or compliance professionals regarding their specific obligations.
Last reviewed: 2026-07-19. Product features, pricing, and compliance offerings may change. Verify current terms directly with each provider before making a compliance or purchasing decision.
Questions worth asking.
On published pricing, SRFax Healthcare Lite at $12.60/mo for 200 pages is the lowest-cost plan in this comparison that lists a BAA. Whether it is the cheapest for you depends on your volume and how many individual logins you need.
The difference is usually the BAA and the surrounding controls — audit logging, access controls, encryption and the compliance work behind them. Several providers price these as a separate, higher tier.
On most services, yes — sent and received pages share the same allowance. Confirm this before comparing plans, because a practice that receives heavily can exhaust an allowance without sending much.
A per-page fee once you exceed your monthly allowance, commonly $0.05 to $0.10 per page in this category. Some providers pause outbound sending instead of billing automatically.
Try it before you decide.
14 days free. No credit card. The BAA is signed in-app before you send a single page — and it stays included at every plan, forever.