Best HIPAA-compliant online fax services (2026): BAA and price, ranked

Ranked by the cheapest plan with a signed BAA for one person at 500 pages, the leading HIPAA-compliant online fax services are Fax Pigeon Standard at $9.99 a month billed annually, SRFax Healthcare Basic at $13.65, WestFax Solo at $14.99 month to month, iFax Plus at $24.99, eFax Business at $33.33, Sfax Plus at $56.83 and Fax.Plus Enterprise at $79.99.

What are the best HIPAA-compliant online fax services in 2026?

The seven leading HIPAA-compliant online fax services in 2026 are Fax Pigeon, SRFax, WestFax, iFax, eFax, Sfax and Fax.Plus, ranked here by the price of the cheapest plan with a signed BAA for one person at 500 pages a month. The ranking is by price with a BAA, and every comparison on this page is among these seven providers.

1. Fax Pigeon Standard costs $9.99 a month billed annually or $11.99 month to month, and every Fax Pigeon plan includes a BAA signed at signup.
2. SRFax Healthcare Basic costs $13.65 billed annually or $16.05 month to month, and SRFax provides its BAA on request.
3. WestFax Solo costs $14.99 and bills month to month only, and WestFax includes a BAA with every plan.
4. iFax Plus costs $24.99 billed annually or $29.99 month to month, and iFax provides a free BAA to Plus and Pro subscribers.
5. eFax Business costs $33.33 billed annually or $39.99 month to month, and eFax prints its BAA on the Business plan card.
6. Sfax Plus costs $56.83 billed annually or $62.00 month to month, and Sfax prints "BAA Available" on its Plus card.
7. Fax.Plus Enterprise costs $79.99 billed annually or $99.99 month to month, and Enterprise is the only Fax.Plus plan with a BAA.

Which fax services include a BAA on every plan, and which only on higher plans?

WestFax and Fax Pigeon include a BAA on every plan; eFax, iFax and Fax.Plus include one on higher plans only; Sfax prints "BAA Available" from its Plus card up; SRFax provides one on request. The table shows how each provider handles the BAA and the people each plan includes.

On Fax Pigeon a practice of any size shares one number, one inbox and one page allowance, because every plan includes unlimited people. Sfax lists unlimited users on every plan, and every SRFax Healthcare plan includes multiple user accounts. WestFax Solo is capped at one user, and eFax Business includes 5 users with each extra user at $10 a month or $100 a year on annual billing.

What does each service cost with a BAA at 500 and 1,000 pages?

Among the seven providers, the cheapest plan with a BAA for one person runs from $9.99 a month billed annually on Fax Pigeon Standard to $79.99 on Fax.Plus Enterprise at 500 pages, and a year at 1,000 pages billed annually runs from $203.88 on Fax Pigeon Plus to $1,041.96 on Sfax. The table compares the cheapest plan with a BAA at 500 pages a month for one person.

Billed month to month, Fax Pigeon Standard is $11.99, below WestFax Solo at $14.99 and SRFax Healthcare Basic at $16.05. Because iFax adds credits automatically once usage reaches 95% of the plan limit and prints no overage rate, each iFax price here is for the plan that includes the pages. The table shows what a year costs on the cheapest plan with a BAA at 500 and 1,000 pages a month for one person.

At 500 pages billed annually, SRFax costs $43.92 a year more than Fax Pigeon Standard, iFax $180.00 more, eFax $280.08 more, Sfax $562.08 more and Fax.Plus $840.11 more.

At 1,000 pages billed annually, SRFax costs $150.12 a year more than Fax Pigeon Plus at $16.99 a month, iFax $196.08 more, eFax $446.04 more, Fax.Plus $756.00 more and Sfax $838.08 more.

How does each leading provider sign its BAA?

The leading providers each hand out a BAA differently: SRFax on request, eFax and Sfax with a line printed on a plan card, iFax and Fax.Plus on named plans, WestFax with every plan and Fax Pigeon at signup.

How does Fax Pigeon handle its BAA?

Fax Pigeon signs its BAA at signup on every plan, and a practice can read the full text at faxpigeon.com/baa before it pays. Plans run from $4.99 a month billed annually for 200 pages on Basic to $159.99 for 10,000 pages on Max, with unlimited people on every plan. Porting a number in is free on every paid plan. A practice that confirms an email can send one fax of up to 10 pages free, with no credit card, under the same signed BAA.

How does SRFax handle its BAA?

SRFax provides its BAA on request through the Request a BAA link under its Healthcare plans, and it publishes no BAA price. Every SRFax Healthcare plan includes multiple user accounts, and pages sent and received count together. SRFax charges $4.95 for each additional fax number and $25 one time to port a local number in. The plans and the request link are on SRFax's Healthcare plans page.

How does WestFax handle its BAA?

WestFax includes a BAA with every plan and bills month to month only. Solo is capped at one user, Team includes 5 users and 1,500 pages for $39.95, and a sixth user moves a team to Team 3,000 at $69.99 with 25 users. WestFax charges $20 one time to port a number in, and $4.95 a month plus a $20 setup fee for each extra number. The plans are on WestFax's pricing page.

How does iFax handle its BAA?

iFax provides a free BAA to Plus and Pro subscribers; iFax Basic carries no HIPAA terms. iFax includes one user license, and an added team license costs from $19.99 a user a month at 2 to 3 users to $16.99 at 10, or from $16.66 to $14.16 billed annually. A second user takes Plus off iFax's selector, so any team is priced on Pro. The plans are on iFax's pricing page.

How does eFax handle its BAA?

eFax prints its BAA on the eFax Business plan card, and eFax Personal carries no BAA. Business includes 5 users, each extra user is $10 a month or $100 a year on annual billing, and each page over the plan costs 7 cents. eFax's Customer Agreement lists a $40 fee per number for porting in and an administrative fee of $40 per number for porting out. The plans are on eFax's pricing page.

How does Sfax handle its BAA?

Sfax prints "BAA Available" on its Plus, Contender and Enterprise cards, and the Standard card does not carry the line. Every Sfax plan lists unlimited users and an overage of 10 cents a page. Annual billing on Sfax is one month free.

How does Fax.Plus handle its BAA?

Fax.Plus puts its BAA on Enterprise alone, and Basic, Premium and Business carry none. Enterprise lists at $99.99 month to month and $79.99 a month on annual billing, with 4,000 pages, unlimited members and extra pages at 3 cents. The plans are on Fax.Plus's pricing page.

Which online fax services do not sign a BAA?

Among the seven leading providers, the plans without a BAA include eFax Personal, iFax Basic, and Fax.Plus Basic, Premium and Business, and the Sfax Standard card prints no BAA line. Each of the seven signs a BAA on at least one plan, so the question for a practice is which plan carries it.

The list of which online fax services sign a BAA gives the BAA terms of further fax services and names the services that publish none. Cheapest HIPAA fax with a signed BAA prices seven providers at 200 pages, 500 pages and five people.

How do you check a BAA before you pay?

A practice can check a fax service's BAA before paying by reading the agreement or finding its request link on the provider's site, confirming the plan being bought is covered, and matching the terms to 45 CFR 164.504(e). Coverage follows the plan. SRFax provides its BAA on request, eFax prints it on the Business plan card, iFax provides it to Plus and Pro subscribers, and Fax.Plus includes it on Enterprise only.

Under 45 CFR 164.504(e)(2), the contract must, among other terms:

• set the permitted and required uses and disclosures of protected health information;
• require safeguards, including compliance with the Security Rule for electronic protected health information;
• require reports of any use or disclosure the contract does not allow, including breaches of unsecured protected health information;
• bind subcontractors to the same restrictions;
• make the information available for access, amendment and an accounting of disclosures;
• make its internal practices, books and records available to HHS;
• return or destroy the information when the contract ends, if feasible; and
• let the practice terminate the contract for a material violation.

Fax Pigeon's BAA is readable at faxpigeon.com/baa before signup and is signed at signup on every plan. HHS's cloud computing guidance treats a cloud service that creates, receives, maintains or transmits electronic protected health information for a covered entity as a business associate. The question of whether a practice needs a BAA with its fax service has a guide of its own.

Who should switch to a plan with a BAA included?

A practice on eFax Personal, iFax Basic, Fax.Plus Basic, Premium or Business, or Sfax Standard, whose card prints no BAA line, should switch to a plan with the BAA included, such as any Fax Pigeon plan from Basic at $4.99 a month billed annually. The same holds for solo practices, group practices, practices that mostly receive and occasional senders, because the BAA comes with the plan, whatever the volume.

Pages sent and received count together on Fax Pigeon and SRFax, so a practice that mostly receives uses its allowance the same way as one that mostly sends. The same Fax Pigeon plans serve solo practices and teams of 100 or more. A first fax of up to 10 pages needs only a confirmed email and no credit card.

* BAA terms and prices last verified October 23, 2026, at each provider's own site, except Sfax, whose terms were last verified October 19, 2026. Fax Pigeon is not affiliated with any provider named here.