Cheap HIPAA-compliant fax for low volume: $4.99 a month with a BAA

For low volume, up to 100 pages a month, the cheapest HIPAA-compliant online fax among the six providers compared is Fax Pigeon Basic, with a signed BAA, at $4.99 a month billed annually or $5.99 month to month. Billed annually with a BAA, SRFax costs $10.70, iFax $24.99 and eFax $33.33; WestFax bills month to month only, at $14.99.

What is the cheapest HIPAA-compliant fax for low volume?

Among Fax Pigeon, SRFax, WestFax, iFax, eFax and Fax.Plus, the cheapest HIPAA-compliant fax for low volume is Fax Pigeon Basic at $4.99 a month billed annually, with the BAA signed at sign-up and 200 pages a month sent and received. The BAA is readable in full at faxpigeon.com/baa before anyone pays, and the same plan costs $5.99 month to month.

At low volume an affordable HIPAA fax is the cheapest plan that carries a BAA, and the cheapest plan at a provider often carries none. eFax Personal has no BAA, iFax Basic has no HIPAA terms, and Fax.Plus includes a BAA on Enterprise only. WestFax includes a BAA on every plan, and SRFax hands one out on request from the Request a BAA link on its Healthcare plans page.

Under HHS's cloud computing guidance, a cloud service that stores or sends electronic protected health information (ePHI) for a covered entity is its business associate, so a practice that faxes a few pages a month needs a BAA as much as one that faxes thousands. The prices below apply to part-time practices, therapists and counselors, acupuncture and chiropractic clinics and home-office practices that fax a few times a week or less.

What does 100 pages a month cost with a BAA, by provider?

At 100 pages a month, one person pays $4.99 on Fax Pigeon Basic, $10.70 on SRFax Healthcare Lite, $24.99 on iFax Plus, $33.33 on eFax Business and $79.99 on Fax.Plus Enterprise when billed annually, and $14.99 on WestFax Solo, which bills month to month only.

The table shows the cheapest plan with a BAA for one person, as a price a month, at 100 and 300 pages sent and received.

At low volume, the cheapest plan with a BAA sets the price more than the page count does: WestFax Solo, iFax Plus, eFax Business and Fax.Plus Enterprise cost the same at 300 pages as at 100, while Fax Pigeon steps from Basic to Standard at $9.99 billed annually and SRFax from Healthcare Lite to Healthcare Basic at $13.65. Fax.Plus Enterprise includes 4,000 pages, so a practice at 100 pages pays $79.99 a month billed annually for capacity it does not use.

At 100 pages billed annually, Fax Pigeon Basic saves $5.71 a month against SRFax and $28.34 against eFax Business. Month to month, Fax Pigeon Basic saves $6.61 against SRFax, $9.00 against WestFax, $24.00 against iFax and $34.00 against eFax.

Is monthly or annual billing cheaper at low volume?

Annual billing is cheaper than month to month at every provider in the table that sells it. A year at 100 pages billed annually costs $59.88 on Fax Pigeon Basic, against $128.40 on SRFax Healthcare Lite, $299.88 on iFax Plus, $399.96 on eFax Business and $959.99 on Fax.Plus Enterprise. WestFax bills month to month only, so a year of Solo costs $179.88.

Fax Pigeon Basic costs less month to month, $71.88 a year, than SRFax billed annually or WestFax month to month, so a practice that prefers month-to-month billing still pays the least of the six providers. HIPAA fax without a contract compares how each provider bills month to month, cancels and refunds.

The table shows a year at each provider's cheapest plan with a BAA at 100 pages, and what an extra page costs past the plan.

What happens when you go over a small plan's pages?

Past a small plan's pages, an extra page costs 10 cents on Fax Pigeon Basic, 7 cents on eFax Business and 3 cents on Fax.Plus Enterprise, while iFax prints no overage rate and tops up credits automatically when usage reaches 95% of the plan limit, billed to the payment method.

Fax Pigeon's rate falls as the plan grows, to 5 cents on Standard and 4 cents on Plus. A practice that outgrows Basic can move to Standard mid-cycle: the upgrade starts at once and costs only the prorated difference, while a downgrade waits for the next renewal.

Billed annually, Fax Pigeon Standard costs $119.88 a year at 300 pages, while SRFax Healthcare Basic costs $163.80, iFax Plus $299.88 and eFax Business $399.96.

Can you try a HIPAA fax service before you pay?

Fax Pigeon lets a practice send one fax of up to 10 pages before paying: confirm an email address and send it without a credit card, under the same signed BAA that covers every paid plan. That fax uses Fax Pigeon's shared number, while paid plans send and receive from the practice's own number.

What a HIPAA fax costs without a subscription compares pay-per-fax services with a plan for a practice that wants no monthly fee at all.

What changes when a second person faxes?

A second person raises the price at two of the six providers: at WestFax the practice moves from Solo at $14.99 to Team at $39.95 a month, and at iFax from Plus to Pro with a team license, at $49.99 billed annually or $59.98 month to month. Fax Pigeon, SRFax, eFax and Fax.Plus charge the same for 2 people as for one, and Fax Pigeon's price holds at any headcount because every plan includes unlimited people.

The table shows the cheapest plan with a BAA for 2 people, as a price a month, at 100 and 300 pages sent and received.

WestFax Solo is capped at one user, and Team includes 5 users and 1,500 pages. eFax Business covers 5 users, then $10 a month or $100 a year on annual billing for each extra user. SRFax's Healthcare plans include multiple user accounts, and Fax.Plus Enterprise includes unlimited members.

Who should switch to a cheaper plan with a BAA?

Part-time practices, therapists and counselors, acupuncture and chiropractic clinics and home-office practices should switch to Fax Pigeon Basic when their current plan costs more than $4.99 a month billed annually for up to 200 pages, charges for a second person or carries no BAA. A practice that mostly receives faxes can read the cheapest way to receive faxes under a BAA, which sets out whether received pages count against each plan.

Moving the practice's number costs nothing at Fax Pigeon, where porting is free on every paid plan and a transfer usually finishes in 5 to 15 business days while the current provider keeps the number working. Porting in costs $25 one time for a local number at SRFax and $20 one time at WestFax. eFax's fees run both ways: $40 per number to port in, and a $40 administrative fee per number to port out.

The next sizes up, 200 and 500 pages and a team of five, are priced in Cheapest HIPAA fax with a signed BAA.

* Prices last verified October 23, 2026, at each provider's own site. Fax Pigeon is not affiliated with SRFax, WestFax, iFax, eFax or Fax.Plus.