HIPAA email to fax for a solo practice: BAA and pricing from $4.99

HIPAA email to fax for a solo practice costs $4.99 a month billed annually ($5.99 month to month) on Fax Pigeon Basic at 200 pages, with a signed BAA on every plan. At SRFax the cheapest plan with a BAA costs $10.70, at WestFax $14.99 (month to month only), at iFax $24.99 and at eFax Business $33.33.

What is the cheapest way for a solo practice to fax by email with a BAA?

The cheapest way for a solo practice to fax by email with a BAA, among Fax Pigeon, SRFax, WestFax, iFax, eFax and Fax.Plus, is Fax Pigeon Basic at $4.99 a month billed annually, or $59.88 a year, with email to fax and a signed BAA on every plan. The next lowest plan with a BAA is SRFax Healthcare Lite at $10.70 billed annually, and WestFax Solo is $14.99 month to month.

Every Fax Pigeon plan faxes from email, and every paid plan sends from the practice's own number, which a solo practice can bring by porting for free. Basic includes 200 pages sent and received, and an extra page costs 10 cents.

Fax Pigeon prices by pages, so the price is the same for a solo therapist, counselor, nurse practitioner or physician.

Which fax services send email as a fax under a BAA, and on which plans?

Fax Pigeon sends email as a fax under a signed BAA on every plan, and Fax.Plus takes email to fax through a TLS-enforced email address on Enterprise, the one Fax.Plus plan with a BAA.

The table gives each provider's plan that carries the BAA and whether its email-to-fax terms are compared here.

Not compared here marks a plan whose email-to-fax terms this comparison does not cover, so confirm email to fax on that plan's page before relying on it.

Does the email account need a BAA too?

The email account needs its own BAA when a message carries patient information, because the email service stores and carries the message before the fax service receives it. Under HHS's cloud computing guidance, each cloud service that holds or passes along a covered entity's electronic protected health information (ePHI) is a business associate, so the mail provider signs one BAA and the fax service a second.

Google Workspace services on Google's HIPAA list are covered once an administrator accepts Google's BAA in the Admin console, and a free personal Google account does not meet its conditions. Is Google Workspace HIPAA compliant? sets out which Google services the BAA covers. Fax Pigeon's own BAA is signed at sign-up on every plan and readable in full at faxpigeon.com/baa.

A practice with no BAA from its mail provider can send from the browser instead, which keeps the mail provider out of the path.

What does email to fax cost one person at 200 and 500 pages?

Email to fax costs one person $4.99 a month billed annually on Fax Pigeon Basic at 200 pages and $9.99 on Standard at 500 pages, or $5.99 and $11.99 month to month, with the signed BAA on both plans.

The table shows the cheapest plan with a BAA for one person, as a price a month, at 200 and 500 pages sent and received.

At 200 pages billed annually, Fax Pigeon Basic costs $5.71 a month less than SRFax Healthcare Lite, $20.00 less than iFax Plus and $28.34 less than eFax Business. A year at 500 pages billed annually costs $119.88 on Fax Pigeon Standard, $163.80 at SRFax Healthcare Basic, $299.88 at iFax Plus and $399.96 at eFax Business, and a year of WestFax Solo costs $179.88 month to month. Pages sent and received count together in every Fax Pigeon allowance.

What changes when a biller or a second clinician sends from email?

A biller or second clinician sending from email changes the price only at WestFax, where a second user means Team at $39.95 a month in place of Solo at $14.99, and at iFax, where 2 people need Pro with a team license at $49.99 a month billed annually. Fax Pigeon charges nothing per person, since every plan includes unlimited people, and the SRFax, eFax and Fax.Plus prices stay put for 2 people.

The table shows the cheapest plan with a BAA for 2 people, as a price a month, at 200 and 500 pages sent and received.

The shared inbox on every Fax Pigeon plan has roles and assignment, so a biller can work incoming faxes beside the clinician. WestFax caps Solo at one user and puts 5 users and 1,500 pages on Team, and eFax Business includes 5 users before it adds $10 a month for each user past that.

How does a solo practice set up email to fax?

A solo practice sets up email to fax by choosing a paid Fax Pigeon plan, which signs the BAA at sign-up and gives the practice its own number, and then sending from its email inbox or the browser. The steps for Gmail and Outlook are on how to send a HIPAA fax from Gmail or Outlook.

Porting the existing fax number is free on every paid plan and can start at sign-up or from Settings. Most transfers take 5 to 15 business days, during which the number keeps working with the current provider. In the browser, a PDF, Word, Excel or PowerPoint file or a phone photo uploads as it is, a cover sheet is optional and every delivered fax gets delivery proof.

Which solo practices should switch, and to what?

Solo therapists and counselors, nurse practitioners and physicians who send most faxes from an email inbox should switch to Fax Pigeon Basic if they pay more than $4.99 a month billed annually for 200 pages, or if the plan they email from carries no BAA. A solo practice adding a biller should switch when its current plan prices a second person, as WestFax and iFax do and Fax Pigeon does not.

HIPAA fax for therapists in private practice prices the same providers for a solo therapist, and the easiest HIPAA fax to set up compares how each provider handles the BAA at sign-up.

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