HIPAA fax without a subscription
Pay per fax is $6.50 for up to 10 pages at OneFaxNow and SingleFax and $9.99 at TidyFax, send only. Fax Pigeon Basic is $5.99 a month for 200 pages sent and received, so it costs less from fax one.
A HIPAA fax without a subscription costs $6.50 for up to 10 pages at OneFaxNow and SingleFax and $9.99 at TidyFax, send only, each with an electronic Business Associate Agreement (BAA). Fax Pigeon's Basic plan is $5.99 a month, or $4.99 billed annually, for 200 pages sent and received on your own number, so a plan costs less from the first fax of a month. Your first Fax Pigeon fax, up to 10 pages, is free.
What does a HIPAA fax cost without a subscription?
OneFaxNow, SingleFax and TidyFax each sell a single HIPAA fax with no subscription. Fax Pigeon's free first fax and its Basic plan sit beside them.
| Option | Price | Pages | Receives faxes | The BAA |
|---|---|---|---|---|
| OneFaxNow HIPAA fax | $6.50, or $10.00 for 11 to 50 pages | 1 to 10 | No, outbound only | Generated and executed electronically at checkout |
| SingleFax HIPAA fax | $6.50, or $10.00 for 11 to 100 pages | 1 to 10 | No, send only; numbers are sold separately | Accepted electronically before the first upload, recorded for your organization |
| TidyFax HIPAA fax | $9.99, plus 30¢ for each page past 10 | 1 to 10, in one upload of up to 20 MB | No, send only; no incoming number | Accepted before upload; covers one submission |
| Fax Pigeon first fax | Free | Up to 10 | No, sends from a shared number | The same signed BAA as every plan |
| Fax Pigeon Basic | $5.99 a month, or $4.99 billed annually | 200 a month, sent plus received | Yes, on your own number | Signed at signup |
At OneFaxNow a cover page counts as a page, so a 10-page document with a cover sheet is an 11-page fax at $10.00.
When does a plan cost less than paying per fax?
At one fax a month. A fax of up to 10 pages is $6.50 at OneFaxNow or SingleFax and $9.99 at TidyFax, and a month of Basic is $5.99. The arithmetic:
- One fax a month for a year is $78.00 at $6.50 and $119.88 at $9.99. Basic is $71.88 month to month and $59.88 billed annually.
- Four faxes in a month are $26.00 at $6.50, against $5.99 for the month.
- Thirty faxes of 10 pages, 300 pages in all, are $195.00 at $6.50. On Basic that is $5.99 plus 100 extra pages at 10¢, or $15.99.
- One 30-page fax is $10.00 at OneFaxNow or SingleFax, against 30 of Basic's 200 pages.
On annual billing Basic is $59.88 a year. Nine faxes at $6.50 come to $58.50 and ten to $65.00, so the tenth fax of the year is the one that pushes pay-per-fax past a year of Basic. At TidyFax's $9.99 it is the sixth, at $59.94.
By the page, a full 10-page fax at $6.50 is 65¢ a page. Basic's 200 pages for $5.99 come to about 3¢ a page. Past 200 pages, extra pages are billed at 10¢ on a separate invoice, and faxes keep arriving.
What does the free first fax cover?
Confirm your email and send one fax of up to 10 pages, with no credit card, from Fax Pigeon's shared number under the same signed BAA. For a one-time need of 10 pages or fewer that is $0, against $6.50 or $9.99.
For a longer one-time fax, a month of Basic is $5.99 against $10.00 for 11 to 50 pages at OneFaxNow or 11 to 100 at SingleFax. You can cancel anytime in Settings and keep service to the end of the paid period, and a full refund is available within 72 hours of the first payment, once per customer.
How do pay-per-fax services handle the BAA?
HIPAA calls for a written agreement with a vendor that creates, receives, maintains or transmits a practice's patient information on its behalf (45 CFR 160.103, 164.502(e) and 164.504(e)). The three services handle it three ways. OneFaxNow generates and executes a BAA electronically at checkout, with no account. TidyFax has you verify your email and accept its BAA before you choose a document, and the agreement covers one fax: 'A later submission requires its own acceptance record.' SingleFax has an authorized signer accept its BAA electronically before the first upload and records the acceptance for your organization.
Fax Pigeon's BAA is signed once, at signup, on every plan, and the free first fax sits under the same agreement (the BAA).
Can you receive HIPAA faxes without a subscription?
Not from OneFaxNow or TidyFax. OneFaxNow is outbound only, and TidyFax provides no incoming number. SingleFax sells its fax numbers separately from its pay-per-fax send. Every paid Fax Pigeon plan includes your own dedicated fax number that sends and receives, under the signed BAA.
Who should switch from pay per fax to a plan?
- A practice that sends a fax in most months. From the first fax, the month costs $5.99 on Basic against $6.50 or $9.99 per fax.
- A practice that receives faxes. Pay per fax is outbound only, and every paid Fax Pigeon plan includes your own number, from $4.99 a month billed annually.
- A practice that sends documents of more than 10 pages. At OneFaxNow or SingleFax each is $10.00 per fax, and on Basic each draws from a 200-page month.
Every Fax Pigeon plan includes a signed BAA executed at signup, unlimited people at no extra cost and your own dedicated number that sends and receives. The pricing page lists all six plans, and the 200-page and 500-page price comparison sets them beside other providers.
* Prices last verified October 20, 2026, at each provider's own site, except SingleFax, whose prices were last verified October 7, 2026. Fax Pigeon is not affiliated with OneFaxNow, SingleFax or TidyFax.
Frequently asked questions
- Is there a HIPAA compliant fax service with no monthly fee?
- Yes, for sending. OneFaxNow and SingleFax charge $6.50 for a fax of up to 10 pages and TidyFax charges $9.99, each with an electronic BAA and no subscription. All three send only. Fax Pigeon's first fax, up to 10 pages, is free under its signed BAA, and its Basic plan is $5.99 a month for 200 pages sent and received.
- How much does a one-time HIPAA fax cost?
- At OneFaxNow or SingleFax a one-time HIPAA fax is $6.50 for 1 to 10 pages, and $10.00 for 11 to 50 pages at OneFaxNow or 11 to 100 at SingleFax. TidyFax is $9.99 for up to 10 pages and 30¢ for each page past 10. At OneFaxNow a cover page counts as a page. Fax Pigeon's first fax, up to 10 pages, is free, with no credit card.
- When is a fax subscription cheaper than paying per fax?
- From the first fax of the month. One fax of up to 10 pages is $6.50 at OneFaxNow or SingleFax and $9.99 at TidyFax, and a month of Fax Pigeon's Basic plan is $5.99 for 200 pages sent and received. On annual billing Basic is $59.88 a year, and ten faxes at $6.50 cost $65.00.
- Do pay-per-fax services sign a BAA?
- Yes, electronically, before the fax goes out. OneFaxNow generates and executes one at checkout, TidyFax has you accept one before upload and covers one submission, and SingleFax has an authorized signer accept one before the first upload. HIPAA calls for a written agreement with a vendor handling patient information (45 CFR 164.502(e)). Fax Pigeon's is signed once, at signup.
- Can I receive faxes under a BAA without a subscription?
- Not from OneFaxNow or TidyFax. OneFaxNow is outbound only and TidyFax provides no incoming number. SingleFax sells its fax numbers separately from its pay-per-fax send. Every paid Fax Pigeon plan, from $4.99 a month billed annually, includes your own number that sends and receives under the signed BAA.
Fax Pigeon
HIPAA-compliant fax with a signed BAA on every plan
Plans start at $4.99 a month, billed annually, for 200 pages, with your own number and unlimited people. Your first fax is free.
- Free porting of your local number
- Fax from your email
- AI summary of every inbound fax
- E-signatures
- Contact management
- Delivery proof
Know a practice that still faxes? Refer it through the referral program and earn 20% of its plan, every month it stays.