Best SMS Gateways · HIPAA
Best SMS Gateways for HIPAA (2026)
5 sms gateways that state HIPAA support (a signed BAA), ranked by entry price. Every figure links to the public page it was captured from — the vendor's own wherever the vendor publishes the number, otherwise the named public source — with the date we captured it.
Key takeaways
- Qualifying: Plivo, Sinch, Telnyx, Twilio, Vonage.
- Data current through: 2026-09-03. STALE marks a row with at least one plan we have not re-checked at its source in over 30 days. 1 of 5 rows below is marked.
Comparison
| # | SMS Gateway | Entry price | Free | HIPAA | SOC 2 | Best for | Source |
|---|---|---|---|---|---|---|---|
| 1 | Plivo | — | No | Yes | Yes | Price-sensitive developers seeking Twilio alternative | plivo.com |
| 2 | Sinch | — | No | Yes | Yes | Mid-to-large enterprises needing omnichannel CPaaS with verified compliance | sinch.com |
| 3 | Telnyx STALE · 2026-06-13 | — | No | Yes | Yes | Cost-conscious enterprises seeking Twilio parity at lower price | telnyx.com |
| 4 | Twilio | — | No | Yes | Yes | Large-scale transactional and marketing SMS | twilio.com |
| 5 | Vonage | — | No | Yes | Yes | Enterprises already in the Ericsson/Vonage ecosystem | vonage.com |