Does Plivo or Telnyx support HIPAA?

HIPAA support — Plivo: Yes; Telnyx: Yes. Confirm current scope with the vendor.

Plivo vs Telnyx

A sourced, side-by-side comparison for sms gateways. Plivo has the lower entry price. Every figure links to the vendor's own page and the date we captured it.

Plivo has the lower entry price — Plivo starts at —/mo, Telnyx at —/mo. Free tier: Plivo No, Telnyx No. HIPAA: Plivo Yes, Telnyx Yes.

As of 2026-06-13 · figures link to their source below

Side by side

Plivo

Quote-only

Entry price—

Free tierNo

HIPAA (BAA)Yes

SOC 2Yes

GDPRYes

Best forPrice-sensitive developers seeking Twilio alternative

Telnyx

Quote-only

Entry price—

Free tierNo

HIPAA (BAA)Yes

SOC 2Yes

GDPRYes

Best forCost-conscious enterprises seeking Twilio parity at lower price

Sources — Plivo: quote-only (verified 2026-06-13) · Telnyx: quote-only (verified 2026-06-13)

Key features

Plivo: SOC 2 + PCI DSS Level 1 + HIPAA BAA available; No-code AI agent builder (Vibe) for conversational automation; Two-way SMS with multichannel voice, WhatsApp, and chat; AWS-based infrastructure across 190+ countries

Telnyx: Carrier-owned global network (owns its IP infrastructure); Sub-$0.004/msg SMS — approximately 30% cheaper than Twilio; Zero Trust Architecture with 24/7 threat detection; Supports HIPAA, SOC 2 Type II, ISO 27001, PCI DSS, GDPR

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