Head-to-head
Nabla vs Twofold Health
A side-by-side, source-cited comparison. Clinical precision and note quality come from our hands-on testing; pricing, integrations and compliance from sourced facts. See how we score.
Nabla
Editor's pickTestedBest for clinicians who want a real free entry point without compliance trade-offs
Our 2026 Editor's Pick — the only ambient scribe shipping the full HIPAA + SOC 2 Type II + GDPR + ISO 27001 quartet with no audio stored by default and a real free tier.
From Free up to 30 consults/mo
Read the full review
Twofold Health
ProvisionalBest for solo physicians, therapists and allied-health clinicians who want low flat pricing with hipaa + hitrust-aligned security and explicit no-training-on-phi
Solo-clinician ambient scribe with HIPAA + HITRUST-aligned controls, an explicit no-PHI-training position and 7-day full-feature free trial — 20,000+ clinicians on the platform.
From $19/mo first month, then $69/mo
Read the full reviewSide by side
| Dimension | Nabla | Twofold Health |
|---|---|---|
| Score type | Hands-on tested | Provisional |
| Editorial score | 9.0 | 5.4 |
| Starting price | Free up to 30 consults/mo | $19/mo first month, then $69/mo |
| Free tier | Yes | No |
| Free trial | Free tier (30 consults/mo cap) | 7-day free trial (no card) |
| HIPAA | Yes | Yes |
| SOC 2 | Yes | Not disclosed |
| GDPR | Yes | Not disclosed |
| Avoids training on your data | Yes (states it does not) | Yes (states it does not) |
| Data residency | Google Cloud regional — databases in the region of your choice | United States |
| Named EHR integrations | 7 | 5 |
| Ambient notes | Yes | Yes |
| Multi-language | Yes (35+) | Not disclosed |
Bold values flag where one tool has a public advantage in our sourced data. “Not disclosed” never counts as a no.
When to pick which
Pick Nabla when…
- Built for clinicians who want a real free entry point without compliance trade-offs
- Score type: Nabla (Hands-on tested) vs Twofold Health (Provisional)
- Editorial score: Nabla (9.0) vs Twofold Health (5.4)
- Free tier: Nabla (Yes) vs Twofold Health (No)
- SOC 2: Nabla (Yes) vs Twofold Health (Not disclosed)
- GDPR: Nabla (Yes) vs Twofold Health (Not disclosed)
- Named EHR integrations: Nabla (7) vs Twofold Health (5)
- Multi-language: Nabla (Yes (35+)) vs Twofold Health (Not disclosed)
Pick Twofold Health when…
- Built for solo physicians, therapists and allied-health clinicians who want low flat pricing with hipaa + hitrust-aligned security and explicit no-training-on-phi
Pros & cons
Nabla
Pros
- HIPAA + SOC 2 Type II + GDPR + ISO 27001 — the full compliance quartet
- No audio stored by default; explicit no-training-on-customer-data position
- Real free tier — no credit card required
- Scale: 85,000+ clinicians, 130+ health organizations, 20M+ annual encounters
Watch-outs
- Polishes dense specialist consultations more aggressively than precision-focused alternatives
- Public pricing page isn't currently live — Pro and enterprise both sales-led today
- Published US health-system case studies remain thinner than Abridge for the largest IDNs
Twofold Health
Pros
- Published pricing: $19/mo first month, $69/mo regular, billed annually
- 7-day full-feature free trial, no credit card required
- HIPAA + BAA included on all plans; HITRUST-aligned controls
- Explicit "does not use audio, transcripts, notes, or PHI to train AI models" position
Watch-outs
- Company financial details (founding year, funding, ownership) not publicly disclosed
- EHR integration is copy-paste export rather than deep write-back
- SOC 2 not formally claimed (HITRUST-aligned is the closest enumeration)
FAQ
Which is better, Nabla or Twofold Health?
Nabla edges it on our editorial score (9.0 vs 5.4), but "better" depends on your jurisdiction, EHR and budget — see the side-by-side below.
Is Nabla HIPAA compliant?
Yes — Nabla states HIPAA compliance.
Is Twofold Health HIPAA compliant?
Yes — Twofold Health states HIPAA compliance.
What's the price difference between Nabla and Twofold Health?
Nabla starts at Free up to 30 consults/mo; Twofold Health starts at $19/mo first month, then $69/mo. Pricing is as of 2026-05-20 — always confirm current figures with the vendor.
