HIPAA
Accountable vs Secureframe
Short answer
Short answer: Accountable suits small healthcare practices and health-tech startups whose main obligation is HIPAA and who want a published monthly price. Secureframe suits small companies buying one framework, often a first SOC 2, that want a starting price before the sales call; and defense contractors who need CMMC, through the Defense plan.
Accountable
$2,028 / year
Small health tech teams whose obligation is HIPAA alone: $169 a month billed yearly, every plan's price published.
vs
Secureframe
$7,500 / year
Most small teams buying one framework: the only one of the big three with a starting price on its own site.
Who each one is for
Accountable
- Best for
- Small healthcare practices and health-tech startups whose main obligation is HIPAA and who want a published monthly price. source ↗
- Not for
- Companies whose customers also ask for SOC 2 or ISO 27001; Accountable itself says to compare platforms that support those. source ↗
- Gaps
- Covers HIPAA only; SOC 2 and ISO 27001 are not supported. source ↗
- Its terms say subscriptions carry a 12-month minimum and monthly payments are not refunded, though the pricing page says you can cancel monthly. source ↗
- Penetration testing and vulnerability scanning are listed in Pro but marked 'Coming Soon' on Accountable's own pages. source ↗
From Accountable's own pricing and help pages, checked Nov 5, 2026.
Secureframe
- Best for
- Small companies buying one framework, often a first SOC 2, that want a starting price before the sales call; and defense contractors who need CMMC, through the Defense plan. source ↗
- Not for
- Teams that need several frameworks, SSO or heavy questionnaire volume on the entry price: Fundamentals has one framework, no SSO or SCIM, and 100 AI questionnaire answers a year. source ↗
- Gaps
- The $7,500 starting price covers one framework; more frameworks cost extra. Its own AWS listing charges $7,500 for the platform plus $7,500 for the first framework. source ↗
- No free plan or trial, and no self sign-up: you see the product in a demo. source ↗
- By default its terms renew a contract for the same length unless you give notice 30 days before the end, and fees paid are non-refundable. source ↗
- The audit is done by a separate audit firm, which you pay. source ↗
From Secureframe's own pricing and help pages, checked Nov 5, 2026.
Side by side
| Accountable | Secureframe | |
|---|---|---|
| Pricing | From $169/month billed annually ($2,028/year), or $199/month billed monthly | From $7,500/year (Fundamentals) |
| Price checked | Nov 5, 2026 | Nov 5, 2026 |
| Published list price | $2,028 a year (Basic HIPAA, $169 a month billed yearly) (Accountable's pricing page) | $7,500 a year (Fundamentals) (Secureframe's pricing page) |
| Audit | No SOC 2 audit (it covers HIPAA only). All plans include an 'Audit Protection Guarantee': help preparing a response to a HIPAA OCR audit. Pro lists a yearly penetration test, but Accountable's penetration testing page says 'Coming Soon' and that an automated tool runs it. | Not included: you hire an audit firm; Secureframe recommends partner auditors through your Customer Success Manager. |
| Frameworks | 1 | 35 |
| Best For | Small healthcare practices and health-tech startups whose main obligation is HIPAA and who want a published monthly price. | Small companies buying one framework, often a first SOC 2, that want a starting price before the sales call; and defense contractors who need CMMC, through the Defense plan. |
| Not for | Companies whose customers also ask for SOC 2 or ISO 27001; Accountable itself says to compare platforms that support those. | Teams that need several frameworks, SSO or heavy questionnaire volume on the entry price: Fundamentals has one framework, no SSO or SCIM, and 100 AI questionnaire answers a year. |
Pros and cons
Accountable
Pros
- Prices, seats and extra-seat fees published
- Training, policies and BAAs in every plan
- Help answering an OCR audit
Cons
- HIPAA only: no SOC 2 or ISO 27001
- 7-day trial needs a card; terms say 12-month minimum
- Pen testing on Pro is marked Coming Soon
Secureframe
Pros
- $7,500 a year, on its own pricing page
- 35 frameworks, CMMC and FedRAMP too
- Choice of US or UK data center
Cons
- Fundamentals: one framework, no SSO
- Its AWS listing adds $7,500 for the first framework
- No free plan or trial