Both services let you send and receive faxes online. Here's an honest look at how they stack up for US businesses in 2026.
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eFax is a well-established brand with decades of market presence and a dedicated mobile app. However, usfax.com offers significantly lower pricing (starting at $2.99/fax vs $18.99/month), a modern web interface, and more accessible HIPAA compliance — making it the better choice for cost-conscious US businesses that want a straightforward fax solution.
| Feature | USFax | eFax |
|---|---|---|
| Starting price | $2.99/fax or $12/mo | $18.99/mo |
| Pay-per-fax option | ||
| Free trial | ||
| Pages included (base plan) | 200 pages | 200 pages |
| HIPAA compliance | Business plan ($49/mo) | Enterprise only |
| Dedicated US fax number | ||
| Toll-free numbers | ||
| Email-to-fax | ||
| Mobile-friendly interface | App required | |
| Business plans (multi-user) | 5 users, $49/mo | Add-on pricing |
| Delivery confirmation | ||
| US-based support | Limited | |
| Modern web interface | ||
| No long-term contract | Annual plans pushed |
Flexible plans for any volume
Established brand, higher pricing
Yes. usfax.com starts at $2.99 per fax with no subscription, or $12/month for 200 pages. eFax starts at $18.99/month for the same 200 pages. For occasional faxers, the savings are significant.
Yes. You can transfer your existing fax number from eFax to usfax.com. The process typically takes 1-2 business days. Contact our support team to get started.
eFax has been around since 1995 and has strong brand recognition. They also have a dedicated mobile app, which some users prefer. However, usfax.com offers a more modern web experience, lower pricing, and more accessible HIPAA compliance.
usfax.com offers HIPAA compliance with a BAA on the Business plan ($49/month), which includes a signed BAA, encryption, and audit trails. eFax typically requires their enterprise-tier plan for HIPAA compliance, which costs significantly more.
For most small US businesses, usfax.com offers better value. You get lower pricing, a modern interface, and accessible HIPAA compliance. eFax may be preferable if your organization already uses it and switching costs are a concern.
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