Both services send and receive faxes online. Here's an honest look at how they stack up for US business in 2026 — with verified facts, not guesswork on eFax's hidden pricing.
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eFax is a reliable, trusted service with decades of scale (operating since 1995), broad international coverage, a mobile app, and HITRUST certification on its Corporate tier. The catch for a typical US business: eFax doesn't publish a flat monthly price — its site routes you through an interactive quote — and it meters per-page overages, while extra numbers, extra seats, and the BAA cost more or require higher tiers. usfax.com publishes every price openly, charges lower overages, and includes a self-serve HIPAA BAA on its $49/month Business plan — making it a strong eFax alternative for US business.
Pricing shown is as of June 2026 — eFax does not publicly publish its monthly prices. Verify current pricing at efax.com.
| Feature | USFax | eFax |
|---|---|---|
| Published, transparent pricing | ||
| Starting price | $2.99/fax or $12/mo | Quote-based (not published) |
| Pay-per-fax option | ||
| Base plan pages/month | 200 (Individual) | 200 (Personal) |
| Per-page overage | $0.04–0.05/page | $0.07–0.10/page |
| Unlimited-page plan | Business ($49/mo) | |
| HIPAA BAA included | Business ($49/mo) | Business tier & up |
| HITRUST certification | Corporate tier | |
| Dedicated US fax number | ||
| Extra fax numbers | Up to 3 on Business | +$5/mo each |
| Extra user seats | Up to 5 on Business | +$10/mo each |
| Email-to-fax | ||
| API access | Business plan | Corporate (custom quote) |
| Self-serve signup (no sales call) | Quote / sales process |
Flexible plans for any volume
Trusted brand, quote-based pricing
eFax does not publish monthly prices; extra numbers ~$5/mo and extra seats ~$10/mo. Verify at efax.com (as of June 2026).
For many US businesses, yes. usfax.com publishes its prices openly — $2.99/fax pay-as-you-go, $12/mo Individual (200 pages), $24/mo Professional (500 pages), and $49/mo Business (unlimited pages, 5 users, HIPAA BAA, API). eFax is reliable and widely used, but it doesn't publish a flat monthly price and meters per-page overages. If you want transparent pricing, dedicated US numbers, and a self-serve HIPAA BAA, usfax.com is a focused alternative.
eFax does not publish its monthly prices — its site routes you through an interactive quote, so the exact figure depends on the offer you're shown (verify current pricing at efax.com). What's confirmed: eFax Personal includes 200 pages/month with $0.10/page overage and one number; Business includes 500 pages/month with $0.07/page overage, plus about $5/month per extra number and $10/month per extra user seat. usfax.com publishes every tier up front and charges lower overages ($0.04–0.05/page), with unlimited pages on the $49/month Business plan.
usfax.com includes a Business Associate Agreement (BAA) on the Business plan at $49/month, signed self-serve online in minutes — no sales call — with TLS 1.3 in transit, AES-256 at rest, and full audit trails. eFax includes a BAA on its Business tier and adds HITRUST certification on its Corporate (custom-quote) tier, which is a genuine strength for large enterprises. For a small or mid-size US practice that just needs a signed BAA without enterprise pricing, usfax.com is usually the simpler HIPAA eFax alternative.
Yes. eFax has operated since 1995, has enormous scale and brand trust, covers more countries on its Business tier (51 vs US-only for usfax.com), offers a dedicated mobile app, and carries HITRUST certification on its Corporate tier. If you need international fax coverage or HITRUST, eFax is worth a look. usfax.com's edge is transparent published pricing, lower overages, and a self-serve HIPAA BAA aimed squarely at US business.
Yes. You can transfer your existing fax number from eFax to usfax.com. Porting typically takes 1-2 business days. Contact our support team to get started, or sign up and get a new dedicated US fax number instantly.
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