AI Medical Scribe
AI Medical Scribe Cost
What an AI medical scribe actually costs in 2026, what drives the range, and which vendors will tell you a price without a sales call.
What the Category Actually Charges
The headline finding when you line these up is that five of the twelve best-known AI scribe vendors will not tell you a price without a sales conversation. Among those that publish, the spread runs from free tiers to around $400 per clinician per month.
| Vendor | Published price, per clinician per month | How you get a quote |
|---|---|---|
| VoiceboxMD | $79 to $139 | Published, self-serve |
| Twofold | $49 | Published, self-serve |
| Freed AI | $39 to $119 | Published, self-serve |
| Heidi Health | Free to $99 | Published, self-serve |
| Nabla | Free to $119 | Published, self-serve |
| Sunoh.ai | $149, or $1.25 per visit | Published |
| Suki AI | $199 to $399 | Published |
| Abridge | Not published | Sales contact required |
| Ambience | Not published | Sales contact required |
| DeepScribe | Not published | Sales contact required |
| Dragon Copilot | Not published | Sales contact required |
| Augmedix | Not published | Sales contact required |
Figures are the vendors’ own published rates as verified for the 12-vendor comparison. Where a vendor does not publish a price we say so rather than estimate one.
Four Things That Move the Real Number
Ambient or dictation, or both
Ambient listening costs more to run than dictation, so most vendors price ambient as the product and have no dictation mode at all. If you only need ambient for long encounters and would rather dictate the short ones, paying an ambient price for every visit is the main way practices overspend.
Whether the BAA is included
A signed Business Associate Agreement is a HIPAA requirement, not a premium feature, but some vendors bill it separately or gate it behind a paid tier. Ask the question before comparing headline prices; it moves the real number.
Contract length
Enterprise ambient platforms are usually annual, sometimes with implementation fees and a minimum seat count. A $200 monthly price on a twelve-month commitment is a $2,400 decision, not a $200 one.
Per-visit versus per-seat
Per-visit pricing looks cheap at low volume and stops looking cheap quickly. At 20 encounters a day, $1.25 a visit is roughly $625 a month per clinician.
Where VoiceboxMD Sits
Essential, $49. Real-time dictation with the full medical vocabulary. No AI scribe.
Power, $79. Adds the AI scribe: dictate a short post-visit summary and the AI structures it into a full SOAP note, plus audio upload and three devices.
Premium, $139. Adds the ambient scribe, which listens to the doctor-patient conversation and drafts the note itself, plus superbill creation.
Every plan includes a signed BAA at no extra cost, works with any EHR, and bills monthly with no contract. The 7-day trial gives full access rather than a reduced tier. For the workflow differences rather than the prices, see ambient clinical documentation.
Try the scribe before paying for it. Full access for 7 days, no sales call, and nothing to unwind if it does not fit.
Start free trialAI Medical Scribe Cost, Frequently Asked Questions
How much does an AI medical scribe cost?
Published prices in 2026 run from free tiers up to around $400 per clinician per month, and several enterprise platforms do not publish a price at all. VoiceboxMD is $79 per provider per month for the AI scribe on the Power plan and $139 for the Premium plan with the ambient scribe, with real-time dictation included from $49. Every plan is monthly with no annual contract.
What is the cheapest AI medical scribe?
Several vendors publish entry tiers under $50, including free tiers from Heidi and Nabla and $39 to $49 entry plans from Freed and Twofold. Those tiers generally cover ambient note generation only. The cheapest option that also includes real-time dictation, a signed BAA at no extra cost and no annual contract is VoiceboxMD at $79 per month.
Why do some AI scribe vendors hide their pricing?
Abridge, Ambience, DeepScribe, Dragon Copilot and Augmedix all require a sales conversation rather than publishing a rate. That usually indicates enterprise pricing that varies by seat count, specialty and contract length. It is not necessarily worse value, but it does mean you cannot compare without entering a sales process, and reported figures for these platforms range from roughly $200 to over $1,000 per clinician per month.
What should a small practice expect to pay?
For a solo clinician or a practice of two to five, expect $50 to $150 per clinician per month for a self-serve product with published pricing, no implementation and no annual commitment. Enterprise ambient platforms are generally not economic below about ten clinicians because of minimum seat counts and implementation costs.
Is the BAA included in the price?
With VoiceboxMD, yes, on every plan at no additional cost. Across the category it varies: some vendors include it, some restrict it to paid tiers, and some charge for it separately. Because a BAA is required to handle PHI lawfully, treat a plan without one as unusable rather than cheap.
Is there a free trial?
VoiceboxMD includes a 7-day free trial on monthly plans and 14 days on annual, with full feature access rather than a reduced tier. Several competitors offer trials of 7 to 14 days; the enterprise platforms that require a sales contact generally offer a pilot instead.
A price you can read without a sales call.
$79 for the AI scribe, $139 with ambient. BAA included, cancel anytime.
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