Best for · industry

Best HIPAA-compliant CRM (2026)

A CRM is only usable for protected health information if the vendor signs a Business Associate Agreement. Many popular CRMs do not, and some only on their most expensive plan.

by the Fairly Compared editorial deskfacts checked how we verify

Disclosure: We may earn a commission when you sign up through links marked as affiliate links. That never affects scores or order: rankings are computed from documented facts and cannot read affiliate data. What each vendor pays us →

We checked each vendor's trust, legal and help pages for a BAA. Industry fit here is about the BAA: 10 if it is available on the core plan or all plans, 5 if only on an enterprise tier. Vendors that state they do not sign a BAA are excluded.

A BAA is necessary but not sufficient: you still have to configure the CRM correctly and limit what data goes in. This is not legal advice.

What we looked at
  • Vendor signs a BAA
  • Plan required for the BAA
  • Conditions and excluded features
  • Cost of the plan that includes it

order = 70% fact score + 30% documented BAA availability · computed, not negotiated · methodology

The ranking

#1

Zoho CRM

Chennai, India; US office in Austin, TX · SMB to mid-market, value · facts 2026-10-03
9.9list score
free planHIPAA BAA

Low-cost, deep CRM with a free plan for three users that already includes workflow automation; Standard adds email integration, built-in calling and custom modules.

Paid plans from
$14 per user / month
5 users, year 1
$840 on Standard
Free option
free plan

BAA: BAA on request; HIPAA settings listed from Standard. Core plan Standard $14 /user/mo.

#2

HubSpot

Cambridge, MA, USA · SMB to mid-market, all-in-one · facts 2026-10-03
8.3list score
free planmandatory setup feeHIPAA BAA

Free CRM for two users plus a broad paid suite; Sales Hub Starter adds workflows and calling, while Professional jumps to $90+ per seat and a required $1,500 onboarding.

Paid plans from
$20 per user / month
5 users, year 1
$1,200 on Starter
Free option
free plan

BAA: BAA on Enterprise tier with Sensitive Data enabled. Core plan Starter $20 /user/mo.

#3

Insightly

San Francisco, CA, USA · SMB to mid-market · facts 2026-10-03
8.2list score
14-day trial, no cardHIPAA BAAannual billing only

Classic CRM with leads, opportunities and projects; billed annually only, with workflow automation and AI Copilot from Professional.

Paid plans from
$29 per user / month
5 users, year 1
$2,940 on Professional
Free option
14-day trial

BAA: BAA available, no plan restriction stated (request it). Core plan Professional $49 /user/mo.

#4

ActiveCampaign

Chicago, IL, USA · Marketing-led small businesses · facts 2026-10-03
7.7list score
14-day trial, no cardHIPAA BAA

Email-marketing and automation platform first; the sales pipeline is a paid CRM add-on that needs at least the Plus plan.

Paid plans from
$88 per month, account
5 users, year 1
$1,632 on Plus + Pipelines
Free option
14-day trial

BAA: BAA on eligible (Enterprise) plans. Core plan Plus + Pipelines $88 /mo per account.

#5

monday CRM

Tel Aviv, Israel; US office in New York · SMB to mid-market, customizable · facts 2026-10-03
7.7list score
14-day trial, no cardmin 3 seatsHIPAA BAA

Highly customizable board-based CRM with automations and AI credits from Standard; sold in seat buckets with a three-seat minimum.

Paid plans from
$12 per user / month
5 users, year 1
$1,020 on Standard
Free option
14-day trial

BAA: BAA on Enterprise/Ultimate plan. Core plan Standard $17 /user/mo.

#6

Keap

Grapevine, TX, USA · Service businesses selling online · facts 2026-10-03
7.6list score
mandatory setup feeHIPAA BAA

CRM plus email marketing, landing pages, payments and a business phone line in one flat plan for two users; implementation is required.

Paid plans from
$249 per month, account
5 users, year 1
$4,640 on Keap
Free option
demo only

BAA: BAA on all editions after enabling HIPAA security controls. Core plan Keap $249 /mo per account.

#7

Salesforce Sales Cloud

San Francisco, CA, USA · SMB suites to enterprise · facts 2026-10-03
6.6list score
free planHIPAA BAAannual billing only

The enterprise standard, now with a free two-user suite; automation starts on Pro Suite ($100 per user, annual contract) and the full platform on Core ($195).

Paid plans from
$25 per user / month
5 users, year 1
$6,000 on Pro Suite
Free option
free plan

BAA: BAA signed through account rep; covers Sales and Service Cloud. Core plan Pro Suite $100 /user/mo.

At a glance

#CRMScoreCore plan5 users / yr 1Free option
1Zoho CRM9.9Standard · $14$840free plan
2HubSpot8.3Starter · $20$1,200free plan
3Insightly8.2Professional · $49$2,94014-day trial
4ActiveCampaign7.7Plus + Pipelines · $88$1,63214-day trial
5monday CRM7.7Standard · $17$1,02014-day trial
6Keap7.6Keap · $249$4,640demo
7Salesforce Sales Cloud6.6Pro Suite · $100$6,000free plan

Compare the top 3 side by side →

FAQ

Which CRMs sign a HIPAA BAA?

In our data: Zoho CRM, HubSpot, Insightly, ActiveCampaign, monday CRM, Keap, Salesforce Sales Cloud. Pipedrive, Copper, Capsule and Freshsales state they do not; Close and Attio publish no BAA statement.

Is HubSpot HIPAA compliant?

HubSpot signs a BAA only on Enterprise tiers with its Sensitive Data feature turned on. See the HubSpot review.