How much does an AI scribe cost?
Standalone AI medical scribes list at roughly $39 to $119 per clinician per month in 2026 (Freed's plans run $39 billed annually to $119 monthly; Twofold's Personal lists at $69). Watch the fine print: entry tiers cap notes (Freed's Starter, $39 a month billed annually, stops at 40 notes), and push-to-EHR integration is usually reserved for the top plan. That subscription also stacks on top of what you already pay for your EHR. Orion prices it the other way: Aurora, the ambient AI scribe, is included in both plans at $189 to $249 per billing provider, per month.
The per-clinician subscription looks small until you multiply it. Six treating therapists on Freed’s $119 Premier plan is $714 a month, about $8,600 a year, on top of the EHR you already pay for. And the cheap tiers are cheap for a reason. Freed’s Starter plan, $39 a month billed annually, caps you at 40 notes, which a full PT caseload burns through in under two weeks. “EHR push integration” appears on the $119 plan alone. Twofold’s Personal plan lists at $69 a month billed annually.
The built-in model removes the second subscription instead of discounting it. Aurora is included in both Orion plans at $189 to $249 per billing provider, per month. There is no note cap and no integration tier, because the draft is written inside the chart it belongs to. One invoice, one vendor, one place the note lands.
Scribe pricing moves often, so check the vendor’s page the week you decide. The rest of the evaluation matters just as much: where the note lands, who signs the BAA, what to test in a trial. Our guide to choosing an AI scribe for your PT practice walks through all five questions.
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