Twofold costs $49 per month billed annually, or $69 per month billed month‑to‑month, for unlimited AI‑generated clinical notes. That single price includes every feature Twofold offers: unlimited notes, the full template library, CPT and ICD‑10 coding, patient progress tracking, telehealth and in‑person sessions, mobile and desktop apps, and a signed BAA on every plan — with no per‑note fees, no add‑ons, and no premium tier holding features back. Twofold offers a 7‑day free trial that requires no credit card.
This guide explains exactly what Twofold charges, what "unlimited" means in practice, what is and isn't included, how group pricing works, and how the annual cost compares to the alternatives. All figures were verified on 28 July 2026.
Disclosure: this guide is published by Twofold Health. Twofold's figures come from our own pricing page; competitor figures come from their published pricing pages and are dated below so you can check them yourself.
How Much Does Twofold Cost?
Twofold has one paid plan plus a group option. There is no higher tier to upgrade into, and no permanent free plan — evaluation happens through a 7‑day free trial.
Plan | Price | Annual cost | Who it's for |
|---|---|---|---|
7-day free trial | $0 | — | Evaluating Twofold, no credit card |
Personal (billed annually) | $49/month | $588/year | Clinicians who chart every day |
Personal (month-to-month) | $69/month | $828/year | Clinicians who want no annual commitment |
Group | Custom | Volume-based | Practices of 3+ clinicians |
Paying annually rather than monthly saves $240 per year — $588 instead of $828, a 29% reduction. Both options carry exactly the same features; the only difference is the billing cycle.
What "Unlimited" Actually Means
Unlimited means unlimited notes on the paid plan, with no monthly cap, no daily cap, and no metering of the things clinicians actually do. Specifically, Twofold does not charge per note, per session, per minute of audio, per regeneration, or per AI action.
- Notes: no monthly or daily limit, whether you write 5 notes or 500.
- Drafts, edits, and regenerations: unlimited, and not counted against anything.
- Recording time: not metered — Twofold does not bill by the minute of audio.
- AI assistant use: not sold as credits or capped as a separate allowance.
What's Included — and What Isn't Held Back
The more useful question about an AI scribe's pricing is usually not the headline number but what the headline number excludes. On Twofold's paid plan, the answer is nothing: there is one paid tier, and it contains the whole product.
- Unlimited clinical notes across in-person, telehealth, and hybrid visits.
- The full clinical template library — 70+ formats including SOAP, DAP, BIRP, and GIRP — plus custom templates you define.
- CPT and ICD-10 coding suggestions, included rather than reserved for a higher tier.
- Patient progress tracking across sessions, and reports.
- The advanced AI assistant.
- Mobile and desktop apps.
- A signed BAA on every plan at no additional cost, and HIPAA-compliant handling throughout.
- Works alongside any EHR — Twofold is EHR-agnostic, so there is no integration tier to buy into.
Twofold supports 50+ languages. The free plan also carries full feature access rather than a stripped‑down preview.
The 7-Day Free Trial
Twofold's free trial runs 7 days and requires no credit card, so it cannot roll into a charge you didn't intend. If you cancel during the trial you are never charged. The trial carries full access to the product — unlimited notes, every clinical template, coding, the AI assistant, and mobile and desktop access — rather than a stripped‑down preview.
Twofold does not offer a permanent free plan. If free‑forever is what you need, Heidi has one, and the comparison section below sets out what it does and doesn't cover.
You can start on the pricing section of our homepage without entering payment details.
Group and Practice Pricing
The Group plan starts at 3 clinicians and is priced on volume rather than published as a flat rate. It adds the things a practice needs beyond individual use: centralized admin billing, flexible seat management, shared team templates, standardized documentation, team onboarding support, and a dedicated success manager.
Typical group pricing lands around $49 per clinician per month — flat and unlimited — with volume discounts above that. Practices from 3 to several hundred clinicians are supported; book a call to get a quote for your size.
Cancellation, Contracts, and Commitments
There are no contracts and no commitments. You can cancel Twofold at any time directly from your account settings — there are no cancellation fees and no retention call to sit through. You can also switch between monthly and annual billing at any time.
How Twofold's Annual Cost Compares
The comparison that matters is annual cost at each vendor's cheapest plan that removes the note cap, since that's what daily documentation actually requires. All figures below come from each vendor's own pricing page, verified 28 July 2026:
Plan | Price basis | Annual cost | Note limit | Coding included |
|---|---|---|---|---|
Twofold Personal (billed annually) | $49/month | $588 | Unlimited | Yes |
Freed Starter | $39/month | $468 | 40 per month | No |
Freed Core | $79/month | $948 | Unlimited | No |
Freed Premier (billed annually) | $104/month | $1,248 | Unlimited | Yes |
Heidi Clinician (billed yearly) | $110/user/month | $1,320 | Unlimited | No |
Heidi Practice (billed annually) | $180/user/month | $2,160 | Unlimited | Yes |
On unlimited notes alone, Twofold is $360 a year less than Freed Core and $732 less than Heidi Clinician. Coding changes the picture further: both Freed and Heidi reserve CPT and ICD‑10 coding for their top tier, so a clinician who codes is really comparing Twofold at $588 against Freed Premier at $1,248 and Heidi Practice at $2,160 — $660 and $1,572 a year less respectively.
Three details worth knowing. Heidi's listed prices are per user and exclude applicable sales tax, so the invoice runs higher than the sticker; Twofold's $49 includes tax. Heidi's Clinician plan is $110 per user per month only when billed yearly — billed monthly it is $150, or $1,800 a year. And Freed currently displays Starter at $39 against a struck‑through $59, so that plan's price advantage may be promotional.
Two honest caveats, because a pricing comparison that only points one way isn't worth much. First: at Freed's current $39 rate, a clinician writing fewer than 40 notes a month pays $468 a year against Twofold's $588 — genuinely cheaper, though at the $59 list price it would be $708 and the advantage reverses. Second, and more significant: Heidi offers a permanent free tier and Twofold does not. Heidi's free plan covers unlimited transcription, standard templates, and task management, with Ask Heidi, advanced templates, patient and session linking, and personalizations all limited, and no coding. If that covers your work it is free indefinitely, where Twofold gives you 7 days. Heidi's paid trial is also 14 days to Twofold's 7.
Our Freed pricing guide and Heidi pricing guide go deeper on each vendor's tiers and what sits behind them.
Bottom Line
Twofold costs $49 per month billed annually — $588 a year — for unlimited clinical notes with every feature included: coding, templates, progress tracking, the AI assistant, all devices, and a signed BAA. There is no higher tier, no per‑note fee, and no contract. Start with the 7-day free trial — no credit card required — and see what your own notes cost before you pay anything.