Telemedicine platform pricing remains one of the most confusing decisions in healthcare technology — and in 2026, that hasn’t changed. Costs vary wildly between vendors, hidden fees are still common, and most software companies still refuse to publish a clear price list. At TeleSecure360, we connect healthcare professionals and their patients through a secure Virtual Practice built for both web and mobile. Over the years, we’ve watched providers overpay for platforms that underdeliver. This guide exists to change that. Here is everything you need to evaluate, compare, and choose the right telehealth platform for your budget and your patients.

TL;DR — Your Quick Reference Checklist

1. ✅ Most telehealth platforms cost between $20 and $500 per provider per month.
2. ✅ Hidden fees — onboarding, EHR integration, compliance tools — can raise your real cost by 30–60%.
3. ✅ Monthly subscriptions work best for steady-volume clinics; pay-per-visit suits low-frequency providers.
4. ✅ Enterprise pricing is always negotiable — never accept the first number.
5. ✅ Demand a pilot period before any annual contract. If a vendor refuses, walk away.
6. ✅ A real telehealth platform does more than video calls — it manages records, remote monitoring, and chronic care.
7. ✅ Always compare at least three vendors using a Total Cost of Ownership (TCO) model, not just monthly price.

Why Telehealth Software Pricing Is Still So Opaque in 2026

Despite rapid growth in the virtual care market, most telehealth vendors still don’t list their prices publicly. This isn’t accidental — it’s a calculated sales strategy. But understanding why it happens helps you push back more effectively during procurement.

Three structural reasons drive the opacity:

1. Compliance complexity: HIPAA requirements, evolving state telehealth laws, and payer-specific billing mandates mean deployments are rarely identical. Vendors use this as justification for custom quoting — even when base pricing is standardized.
2. Integration variability: The cost to connect a telehealth platform to Epic, Cerner, or athenahealth differs based on your existing infrastructure. Vendors price integrations separately to avoid publishing a number that looks too high.
3. Practice scale: A solo practitioner and a regional hospital network have very different requirements. Vendors segment pricing tiers to maximize revenue at every level — but they rarely explain how those tiers are structured.

Telemedicine Platform Pricing Models: A Direct Breakdown

These are the five pricing structures you will encounter across the telehealth market in 2026:

1. Monthly Subscription (Per Provider)

Range: $20–$500/month per provider. This is the most widely used model and works well for clinics with predictable patient volume. The cost scales with the number of providers on your account, making it straightforward to budget as your team grows.

2. Pay-Per-Visit

Range: $0.05–$2.00 per completed virtual visit. Best suited to rural providers or clinics in early stages of telehealth adoption. At low volumes, this model avoids the commitment of a monthly fee — but at scale, it becomes significantly more expensive than a subscription.

3. Annual Enterprise License

Range: $5,000–$100,000+ per year. Designed for hospital networks, large multispecialty groups, and payer organizations. Typically includes white-label branding, dedicated support, custom integrations, and SLA guarantees.

4. Revenue Share

Range: 5–15% of collected revenue. A low upfront cost in exchange for a percentage of your billings. Suits telehealth startups and new practices. Plan your exit point from this model before patient volume grows.

5. Freemium

Cost: $0 for basic features; paid tiers for clinical functionality. Useful for testing — but not adequate for practices requiring scheduling, billing, EHR connectivity, or patient record management.

The Hidden Costs Most Vendors Don’t Mention Until You’ve Signed

Onboarding and Implementation

One-time setup fees range from $2,000 to $25,000 — covering data migration, configuration, and training. Some vendors waive this for annual commitments. Always ask before assuming it’s included.

EHR and EMR Integration

Connecting to your records system typically costs $3,000–$15,000 depending on API complexity. Verify what “seamless integration” actually means — and whether it’s included — in writing before proceeding.

Security and HIPAA Compliance Tools

Encrypted video, secure messaging, audit logs, and BAAs are mandatory for HIPAA-covered providers. These should be standard. If a vendor charges $50–$200/month extra for compliance features, that platform was not built for healthcare.

Patient App and White-Label Branding

Custom branding on the patient-facing portal or mobile app typically costs $5,000–$20,000 as a one-time development fee. Plan for this upfront if patient experience matters to your practice — and it should.

What We’ve Learned Helping Providers Navigate Telehealth Decisions

At TeleSecure360, we work directly with healthcare professionals across specialties — from independent psychiatrists to regional chronic care networks. The patterns in platform selection failures are consistent:

1. Total Cost of Ownership beats monthly price every time. A platform at $99/provider/month with $15,000 in integration fees often costs more over 3 years than one at $149/provider/month with integrations included.
2. Patients need more than a video window. Providers who get the most from telehealth use platforms built for ongoing care — remote monitoring, health record access, chronic disease management — not just one-off consultations.
3. Prescription and care plan continuity is a real gap. One of the most cited challenges among patients with chronic conditions is keeping up with medication changes and lifestyle adjustments between appointments. Platforms that support asynchronous messaging and care plan sharing address this directly.
4. Local specialist gaps are real — and telehealth solves them. A secure, integrated platform eliminates geographical barriers to specialist access when it’s built correctly.
5. Post-launch support quality matters as much as features. Reviews on G2, Capterra, and KLAS consistently show that providers regret choosing platforms with poor post-implementation support. Prioritize vendors with dedicated account managers and clear SLA commitments.

How to Compare Telehealth Platforms Without Getting Lost in the Numbers

1. Step 1 — Establish your monthly visit volume: Under 100/month? Per-visit pricing usually wins. Consistently above 300? A subscription pays for itself quickly.
2. Step 2 — List every system you need to connect: Get itemized pricing for each integration during vendor demos — not after.
3. Step 3 — Request a 3-year TCO estimate in writing: Any vendor unwilling to provide this has something to hide.
4. Step 4 — Run a 30 to 90-day pilot with live patients: Test connection quality, patient ease of use, scheduling, and support responsiveness.
5. Step 5 — Negotiate before you sign: Annual prepayment typically unlocks 15–25% discounts. Multi-year commitments can reach 35–40% at enterprise level.

Telehealth Platform Market Overview: 2026 Pricing Snapshot

1. Doxy.me — Free (basic); Pro from $35/month. Entry-level option for solo practitioners. Limited EHR and billing at lower tiers.
2. SimplePractice — $29–$99/month. Built for behavioral health and therapy. Telehealth included across paid plans.
3. Mend — From ~$100/month. Strong patient engagement automation. Better suited to mid-sized practices.
4. VSee — Free to enterprise custom. Robust video infrastructure for hospital-to-specialist workflows.
5. Zoom for Healthcare — From ~$200/month for HIPAA-compliant plans.
6. Teladoc Health / Amwell — Enterprise-only. Annual contracts from six figures. Built for national-scale health systems.
7. TeleSecure360 — Secure consultations, remote patient monitoring, personal health record access, chronic care management, and patient-provider communication — across web and mobile.

Frequently Asked Questions

How much does a telemedicine platform cost per month in 2026? Between $0 and $500/month for individual providers. Small to mid-sized clinics typically pay $100–$300 per provider monthly. Enterprise contracts start around $50,000 annually and scale beyond $250,000 for fully custom deployments.

What is the most affordable option for small clinics? For 1–5 providers, Doxy.me Pro ($35/provider/month) and SimplePractice (from $29/month) offer the strongest combination of affordability, compliance, and core clinical features without large upfront costs.

What should a telehealth platform include beyond video calls? Encrypted consultations, secure messaging, patient health record access, appointment scheduling, e-prescribing, remote monitoring, and chronic care management tools — on both web and mobile.

Is telemedicine software HIPAA-compliant by default? Not always. Always confirm compliance status and request a signed BAA before deploying any telehealth solution. Compliance features should never be a premium add-on.

The Bottom Line: Price Is a Starting Point, Not the Decision

The right telehealth platform is not necessarily the cheapest one — it’s the one that fits your clinical workflows, supports your patients across their full care journey, and delivers real value over a three to five-year horizon.

At TeleSecure360, the platform was built around one belief: healthcare professionals should be able to manage their practice securely online, and patients should be able to access their providers, their records, and their care plans without friction. That means building technology that goes far beyond a video window — it means creating a Virtual Practice where real care happens.

If you are evaluating telehealth options in 2026 and want a platform built around what patients and providers actually need — TeleSecure360 is worth a closer look.