Abyde vs Accountable
Updated October 21, 2026
Every medical, dental, and therapy practice in the US must keep a written HIPAA program, and small offices without a compliance officer often buy software that walks them through it. Abyde and Accountable both sell that software at posted prices, but the detail buyers overlook is what sits around the HIPAA core: Abyde adds workplace safety rules from OSHA as a separate product, while Accountable adds security tests such as phishing drills and penetration testing on its higher plans. Which extra your office needs decides the better buy, so we compared the two.
Our analysts compared Abyde and Accountable on price, coverage, OSHA, security testing, support, and audit results, using the HIR review of each company and each vendor's own pricing checked this month. In the following sections, we compare them in one table and describe the practice each one suits.
Abyde vs Accountable at a glance, October 2026
| What buyers weigh | Abyde | Accountable |
|---|---|---|
| Published price | $161 per month per product for one location with up to 10 employees on a 12-month term. | Billed yearly, Basic is $169 per month and Plus is $254 per month for 15 employees, and Pro is $679 per month for 20. Extra seats cost $9 to $19 per month each. |
| Pricing model | A subscription for each product, paid monthly or for a 12-month term. | Three plans with a set number of employees included, billed monthly or yearly. |
| What drives cost | Locations, staff count, how many of the four products you add, and whether you prepay the year. | The plan, employees beyond the included count, and monthly versus yearly billing. |
| What it covers | HIPAA and OSHA programs, a business associate edition, and a stand-alone security risk analysis. | A HIPAA program with policies, a risk assessment, staff training, vendor tracking, and an AI agent that drafts the first pass. |
| OSHA compliance | Sold as its own product for healthcare offices. Clear edge | Not offered in the same system. |
| Security testing | Not published | Phishing tests and breach monitoring on Plus, and vulnerability scans plus a yearly penetration test on Pro. Clear edge |
| Support | Compliance staff answer by live chat and tickets and help after an incident, all in the base price. | Help preparing a response if federal HIPAA enforcers open an audit, with dedicated compliance support on Pro. |
| Audit results | Scores 6.6 for passing audits and closing gaps. | Scores 7.0 for passing audits and fixing what they find. Higher score |
| Program coverage | Scores 6.5 for compliance coverage. | Scores 7.4 for how much of HIPAA it covers. Higher score |
| Getting the program running | Scores 7.5 for setup. | Scores 7.8 for getting the program running. Higher score |
| Pricing clarity score | 8.4 | 8.6 |
| HIR overall score | 7.0, Recommend. | 7.5, Recommend. Higher score |
| Best for | Independent dental, eye care, and medical offices that also need OSHA. | Dental, therapy, and small medical practices, plus health tech startups. |
| Not a fit for | Larger groups that need security monitoring or testing. | Companies that need SOC 2 or several frameworks in one tool. |
Which fits which buyer
Start with whether you also need OSHA.
Choose Abyde if
- You need HIPAA and OSHA programs from one vendor.
- You run a single dental, eye care, or medical office with a small staff.
- You want compliance staff to help after an incident at no extra cost.
Choose Accountable if
- You want phishing tests, breach monitoring, or a yearly penetration test.
- You run a health tech startup that must show customers it is compliant.
- You want an AI agent to draft policies and find vendors for your review.
Verdict
Accountable scores higher and fits practices and health tech startups that want a full HIPAA program with security testing on its upper plans. Abyde fits independent offices that need HIPAA and OSHA in one place at a low monthly price per product.
Neither replaces a security team, so larger groups with their own systems should look at Clearwater.
Methodology
Each row comes from the HIR reviews of Abyde and Accountable, scored under the HIR method, and from each vendor's public pricing where it exists. Any published price for Abyde or Accountable was checked on that vendor's own site on October 21, 2026.
A green check marks a clear edge for Abyde or Accountable only where their review scores differ by at least 0.3 points or the two reviews show a plain difference. Rows with nothing published for either Abyde or Accountable are left out, and time to full value for each adds up the rollout stages in its review.
Sources
- HIR review of Abyde and HIR review of Accountable
- Abyde pricing, checked October 21, 2026
- Accountable pricing, checked October 21, 2026