9 Best AI Medical Scribes of 2026
By the TopToolAdvisor research desk · Updated November 7, 2026 · Next review December 22, 2026 · 9 products scored
Our pick in brief
Heidi is the best default because its free plan already includes unlimited ambient documentation and its Clinician plan costs $110 per user per month billed annually. Freed is the easiest paid start for a solo clinician, with Starter at $39 per month for up to 40 notes and Core at $79 for unlimited notes. Twofold is a low-friction choice for therapists and mixed practices at $69 per month. Health systems on Epic or a large EHR should shortlist Abridge, Suki, Nabla and Microsoft Dragon Copilot, which are sold by quote. Scribeberry fits Canadian clinics and web EMR users, and Sunoh.ai suits eClinicalWorks practices that want one flat per-user price.
Quick answer
Heidi is the best AI medical scribe for independent clinicians and small practices in 2026; Freed suits solo clinicians who want a simple monthly plan with specialty templates; Heidi's free plan costs $0, and Freed Starter is the cheapest verified paid option at $39 per month.
This list is for clinicians and practices that want an ambient AI scribe to listen to the visit and draft the note, so less charting happens after hours. We compared documented features and published prices for 9 AI medical scribes and scored each on features, ease of use and value. Prices are the cheapest paid plan in US dollars as shown on the vendor pricing page on the date we checked. Abridge, Microsoft Dragon Copilot, Suki and Nabla sell through sales teams to health systems and publish no list price, so their prices are marked as pending. Every tool here drafts a note for the clinician to review and sign; none of them replaces clinical judgment or the clinician's responsibility for the record.
By the numbers
- 19.8%In the U.S. Census Bureau's Business Trends and Outlook Survey period ending May 3, 2026, 19.8% of U.S. firms reported using AI in their business functions.Source: U.S. Census Bureau
- 19.95%In 2025, 19.95% of EU enterprises with 10 or more employees used at least one AI technology, according to Eurostat.Source: Eurostat
- 55.03%In 2025, 55.03% of large EU enterprises (250 or more employees) used AI, compared with 30.36% of medium and 17% of small enterprises, per Eurostat.Source: Eurostat
- 62.52%In 2025, 62.52% of EU enterprises in information and communication used AI, the highest of any sector, followed by professional, scientific and technical services at 40.43%.Source: Eurostat
- 55.9%In September 2026, 55.9% of U.S. businesses on Ramp's spend platform paid for AI models, subscriptions or APIs, up 12.1 points from a year earlier.Source: Ramp
- 2%AI spending is concentrated: 2% of firms accounted for over 50% of total AI spending in the 2026 NBER executive survey.Source: National Bureau of Economic Research
Shortlist scores
- 1HeidiIndependent clinicians and small practices that want to start free and add evidence answers, templates and admin routines later.9.0
- 2FreedSolo clinicians who want a low monthly price, specialty-specific notes and live support without a sales call.8.9
- 3TwofoldTherapists, nurse practitioners and mixed practices that want unlimited notes and coding suggestions at a flat monthly price.8.5
- 4AbridgeHealth systems and large medical groups that want an enterprise ambient platform rolled out across many specialties.8.3
- 5SukiMedical groups and health systems that want ambient notes plus coding and order staging inside their EHR.8.3
- 6NablaHealth systems and healthtech companies that want ambient notes, Epic dictation and an API to embed clinical AI.8.1
- 7ScribeberryClinicians in Canada and US clinicians on web EMRs who want unlimited notes and no per-note fees.8.1
- 8Microsoft Dragon CopilotHealth systems already using Dragon Medical One or Microsoft healthcare products that want ambient notes across roles.8.0
- 9Sunoh.aiAmbulatory practices on eClinicalWorks and other major EHRs that want ambient notes and order capture at a flat price.8.0
How the scores work
Each product is rated out of 10 on the same three criteria, then ranked by the weighted total. Scores compare documented features and published prices, not hands-on testing.
- 35%Features
- 35%Ease of use
- 30%Value
No. 1, our pick
HeidiAn ambient AI scribe and clinical assistant with a free plan that includes unlimited ambient documentation.
9.0of 10Best for Independent clinicians and small practices that want to start free and add evidence answers, templates and admin routines later.
- Features
- 9.0
- Ease of use
- 8.8
- Value
- 9.2
Price
Free plan; Clinician from $110 per user per month billed annually
Quoted from the Heidi pricing page on November 7, 2026:
$110 per user / month
Heidi ranks first because it gives away the core job: the free plan includes unlimited ambient documentation, clinical answers with citations and HIPAA-compliant security, so a clinician can run real visits through it before paying anything. The Clinician plan at $110 per user per month billed annually adds custom templates for notes and documents, routines for pre-charting and billing code support, clinical evidence during visits and peer-reviewed journal search. Heidi sells two seat types on Clinician, Standard and Max, and Max expands the monthly limit that Agents and Routines consume; scribing and evidence questions do not use that allowance. A desktop app captures telehealth audio directly from the call and lets you dictate anywhere on screen. The Teams plan, priced by quote, adds EHR integration, shared templates, team controls and SSO. The trade-offs are a paid seat that costs more than Freed or Twofold, and EHR integration that sits on the team tier.
Strengths
- +The free plan keeps unlimited ambient documentation
- +Trainees can get the Clinician plan free after verifying student status
- +Teams plan adds EHR integration, shared templates and optional SSO
Drawbacks
- −Paid Clinician seat is $110 per month even on annual billing
- −Agents and Routines draw from a monthly usage limit
- −EHR integration is listed on the custom-priced Teams plan
- Free plan
- Yes, unlimited ambient documentation
- Clinician plan
- $110 per user per month billed annually, Standard or Max seats
- Free trial
- 14 days on Clinician
- Compliance
- HIPAA-compliant security on every plan
No. 2
FreedAn AI scribe for individual clinicians and small clinics, with specialty templates, coding help and EHR push on higher plans.
8.9of 10Best for Solo clinicians who want a low monthly price, specialty-specific notes and live support without a sales call.
- Features
- 8.6
- Ease of use
- 9.1
- Value
- 9.0
Price
Starter from $39 per month for 1 clinician and up to 40 notes; Core $79 per month with unlimited notes
Quoted from the Freed pricing page on November 7, 2026:
Affordable plans starting at $39/mo
Freed is the simplest paid on-ramp on this list. Starter costs $39 per month for one clinician and covers up to 40 notes, which suits part-time or low-volume practices, while Core at $79 removes the note cap and adds an instant template builder and Clinical Evidence answers from more than 50 sources. Premier, at $104 per month billed annually, is where Freed becomes a fuller assistant: visit prep summaries, patient instructions, letters and referrals, dictation with saved phrases, ICD-10 and CPT coding, and one-click push into browser-based EHRs. Freed covers more than 20 specialties with prebuilt templates and can learn the format of a note you edit. Audio is deleted once the note and quality checks are complete, and it captures visits in languages such as Spanish, Mandarin and Polish, writing the note in English. The downsides are the note cap on Starter and the need for Premier before notes flow into your EHR.
Strengths
- +Starter costs $39 per month for one clinician
- +7-day free trial with no credit card
- +Residents, students and trainees can get Core free
Drawbacks
- −Starter caps usage at 40 notes per month
- −EHR push and coding need the Premier plan
- −Group features such as SSO and admin dashboards are custom priced
- Starter
- $39 per month, up to 40 notes
- Core
- $79 per month, unlimited notes
- Premier
- $104 per month billed annually, $119 monthly
- Languages
- Captures 14 languages and writes the note in English
No. 3
TwofoldAn AI scribe for clinicians and therapists that turns live sessions, dictation or uploaded recordings into notes.
8.5of 10Best for Therapists, nurse practitioners and mixed practices that want unlimited notes and coding suggestions at a flat monthly price.
- Features
- 8.0
- Ease of use
- 9.0
- Value
- 8.6
Price
Personal $69 per month, $19 for the first month; annual billing saves 29%
Quoted from the Twofold pricing page on November 7, 2026:
Personal Was $69/mo
Twofold is a flexible scribe for clinicians who do not always document the same way. It can listen to a live session, turn a dictated summary into a note, build a note from typed text or process an uploaded recording, and it works in person or over telehealth on desktop and mobile. The Personal plan lists at $69 per month with unlimited notes, a clinical templates library, an advanced AI assistant and CPT and ICD coding suggestions, and new users pay $19 for the first month after a free week. Twofold states that a signed BAA is included and that it works with any EHR, which in practice means you copy the finished note into your system rather than rely on a native integration. The Group plan adds volume pricing, centralized billing, shared team templates and a success manager. It suits therapists and outpatient clinicians well; larger practices that need write-back into the EHR should look at Freed Premier or the enterprise tools.
Strengths
- +Free week with no credit card, then $19 for the first month
- +Signed BAA included on Personal
- +Unlimited notes on every plan
Drawbacks
- −No deep EHR integration listed on the pricing page
- −Group pricing is custom
- −The $69 list price is above Freed Starter
- Free trial
- 7 days, full access, no card
- Personal
- $69 per month list price, $19 for the first month
- Annual billing
- Saves 29%
- BAA
- Signed BAA included
No. 4
AbridgeAn enterprise ambient AI platform for health systems that drafts specialty notes and supports revenue cycle and nursing teams.
8.3of 10Best for Health systems and large medical groups that want an enterprise ambient platform rolled out across many specialties.
- Features
- 9.4
- Ease of use
- 8.4
- Value
- 7.0
Price
See vendor pricing (USD check pending); sold to health systems by quote
We could not confirm a US price yet. Check the Abridge pricing page.
Abridge is the most complete enterprise option here, and it is built for health systems rather than individual clinicians. Before the visit it surfaces relevant history and open care gaps; during the conversation it captures orders and clinical insights in the background; and when the visit ends a structured, specialty-specific note is ready for review. The Abridge Assistant answers clinical questions using the chart and the conversation, with sources such as the New England Journal of Medicine and JAMA, and clinicians can earn CME credit for that research. Beyond physicians, Abridge sells products for revenue cycle teams and for nursing documentation. The vendor states it is trusted by more than 300 health systems and lists Best in KLAS recognition for 2025 and 2026, plus enterprise controls such as SSO, 256-bit encryption and US-based data centers. There is no public price or self-serve sign-up, so independent practices cannot buy it directly.
Strengths
- +Used by 300+ health systems according to the vendor
- +Named Best in KLAS market leader in healthcare AI for 2025 and 2026
- +Enterprise controls including SSO, 256-bit encryption and US-based data centers
Drawbacks
- −No public pricing or self-serve sign-up
- −Built for enterprise deployments rather than solo clinicians
- −Rollout runs through the health system, not the individual user
- Customers
- 300+ health systems
- Specialties
- Used across 40+ specialties at one customer
- Recognition
- Best in KLAS 2025 and 2026
- Buying
- Contact sales
No. 5
SukiAn AI clinical assistant that handles ambient notes, coding, orders and patient instructions across major EHRs.
8.3of 10Best for Medical groups and health systems that want ambient notes plus coding and order staging inside their EHR.
- Features
- 9.1
- Ease of use
- 8.5
- Value
- 7.0
Price
See vendor pricing (USD check pending); sold through sales
We could not confirm a US price yet. Check the Suki pricing page.
Suki covers more of the visit than most scribes. Before the encounter it produces patient summaries and lets you ask clinical questions answered from UpToDate with patient context. During the visit it transcribes the conversation, drafts a specialty-specific note that goes to the EHR, stages orders for your review and generates ICD-10, HCC, CPT and E/M codes. You can run several ambient sessions for the same patient, such as after labs or imaging, and get one complete note. After the visit it writes patient instructions in 80 languages at a fifth grade reading level and lets you edit notes by voice. Suki supports more than 100 specialties in settings from ambulatory and inpatient to home health, on the web, a Chrome extension, iOS and Android. It integrates with major EHRs. The main drawback for small practices is buying: there is no published price and sign-up starts with a sales conversation.
Strengths
- +Supports 100+ specialties and settings from ambulatory to inpatient
- +Web app, Chrome extension, iOS and Android
- +Multiple ambient sessions can be combined into one note
Drawbacks
- −No published price
- −Purchase starts with a contact form
- −Best value depends on an EHR integration your organization supports
- Specialties
- 100+
- Languages
- 80
- Platforms
- Web, Chrome extension, iOS, Android
- Buying
- Contact sales
No. 6
NablaA clinical AI layer that provides ambient documentation, dictation and coding for health systems and healthtech partners.
8.1of 10Best for Health systems and healthtech companies that want ambient notes, Epic dictation and an API to embed clinical AI.
- Features
- 8.6
- Ease of use
- 8.4
- Value
- 7.2
Price
See vendor pricing (USD check pending); sold through sales
We could not confirm a US price yet. Check the Nabla pricing page.
Nabla positions itself as a clinical AI layer that covers the visit from chart prep to the final code. Its ambient documentation captures the patient and clinician conversation and generates a structured note, its dictation is built into Epic and other major EHRs, and its coding module suggests E/M and ICD-10 codes grounded in the documentation and AMA guidelines while leaving the decision with the clinician. Notes can be configured by specialty, preference and workflow. Nabla also sells to healthtech companies, which can embed it through Nabla Connect or go API-first. On security it lists HIPAA, SOC 2 Type 2, ISO 27001 and GDPR, with data retention that each organization can configure. Customers named on its site include Carle Health and Denver Health. Nabla offers a free trial from its homepage, but it does not publish a price, so budgeting requires a sales conversation.
Strengths
- +HIPAA, SOC 2 Type 2, ISO 27001 and GDPR listed
- +Configurable data retention policies
- +Free trial offered from the homepage
Drawbacks
- −No published price
- −Focus is on enterprise and partner deployments
- −Fewer public plan details than self-serve scribes
- Compliance
- HIPAA, SOC 2 Type 2, ISO 27001, GDPR
- Dictation
- Built into Epic and major EHRs
- Partners
- Nabla Connect or API
- Buying
- Contact sales
No. 7
ScribeberryA Canadian AI scribe with unlimited notes, form filling and web EMR integrations at one flat monthly price.
8.1of 10Best for Clinicians in Canada and US clinicians on web EMRs who want unlimited notes and no per-note fees.
- Features
- 7.8
- Ease of use
- 8.5
- Value
- 8.0
Price
Free trial mode with 20 uses per month; Pro $99 per month; Enterprise $79 per user per month for 5+ providers
Quoted from the Scribeberry pricing page on November 7, 2026:
Pro is $99 a month for unlimited notes, dictation and forms.
Scribeberry keeps pricing simple: a free mode with 3 days of unlimited use and then 20 uses per month, Pro at $99 per month with unlimited notes, dictation and forms, and Enterprise at $79 per user per month for practices with 5 or more providers. Every plan includes live transcription into a structured note in more than 40 languages, form auto-fill and Smart Pull and Smart Push to web EMRs, and Pro adds custom templates and pre-intake AI agents. Its integration list is strongest in Canada, with Accuro, OSCAR Pro, TELUS PS Suite and Jane App, and it also lists Epic, Oracle Health, athenahealth and eClinicalWorks. Scribeberry states it is HIPAA and PIPEDA compliant, SOC 2 Type 2 certified and keeps no audio. The trade-off is price for a single clinician: $99 is more than Freed Core or Twofold, though the free mode and the 5-seat Enterprise rate soften that.
Strengths
- +No per-note fees and no contracts
- +Zero audio retention and SOC 2 Type 2 listed
- +Free mode stays at 20 uses per month after the trial
Drawbacks
- −Pro at $99 is above Freed and Twofold entry plans
- −Custom templates are not in the free mode
- −Many integrations target Canadian EMRs
- Free mode
- 3 days unlimited, then 20 uses per month
- Pro
- $99 per month, unlimited
- Enterprise
- $79 per user per month for 5+ providers
- Compliance
- HIPAA and PIPEDA, SOC 2 Type 2
No. 8
Microsoft Dragon CopilotMicrosoft's AI clinical assistant that combines ambient capture, dictation and task automation for physicians, nurses and radiologists.
8.0of 10Best for Health systems already using Dragon Medical One or Microsoft healthcare products that want ambient notes across roles.
- Features
- 9.3
- Ease of use
- 8.0
- Value
- 6.6
Price
See vendor pricing (USD check pending); sold through Microsoft sales
We could not confirm a US price yet. Check the Microsoft Dragon Copilot pricing page.
Dragon Copilot is Microsoft's AI clinical assistant and the successor path for Dragon Medical One customers. For physicians it ambiently captures multi-party, multilingual conversations and orders, or records on demand, and turns them into specialty-specific notes you can customize. It answers questions from transcripts, notes and third-party medical references with citations, and drafts coding suggestions, clinical evidence summaries, referral letters and after-visit summaries. For nurses it converts ambient observations into structured flowsheet documentation for review, and for radiologists it speeds reports with prior report summarization and drafted impressions. Microsoft positions it as an extensible workspace that integrates with EHRs and other health IT systems. The breadth across roles is its main strength. The drawbacks are buying and setup: there is no public price, it is sold to organizations, and rollout depends on integration work with your EHR and IT team.
Strengths
- +Covers physicians, nurses and radiologists in one product
- +Migration path from Dragon Medical One
- +Answers questions from transcripts, notes and medical references with citations
Drawbacks
- −No published price
- −Sold to organizations rather than individual clinicians
- −Setup depends on EHR and IT integration work
- Roles
- Physicians, nurses, radiologists
- Capture
- Ambient or on-demand recording
- Migration
- Upgrade path from Dragon Medical One
- Buying
- Contact Microsoft
Visit microsoft.com|See the Microsoft Dragon Copilot profile
No. 9
Sunoh.aiAn ambient AI medical scribe that drafts SOAP notes and captures orders, with one published per-user price.
8.0of 10Best for Ambulatory practices on eClinicalWorks and other major EHRs that want ambient notes and order capture at a flat price.
- Features
- 7.8
- Ease of use
- 8.6
- Value
- 7.6
Price
From $149 per user per month (limited-time price)
Quoted from the Sunoh.ai pricing page on November 7, 2026:
Starting at $149 per user per month for a limited time.
Sunoh.ai is an ambient scribe with a plain feature set and a single published price of $149 per user per month, which the vendor marks as a limited-time offer. It listens to the visit, produces a transcript and turns it into a draft clinical summary and SOAP note sorted into progress note sections. It also captures labs, imaging, procedures, medication orders and follow-up details from the conversation, and you can edit the draft before importing it into the EHR or export it as a PDF. The sign-up form lists EHRs such as eClinicalWorks, athenahealth, Epic, NextGen and ModMed. Support runs around the clock, implementation is included, the service runs on Microsoft Azure and a BAA comes with the subscription. Sunoh states more than 100,000 providers use it. It ranks lower because it costs more than Freed, Twofold or Heidi and offers fewer evidence or assistant features.
Strengths
- +Published per-user price
- +24x7x365 support and implementation included
- +BAA included and runs on Microsoft Azure
Drawbacks
- −$149 per user is the highest verified price here
- −The listed price is marked as a limited-time offer
- −Fewer evidence and assistant features than Heidi or Suki
- Price
- $149 per user per month
- Users
- Over 100,000 providers according to the vendor
- Support
- 24x7x365, implementation included
- BAA
- Included
What to check before you buy
Match the scribe to your EHR first
A note is only useful once it lands in the chart. Freed Premier pushes notes into browser-based EHRs, Scribeberry uses Smart Pull and Smart Push with web EMRs, and Suki, Nabla, Abridge and Dragon Copilot integrate with major enterprise EHRs. Ask each vendor for a demo inside the exact EHR and version you run.
Count notes, not just seats
Some entry plans cap usage. Freed Starter allows up to 40 notes per month, Scribeberry's free trial mode drops to 20 uses per month after 3 days, and Heidi's free seat has a weekly allowance for features beyond scribing. If you see 20 or more patients a day, price the unlimited tier.
Check the BAA and data handling
In the US a scribe processes protected health information, so you need a business associate agreement. Twofold and Sunoh.ai state a BAA is included, Freed lists an organization-wide BAA on its Groups plan, and Scribeberry states zero audio retention. Read each vendor's retention settings before you record patients.
Look past the note to coding and orders
Several scribes now draft more than the note. Freed Premier and Suki suggest ICD-10 and CPT codes, Suki and Sunoh.ai capture orders from the conversation, and Dragon Copilot drafts referral letters and after-visit summaries. These extras matter most to practices that bill their own visits.
Run a short trial with real visits
Heidi has a free plan, Freed offers a 7-day trial with no card, Twofold gives a free week and Scribeberry gives 3 days of unlimited use. Test on your own specialty and patient mix, and get patient consent for recording as your state and practice policy require.
Common questions
- What is the best AI medical scribe in 2026?
- Heidi ranks first on our list because its free plan includes unlimited ambient documentation and its Clinician plan costs $110 per user per month billed annually. Freed and Twofold follow, with paid plans from $39 and $69 per month.
- Is there a free AI medical scribe?
- Heidi has a permanent free plan with unlimited ambient documentation. Scribeberry's trial mode gives 3 days of unlimited use and then 20 uses per month at no cost. Freed and Twofold offer free trials of 7 days rather than a free plan.
- How much does an AI medical scribe cost?
- Among vendors that publish USD prices, Freed Starter costs $39 per month, Twofold Personal $69, Scribeberry Pro $99, Heidi Clinician $110 billed annually and Sunoh.ai $149 per user per month. Abridge, Suki, Nabla and Microsoft Dragon Copilot are priced by quote.
- Do AI medical scribes integrate with my EHR?
- Most do, but depth varies. Freed Premier pushes notes into browser-based EHRs, Scribeberry pulls and pushes with web EMRs, and Suki, Nabla, Abridge and Dragon Copilot integrate with major enterprise EHRs. Twofold works alongside any EHR by copying the finished note.
- Are AI medical scribes HIPAA compliant?
- The vendors on this list describe HIPAA-compliant handling, and Twofold and Sunoh.ai state a BAA is included with paid plans. Confirm you have a signed BAA and review audio retention settings before recording patients.
Questions or corrections: editorial@toptooladvisor.com
No affiliate links and no paid placement; see our disclosure and editorial policy. Vendors update prices without notice, so confirm on their site first.