RESEARCHED COMPARISON · Updated October 14, 2026
GoHighLevel vs ActiveCampaign for Chiropractors (2026)
Both platforms come up in nearly every chiropractic marketing conversation. GoHighLevel is an all-in-one, agency-style platform. ActiveCampaign is an email-first automation platform. For a clinic, the biggest difference is what HIPAA coverage really costs.
How these scores work: we haven't tested these tools hands-on yet. Scores are provisional and use only what vendors publish (checked October 14, 2026), weighted ROI evidence 30%, ease 25%, cost 20%, support 15%, data security 10%. ROI evidence is 2/5 for every tool because none has independent, chiropractic-specific results we could verify. Data security is a minor factor, but tools that would hold patient data without a BAA score low on it. See our rubrics. Prices change, so confirm with the vendor before you buy.
At a glance
| Tool | Pricing (vendor site) | HIPAA / BAA | Provisional score |
|---|---|---|---|
| ActiveCampaign | Starter from $15/mo, Plus $49/mo, Pro $79/mo, Enterprise $145/mo (billed annually, 1,000 email contacts). 30-day money-back guarantee. | BAA "available on eligible plans"; ActiveCampaign's plan overview lists "HIPAA support" under Enterprise. Confirm the tier with sales. | 60/100 |
| GoHighLevel | Starter $97/mo, Unlimited $297/mo, Agency Pro $497/mo; 14-day free trial. Usage-based charges for SMS, email, calls and AI. | BAA available only with the HIPAA add-on ($297/mo). HighLevel says it is "not HIPAA compliant by default." | 47/100 |
Verdict
Choose ActiveCampaign if you mainly need email nurture and reactivation and want the lower published price. Choose GoHighLevel if you want texting, calendars, funnels, reviews and phone in one place and will pay for the HIPAA add-on. Either way, get the BAA signed before you import patients.
ActiveCampaign
Starter $15, Plus $49, Pro $79, Enterprise $145 per month (billed annually, 1,000 contacts). ActiveCampaign says a BAA is available on eligible plans, and its plan overview puts HIPAA support on Enterprise.
Score breakdown (1–5): ROI 2, HIPAA 4, ease 3, cost 4, support 3 = 60/100. Sources: activecampaign.com/pricing; activecampaign.com/blog/hipaa-compliant-marketing; help.activecampaign.com plan overview.
GoHighLevel
Starter $97, Unlimited $297, Agency Pro $497 per month, with unlimited contacts and users. HighLevel states it is "not HIPAA compliant by default." The HIPAA module costs $297/mo, includes an in-app BAA, and activation typically takes 48–72 hours.
Score breakdown (1–5): ROI 2, HIPAA 4, ease 2, cost 2, support 3 = 47/100. Sources: gohighlevel.com/pricing; gohighlevel.com/hipaa.
Side by side
| GoHighLevel | ActiveCampaign | |
|---|---|---|
| Entry price | $97/mo (Starter, 3 sub-accounts) | $15/mo (Starter, billed annually, 1,000 contacts) |
| HIPAA path | $297/mo HIPAA add-on + in-app BAA | BAA on eligible plans; HIPAA support listed on Enterprise (from $145/mo billed annually) |
| Pricing model | Flat plan, unlimited contacts and users; usage charges for SMS, email, calls and AI | Priced by contact count; users capped by plan (1–5) |
| Built in | CRM, funnels/websites, calendars, texting, calling, reviews, social, courses, Voice/Conversation AI | Email automation, segmentation, landing pages, CRM (pipelines are an add-on), WhatsApp/SMS channels |
| Trial / guarantee | 14-day free trial | 14-day free trial; 30-day money-back guarantee |
| Provisional score | 47/100 | 60/100 |
FAQ
Is GoHighLevel HIPAA compliant?
Not by default. HighLevel says you must buy its HIPAA add-on ($297/mo) and sign its BAA to enable its HIPAA features.
Is ActiveCampaign HIPAA compliant?
ActiveCampaign says it offers a BAA on eligible plans, and its plan overview lists HIPAA support under Enterprise. Confirm the exact tier with its sales team.
Which is cheaper for a small chiropractic clinic?
On published prices, ActiveCampaign. Even its Enterprise tier ($145/mo billed annually at 1,000 contacts) costs less than GoHighLevel Starter plus the HIPAA add-on ($97 + $297).
Can I switch later?
Both offer 14-day free trials. ActiveCampaign also advertises a 30-day money-back guarantee.
Not legal or HIPAA-compliance advice. Get a signed BAA from any vendor before it handles patient information.