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Marketing · head to head

Fathom Analytics vs Freshpaint

Fathom Analytics logo

Fathom Analytics

Marketing

Website analytics made simple

From
$14/month
Rated
-
Freshpaint logo

Freshpaint

Marketing

Privacy layer that lets healthcare organisations run marketing analytics without sending PHI

From
On request
Rated
-

The short version

  • Each has a real cost: Fathom Analytics there is no free tier, only a 7 day trial; Freshpaint filtering necessarily degrades what advertising platforms receive, so campaign optimisation and lookalike modelling perform worse than an unfiltered pixel would, and the marketing team must accept measurably weaker targeting as the price of compliance.
  • They diverge on capability: Fathom Analytics covers Page view tracking, Freshpaint covers PHI detection and redaction.
  • Prices and features above were last checked on 31 August 2026.

Where they differ

Only the attributes on which Fathom Analytics and Freshpaint actually diverge.

Attributes where Fathom Analytics and Freshpaint differ
AttributeFathom AnalyticsFreshpaint
Starting price$14/monthOn request
Pricing modelsubscriptionquote
Founded2014Unknown

Identical on both: free tier (No), platforms (Web), user rating (Not yet rated), category (Marketing).

What each one covers

Drawn from each product's published feature list. An absence here means we hold no record of it - not that the product lacks it.

Only in Fathom Analytics

  • Page view tracking
  • Goal tracking
  • Real-time analytics
  • Referrer tracking
  • Privacy-focused
  • GDPR compliant
  • Cloud deployment
  • Web support

Only in Freshpaint

  • PHI detection and redaction
  • Business associate agreement
  • Event verification
  • Pixel replacement
  • Consent governance
  • Advertising destinations
  • Analytics and session tools
  • Audience activation

What people use each for

The jobs each tool is most often brought in to do.

Fathom Analytics

  • Privacy-focused web analytics without cookie bannersnot Freshpaint
  • A lightweight Google Analytics replacementnot Freshpaint
  • Tracking many sites from one accountnot Freshpaint
  • Long-term historical reporting while subscribednot Freshpaint

Freshpaint

  • A health system told by legal to remove its Meta and Google pixels that still needs to report cost per acquisition on service line campaignsnot Fathom Analytics
  • A provider running paid search for elective procedures that must send conversion signals without disclosing which condition page a visitor viewednot Fathom Analytics
  • A compliance officer who needs a field level record of exactly what patient related data leaves the website, for a privacy committeenot Fathom Analytics
  • A multi-site provider group standardising tracking governance across marketing agencies that would otherwise each add their own tagsnot Fathom Analytics

Where each one falls short

Documented limitations, not opinions. Every one is a constraint you would hit in normal use.

Fathom Analytics

  • There is no free tier, only a 7 day trial
  • Priced on pageviews, from $45 a month at the 500,000 pageview level
  • Custom events count against the pageview allowance rather than being tracked separately
  • Site allowances come in packs, with additional 50-site packs at $10 a month
  • Data is retained forever only while the subscription is active

Freshpaint

  • Filtering necessarily degrades what advertising platforms receive, so campaign optimisation and lookalike modelling perform worse than an unfiltered pixel would, and the marketing team must accept measurably weaker targeting as the price of compliance.
  • Pricing is not published on the vendor site despite three named tiers, and third party reports of entry around 599 US dollars a month cover only the lowest tier, with audiences and advertising activation sitting above it.
  • It addresses web and marketing tracking rather than the whole protected health information estate, so it solves one exposure while patient data in the CRM, call centre and email tooling remains a separate problem.
  • The commercial case rests on a specific regulatory interpretation of online tracking technologies, and litigation and future guidance could narrow or widen it, which makes the size of the problem it solves less stable than a compliance purchase usually is.
  • It is built for healthcare and priced accordingly, so an organisation wanting a general customer data platform pays for a regulatory specialism it does not need and gets narrower general purpose functionality than Segment or RudderStack.

Pricing, plan by plan

Fathom Analytics

$14/month
  • Starter$14/month
    • Unlimited page views
    • 1 site
    • Real-time analytics

Freshpaint

On request
  • Comply$undefined/month
    • Governance and consent foundation
    • PHI detection and redaction
    • Web analytics, funnels and surveys
  • Perform$undefined/month
    • Everything in Comply
    • Audiences and demand side platform activation
    • Attribution, journeys and recommendations
  • Scale$undefined/month
    • Everything in Perform
    • Ad performance reporting
    • Full AI feature access

Which should you pick?

Choose Fathom Analytics if

  • You need page view tracking.
  • You also want goal tracking.

Choose Freshpaint if

  • You need phi detection and redaction.
  • You also want business associate agreement.

Questions people ask

Is Fathom Analytics or Freshpaint better?
Neither clearly leads. Fathom Analytics starts at $14/month and Freshpaint at On request, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, Fathom Analytics or Freshpaint?
Fathom Analytics starts at $14/month and Freshpaint at On request.
Does Fathom Analytics or Freshpaint run on more platforms?
Both run on Web, so platform support will not decide this one for you.
What is Fathom Analytics best used for?
Fathom Analytics is most often used for privacy-focused web analytics without cookie banners, a lightweight google analytics replacement, tracking many sites from one account, long-term historical reporting while subscribed. Of those, privacy-focused web analytics without cookie banners and a lightweight google analytics replacement are not what Freshpaint is typically brought in for.
What can Fathom Analytics do that Freshpaint cannot?
Fathom Analytics covers Page view tracking, Goal tracking, Real-time analytics, Referrer tracking. Freshpaint covers PHI detection and redaction, Business associate agreement, Event verification, Pixel replacement.

Answered from the vendors’ own pages

Fathom Analytics: How much does Fathom Analytics cost?

Fathom's entry-level plan costs $45/month for up to 500,000 pageviews. Higher volume tiers exist (1M, 2M, 10M, 25M+ pageviews) with custom pricing. Yearly billing provides 2 months free.

Source
Freshpaint: Why can a hospital not just use Google Analytics?

US Department of Health and Human Services guidance treats IP addresses and health related page URLs as protected health information in this context, and advertising and analytics platforms will not sign a business associate agreement, so the disclosure is unlawful without an intermediary that filters.

Fathom Analytics: Is there a free trial for Fathom Analytics?

Yes, Fathom offers a 7-day free trial. There is no free tier after the trial ends.

Source
Freshpaint: Does Freshpaint sign a BAA?

Yes, and it holds SOC 2 Type II. That is the central reason it exists, because the destination platforms will not.

Fathom Analytics: What happens if my pageviews exceed my plan limit?

Fathom handles usage overage graciously, only upgrading your plan after two consecutive months over your limit. There are no immediate overage charges.

Source
Freshpaint: What does it cost?

Freshpaint does not publish prices. Three tiers, Comply, Perform and Scale, are all sales led, and third party sources report entry around 599 US dollars a month for the lowest.

Fathom Analytics: Can I add extra sites to my Fathom plan?

Yes, extra sites cost $10/month per 50-site pack, or $100/year (which includes two months free). All plans include a minimum of 50 included sites.

Source
Freshpaint: Will my ad performance suffer?

Somewhat. Stripping identifiers reduces what platforms can optimise against. The trade is weaker targeting in exchange for measurement that a compliance committee will approve.

Fathom Analytics: Can I cancel Fathom without a long contract?

Yes, there are no contracts and cancellation is flexible. Fathom does not lock customers into agreements.

Source
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