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Healthcare · head to head

MDLive vs Signant Health

MDLive logo

MDLive

Healthcare

On-demand telehealth and virtual doctor visits

From
Free
Rated
-
Full reviewWebsite
Signant Health logo

Signant Health

Healthcare

eCOA-first clinical trial platform that has grown outward into EDC, eConsent and televisits

From
On request
Rated
-
Full reviewWebsite

The short version

  • Only MDLive has a free tier, so it costs nothing to try first.
  • Each has a real cost: MDLive wide price ranges ($0-89, $0-179, $0-299) indicate insurance-dependent costs with minimal baseline transparency; Signant Health no pricing is published, and the software licence is a minority of the real bill once instrument licensing, translations, device provisioning and services are added, so early budget estimates are routinely too low.
  • They diverge on capability: MDLive covers Video Consultations, Signant Health covers eCOA and ePRO.
  • Prices and features above were last checked on 31 August 2026.

Where they differ

Only the attributes on which MDLive and Signant Health actually diverge.

Attributes where MDLive and Signant Health differ
AttributeMDLiveSignant Health
Starting priceFreeOn request
Pricing modelusage-basedquote
Free tierYesNo
PlatformsWeb, MobileWeb, iOS, Android
Founded2002Unknown

Identical on both: user rating (Not yet rated), category (Healthcare).

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 MDLive

  • Video Consultations
  • Mental Health Services
  • Psychiatry
  • Prescription Services
  • Urgent Care
  • Insurance
  • EHR Systems
  • HIPAA

Only in Signant Health

  • eCOA and ePRO
  • Unified platform
  • eConsent
  • Randomisation and supplies
  • TeleVisits
  • Rater training
  • Data surveillance
  • Instrument library

What people use each for

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

MDLive

  • Telemedicine urgent care visitsnot Signant Health
  • Mental health counseling and psychiatrynot Signant Health
  • Dermatology consultationsnot Signant Health
  • Primary care wellness screeningsnot Signant Health

Signant Health

  • A central nervous system or psychiatry trial where the primary endpoint is a rated scale and rater consistency decides the readoutnot MDLive
  • A global study needing an outcome instrument translated and linguistically validated across a dozen languagesnot MDLive
  • A decentralised or hybrid protocol combining televisits, eConsent and at-home patient reported outcomesnot MDLive
  • A sponsor consolidating separate eCOA, eConsent and randomisation vendors onto one platform to cut reconciliation worknot MDLive

Where each one falls short

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

MDLive

  • Wide price ranges ($0-89, $0-179, $0-299) indicate insurance-dependent costs with minimal baseline transparency
  • Cancellation fees up to $50 for mental health appointments apply within 24 hours
  • Pricing varies substantially based on insurance coverage with no guaranteed maximum out-of-pocket

Signant Health

  • No pricing is published, and the software licence is a minority of the real bill once instrument licensing, translations, device provisioning and services are added, so early budget estimates are routinely too low.
  • Linguistic validation is charged per instrument per language and is on the critical path to first patient in, so adding a country late in start-up produces both a cost and a schedule hit.
  • Provisioned participant devices bring logistics, replacement, shipping and cellular connectivity obligations that persist for the life of the trial and are frequently underestimated.
  • The EDC component is newer than the eCOA heritage, so sponsors with complex data management requirements often keep an incumbent EDC and lose the single-database benefit that justifies the platform.
  • It is priced and scoped for sponsor-grade trials, which makes it a poor fit for investigator-initiated or academic studies that need outcome collection without the services layer.

Pricing, plan by plan

MDLive

Free
  • Urgent Care$null/visit
    • $0-89 per visit with insurance
    • Immediate care access
  • Primary CareFree
    • $0 wellness screenings for eligible insurance plans
    • Upfront pricing shown before appointment
  • Mental Health Talk Therapy$null/visit
    • $0-179 initial appointments
    • $140 follow-up sessions before insurance
  • Mental Health Psychiatry$null/visit
    • $0-299 initial appointments
    • $159 follow-up sessions before insurance

Signant Health

On request
  • SmartSignals Unified Platform$undefined/year
    • Priced per study through a sales process
    • Modules selected per protocol: EDC, eCOA, randomisation, eConsent, TeleVisits
    • Instrument licensing paid to scale owners on top of platform cost

Which should you pick?

Choose MDLive if

  • You need video consultations.
  • You want to start without paying.
  • You work on Web, Mobile.
  • You also want mental health services.
MDLive review

Choose Signant Health if

  • You need ecoa and epro.
  • You work on Web, iOS, Android.
  • You also want unified platform.
Signant Health review

Questions people ask

Is MDLive or Signant Health better?
Neither clearly leads. MDLive starts at Free and Signant Health at On request, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, MDLive or Signant Health?
MDLive has a free tier; the other does not. Paid plans start at Free for MDLive and On request for Signant Health.
Does MDLive or Signant Health run on more platforms?
MDLive runs on Web, Mobile. Signant Health runs on Web, iOS, Android.
Can I use MDLive for free?
Yes. MDLive has a free tier, so you can try it without paying. Signant Health starts at On request.
What is MDLive best used for?
MDLive is most often used for telemedicine urgent care visits, mental health counseling and psychiatry, dermatology consultations, primary care wellness screenings. Of those, telemedicine urgent care visits and mental health counseling and psychiatry are not what Signant Health is typically brought in for.
What can MDLive do that Signant Health cannot?
MDLive covers Video Consultations, Mental Health Services, Psychiatry, Prescription Services. Signant Health covers eCOA and ePRO, Unified platform, eConsent, Randomisation and supplies.

Answered from the vendors’ own pages

MDLive: What is the cost of an urgent care visit through MD Live?

Urgent care visits cost $0-89 per visit depending on insurance coverage. Pricing is shown upfront before confirming appointment. Most major credit and debit cards accepted for uninsured patients.

Source
Signant Health: What is Signant best at?

Electronic clinical outcome assessment, particularly rated scales in central nervous system and psychiatry trials, together with rater training and endpoint quality services.

MDLive: What cancellation fees apply if I need to reschedule?

Wellness visits incur $25 cancellation fee if cancelled within 24 hours. Routine care $25 if cancelled within 2 hours. Mental health $50 if cancelled within 24 hours. Medicaid and Medicare members exempt from fees.

Source
Signant Health: Is pricing published?

No. Everything is quoted per study, and instrument licences, translations and devices sit on top of the platform cost.

MDLive: Are follow-up mental health sessions cheaper than initial appointments?

Talk therapy follow-ups are $140 before insurance (versus $0-179 for initial). Psychiatry follow-ups are $159 before insurance (versus $0-299 for initial). Insurance copays may apply on top of these base rates.

Source
Signant Health: Can I use it only for eCOA?

Yes. The modules are selected per protocol, and many sponsors take eCOA and eConsent while keeping an existing EDC.

Signant Health: What drives the timeline?

Translation and linguistic validation of outcome instruments, which is per language per instrument and sits on the critical path to study start.

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