Health data aggregator API pricing: what Terra, Junction, Rook, Spike and four more charge
Last verified October 17, 2026 · 6 min read
Sources checked (21) · October 17, 2026
- tryterra.co/pricing — Terra plans, credits, add-ons and Enterprise terms
- tryterra.co/ — Terra coverage, data types, destinations, labs, compliance and pricing FAQ
- docs.tryterra.co/unified-api/pricing — Terra credit tiers
- www.junction.com/pricing — Junction Launch and Enterprise plans
- tryrook.io/pricing/ — Rook plans, add-ons and contract terms
- www.spikeapi.com/pricing — Spike Sandbox and Enterprise plans
- www.spikeapi.com/ — Spike scope, implementation engineer and customers
- sahha.ai/ — Sahha coverage, pricing FAQ and compliance
- sahha.ai/pricing/ — Sahha plans
- www.thryve.health/pricing — Thryve plans, storage and hosting
- validic.com/blog/Validic-Inform-Is-Now-Free/ — Validic Inform free tier
- validic.com/inform-signup/ — Validic Inform plans
- openwearables.io/pricing — Open Wearables licence and Enterprise
- risk.lexisnexis.com/products/humanapi — LexisNexis Human API
- docs.metriport.com/medical-api/getting-started/quickstart — Metriport Medical API access
- www.thryve.health/certifications-compliance — Thryve certifications and BAA
- docs.tryrook.io/data-sources/ — Rook data sources and own developer accounts
- validic.com/news/chartspan/ — ChartSpan acquisition of Validic
- www.spikeapi.com/integrations — Spike integrations and acquisition banner
- openwearables.io/docs — Open Wearables docs
- openwearables.io/docs/providers/supported — Open Wearables provider setup
Covered here:TerraRookJunctionSpike
What each aggregator publishes#
Until this revision, this page said aggregator prices were mostly not public. That is no longer true: when we read the vendors' pricing pages on October 17, 2026, eight of them showed an entry price.
| Vendor | Entry plan and list price | What it includes | How the bill grows |
|---|---|---|---|
| Terra | Quick Start: $399 a month billed annually, or $499 billed monthly | 100,000 credits a month, all integrations and data types | 200 credits per connected data source per month; events past 400 per source cost 0.5 credits; extra credits from $0.005, $0.003 past 1,000,000 |
| Junction | Launch: a flat $300 a month, billed monthly | 1 to 500 connected users, 300+ device integrations, the Link widget | Enterprise (custom, billed annually) for unlimited users, lab testing and a signed BAA |
| Rook | Core: $399 a month | Up to 750 active users, all Wearable API integrations | Core+ $999 (5,000 users), Business $1,999 (15,000), Enterprise custom; past a plan's limit, "billing adjusts based on usage" |
| Spike | Sandbox: "Starts from $450 /month" | 40+ providers and 500+ devices, a dedicated implementation engineer | Enterprise is custom; scaling is not itemized |
| Sahha | Starter: $299 a month billed annually | 1,000 users, every product | $0.40 per extra user; Pro at $1,499 a month billed annually includes 10,000 users, then $0.20 each |
| Thryve | Start Up: from 499 euros a month | 500 users, one app connection | 0.50 euros per extra user; Scale Up from 1,000 euros a month for startups under ten years old (up to 5,000 users, then 999 euros per 10,000) |
| Validic | Inform Developer: free | 5 users, 5 cloud integrations, 90-day retention | Enterprise is negotiated; a Business plan is listed as coming soon |
| Open Wearables | Open source: free | MIT-licensed software you host | Enterprise support is scoped per project |
Two more vendors that show up in aggregator shortlists publish no price: LexisNexis Human API offers a contact form, and Metriport asks you to book an intro call before production access. Read every figure as "list price as of October 17, 2026", before taxes, add-ons and negotiated discounts.
What each vendor counts as a user#
The unit matters as much as the rate:
- Terra bills "active authentications". Its pricing FAQ says "An active authentication is one connected data source for one end user, and costs 200 credits per month", so one person with a watch and a ring is two.
- Rook prices "based on the plan and the number of active users".
- Sahha and Thryve include a number of users and charge per extra user. Sahha's pricing page has an FAQ titled "What counts as a user?" whose answer did not appear in the page text we fetched, so confirm the definition with Sahha.
- Junction's Launch plan "covers 1-500 connected users" at a flat rate.
Our arithmetic: the same user counts on each price sheet#
These are our own calculations from the list prices above, not vendor quotes. They assume one connected data source per person, annual billing where it is offered, Terra events within the free allowance (Terra says 95% of customers are never charged for events), and no add-ons.
| Connected users | Terra | Rook | Sahha | Thryve | Junction |
|---|---|---|---|---|---|
| 1,000 | About $899 a month ($399 plus 100,000 extra credits at $0.005) | $999 on Core+ (Core stops at 750) | $299 on Starter | About 749 euros on Start Up | Enterprise (custom) |
| 5,000 | About $4,899 a month ($399 plus 900,000 extra credits) | $999 on Core+ | $1,499 on Pro (Starter would be about $1,899) | About 2,749 euros on Start Up, or 1,000 euros on Scale Up if eligible | Enterprise (custom) |
Spike, Validic past its free tier, and every vendor's Enterprise plan need a quote. Open Wearables has no licence fee, but the hosting, security and provider registrations are yours. If your users connect more than one source each, Terra's column grows with them while the per-user columns do not.
Where the BAA and the contract terms sit#
For a HIPAA product the plan that carries the Business Associate Agreement can matter more than the entry price:
- Terra lists a "Signed BAA (data protection agreement)" on Enterprise.
- Junction puts "The signed Business Associate Agreement, our SOC 2 Type 2 and ISO 27001 reports, and customer-managed encryption keys" in Enterprise.
- Rook signs one "when the customer is a Covered Entity or Business Associate and a BAA applies", reviewed during contracting, and its "standard contract term is 12 months, with the flexibility to cancel with 30 days' prior notice".
- Sahha: "A BAA is included from Pro."
- Thryve says "BAA agreements included on all plans".
- Validic offers a BAA "for Enterprise customers".
- Open Wearables: "BAA is available on the Enterprise plan".
This is general information, not legal advice; whether you need a BAA depends on your role under HIPAA, which our HIPAA compliance guide for fitness apps explains.
Add-ons and second meters#
- Terra prices "Add-ons such as the Streaming API and Planned Workouts" separately, and its Health Scores add-on starts from $499 a month on Quick Start.
- Rook's Business and Enterprise plans include every add-on, Core+ includes three, and Core pays per add-on; its Lab Data API is "billed by the files processed each month, on every plan", from $249 a month for up to 300 files.
- Spike lists its Nutrition Scanner AI as a separate Sandbox plan.
The catch: what the aggregator fee does not cover#
- Your own provider registrations. Several providers need your own developer account behind any aggregator; Rook says that "can take several weeks". See the credential column in our aggregator comparison.
- Retention. Short retention windows (two weeks on Thryve's Start Up, 30 days on Sahha's Starter) mean you store history yourself.
- Your platform costs. Infrastructure, storage of high-volume history, token and webhook handling and compliance work stay with you. The aggregator removes integration labor, not your platform.
Why it costs money but can still save you money#
First-party wearable APIs are mostly free to call, so an aggregator is a build-vs-buy trade: one integration and one normalized stream instead of a separate OAuth flow, approval, schema and maintenance burden per provider. In our experience the trade favors going direct when you need one or two providers and favors an aggregator when you need many. The wider fitness API cost breakdown covers the full math.
Honest close#
The category moved from contact-sales to published price sheets, which makes it possible to budget before a sales call. The sheets are not comparable at a glance, because the vendors bill different units, so run your own user count through each one, and re-open the live pricing pages before you commit: two of the vendors here changed owners in 2026.
Frequently asked questions
- How do health data aggregators charge for API access?
- By connected users or connected sources, in tiers, with a custom contract at the top. As of October 17, 2026, Terra bills credits for each connected data source plus events past a free allowance, Rook prices by plan and active users, Sahha and Thryve include a number of users and charge per extra user, and Junction's Launch plan is flat for up to 500 connected users. You generally pay per connection per month, not per API call.
- How much does a health data aggregator cost for 1,000 users?
- By our arithmetic from the list prices on October 17, 2026, with one data source per person and annual billing: about $899 a month on Terra, $999 on Rook's Core+ plan, $299 on Sahha's Starter, about 749 euros on Thryve's Start Up, and a custom Enterprise quote on Junction, whose Launch plan stops at 500 connected users. Spike's scaling is not published. These are our calculations, not vendor quotes.
- Which aggregator plans include a HIPAA BAA?
- It varies by plan. As of October 17, 2026, Thryve says BAAs are included on all plans, Sahha includes one from its Pro plan, Rook signs one when a BAA applies to the relationship, and Terra, Junction, Validic and Open Wearables list it on their Enterprise plans. Whether you need one depends on your role under HIPAA, so check that first.
- Is there a free health data aggregator API?
- Two free routes exist as of October 17, 2026. Validic's Inform Developer plan is free with no contract or credit card, covering 5 users and 5 cloud integrations, and Open Wearables is MIT-licensed software you can self-host at no licence cost, though you register with each provider and run it yourself. Paid aggregators offer sandboxes or trials: Sahha's free trial lasts 30 days, Thryve offers a 14-day trial and Junction's sandbox is free.
- Does the aggregator fee replace my other costs?
- No. It removes integration labor, not your platform costs. You still pay for your own infrastructure, storage of high-volume wearable history, token and webhook handling, and health-data compliance such as HIPAA or GDPR handling, encryption, and BAAs. Budget the aggregator fee as one layer on top of those, not a replacement for them.
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Independent comparison, last reviewed October 17, 2026. Pricing, rate limits, and feature availability change often — confirm current details in each provider’s official documentation before you commit. Product and company names are trademarks of their respective owners; AIFitnessAPI is not affiliated with, endorsed by, or sponsored by any product listed here.
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