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Cisco Duo vs Imprivata OneSign comparison

 

Comparison Buyer's Guide

Executive SummaryUpdated on Dec 28, 2025

Review summaries and opinions

We asked business professionals to review the solutions they use. Here are some excerpts of what they said:
 

Categories and Ranking

Cisco Duo
Ranking in Single Sign-On (SSO)
3rd
Average Rating
8.8
Reviews Sentiment
7.2
Number of Reviews
86
Ranking in other categories
Authentication Systems (2nd), Access Management (4th), ZTNA as a Service (3rd), Cisco Security Portfolio (2nd), Multi-Factor Authentication (MFA) (1st)
Imprivata OneSign
Ranking in Single Sign-On (SSO)
11th
Average Rating
9.0
Reviews Sentiment
7.8
Number of Reviews
4
Ranking in other categories
No ranking in other categories
 

Mindshare comparison

As of January 2026, in the Single Sign-On (SSO) category, the mindshare of Cisco Duo is 3.5%, down from 6.8% compared to the previous year. The mindshare of Imprivata OneSign is 2.8%, up from 1.8% compared to the previous year. It is calculated based on PeerSpot user engagement data.
Single Sign-On (SSO) Market Share Distribution
ProductMarket Share (%)
Cisco Duo3.5%
Imprivata OneSign2.8%
Other93.7%
Single Sign-On (SSO)
 

Featured Reviews

Charles Slaustas - PeerSpot reviewer
Information Technology Contractor at Insight global
Supports seamless authentication for users across multiple organizations and personal portals
The features I use in Cisco Duo include Duo Pushes to confirm my identity to the device, and eventually as MFA security was increased, I actually had to use exchange passcodes. Sometimes, I have to go into the site and get into Cisco Duo to retrieve the passcode, and many of them have been two-factor, where the sites send a passcode that I have to enter into Cisco Duo. It has been more of the latter. I have not seen issues with lagging or crashing on Cisco Duo's end; it was usually on the client end, often because someone set up a bad upgrade or there were connection issues with the Cisco Duo cloud through the administrative site.
Rohit Yamsani - PeerSpot reviewer
Senior Consultant at HCLSoftware
Single sign-on saves time by seamlessly managing passwords and improving workflow efficiency
What I appreciate best about Imprivata OneSign are the single sign-on and the Confirm ID features. The single sign-on works seamlessly for all the nurses or the end users out there. You just have to log in to the application once and the single sign-on clicks in and works for everyone. Users don't have to manually remember all their passwords. Imprivata OneSign helps by remembering and storing all passwords. The integration capabilities of Imprivata OneSign offer many possibilities, and there are numerous upgrades Imprivata has been implementing. At this point, they are growing rapidly. There are new tools coming out for reporting and generating real-time analysis. Imprivata E-PAM is a new feature that I've been reading about in articles, which is going to help administrator people and enterprise administrator personnel to view real-time records and views for all end customers. Reporting and looking at logs for the users will be seamlessly efficient. I use the reporting tools available in Imprivata OneSign. The admin console itself has a reporting feature, which gives us a list of pre-built templates of reports where you can see how many users have been added, the user policy, the users who have last logged in in specific amounts of days, and the reporting for the EPCS users. There are numerous reporting options available which help with troubleshooting issues. I have seen many benefits from using Imprivata OneSign. It saves substantial time for nurses. As a nurse or doctor, you don't have to spend time remembering passwords or signing into computers. You just need to grab the nearest machine and tap in. You can use the machine anytime if you want. It saves time when dealing with patients. For doctors who might not be tech-savvy, Imprivata OneSign helps them sign in seamlessly.

Quotes from Members

We asked business professionals to review the solutions they use. Here are some excerpts of what they said:
 

Pros

"I appreciate the simple login feature of Cisco Duo; being able to log into your actual page and then having all your apps there is convenient."
"For me and my customers, the best feature is that it's very easy to integrate with the existing infrastructure. It takes a few minutes to configure it."
"The biggest benefit of Cisco Duo for my customers is the license because they count licenses for the user—one user can use many applications integrated with Cisco Duo."
"If you have to log in to something, you must go to Duo Security to confirm that you're who you are on your phone."
"For me, the biggest return on investment when using Cisco Duo is my time."
"The single pane of glass management is very important and it is part of the reason we went with Duo. Anything we can do to save time for our administrators, help desk staff, and engineers, is valuable to us."
"It's simple. It's reliable. I haven't had any issues with it."
"The ability for users to authenticate via phone, from any random phone number, has been very helpful for managing a distributed workforce. Using it across a distributed network for securing access to our applications is big for us."
"It has benefited my organization in the way that it makes it more secure by making it harder to hack."
"Imprivata OneSign helps customers minimize their work in remembering passwords and enhances their security."
"It provides a service that allows users to sign in to whatever application they are using. This is the most important feature of this solution."
"I have seen many benefits from using Imprivata OneSign. It saves substantial time for nurses."
 

Cons

"With Cisco Duo, you have to do that, and customers complain about that process. At some point, you need to be technically savvy to understand how to use Cisco Duo."
"Most of my colleagues from other companies use the Microsoft MFA solution because it's included in Office 365. Few people are considering Cisco Duo. That's the primary problem in our area. It's a solution mostly adopted by Cisco users."
"Duo Security could be improved with the addition of more applications."
"I have not seen ROI with Cisco Duo; probably the opposite, because it impedes productivity time to be able to get into the system. You have to authenticate and do your regular login and your Active Directory logins."
"Improving Cisco Duo might involve alerting us about telephony credits when people receive texts. We hit zero at one point, and we were running around in circles without any idea until I discovered it."
"I faced a significant issue about a year back when I tried to integrate Cisco Duo with Citrix NetScaler and enable MFA for Citrix NetScaler integration."
"Cisco Duo is stable, but occasionally there are emails about incidents that affect some services temporarily."
"For the back-end, there could be a few more security features applied."
"I would like for them to make this solution compatible with Mac OS. I would also like for them to provide a portal so that users can easily integrate it with their applications."
"They should have a landing page."
"Imprivata OneSign should have a landing page because most customers prefer this feature, which is currently a strong point for competitors."
"Fast user switching and Citrix integration in Imprivata OneSign could improve. There are many options available for VDI connectivity, but I've seen issues with VDI connectivity and Citrix storefront connectivity."
 

Pricing and Cost Advice

"I believe the licensing model is excellent as it offers flexibility to our customers, allowing them to adopt a crawl, walk, or run approach."
"I only need the solution for IT staff, which makes it relatively cheap. If I deployed it for the whole company, it would be costly, so it depends on the number of users. Duo Security is affordable compared to other products in the segment."
"The pricing is pretty competitive. It's pretty cheap. Anybody can adopt it."
"During testing we are allowed a certain number of licenses for free."
"It falls in line with everything else."
"Their pricing model is a little bit weird. Currently, there is no price advantage in signing up for yearly contracts. There are no additional costs to the standard licensing costs."
"Its price is reasonable. It is not highly expensive."
"My experience with pricing, setup costs, and licensing has been good, with no issues. I am pleased that the prices remained stable after Cisco acquired the solution."
"At the moment, I believe the price is reasonable."
"The price is reasonable, it's an affordable solution."
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Top Industries

By visitors reading reviews
Manufacturing Company
11%
Computer Software Company
10%
Comms Service Provider
7%
Government
7%
Healthcare Company
29%
Government
6%
Comms Service Provider
5%
Computer Software Company
5%
 

Company Size

By reviewers
Large Enterprise
Midsize Enterprise
Small Business
By reviewers
Company SizeCount
Small Business31
Midsize Enterprise18
Large Enterprise40
No data available
 

Questions from the Community

How does Duo Security compare with Microsoft Authenticator?
We switched to Duo Security for identity verification. We’d been using a competitor but got the chance to evaluate Duo for 30 days, and we could not be happier. Duo Security is easy to configure a...
What is your experience regarding pricing and costs for Duo Security?
My experience with pricing, setup cost, and licensing reveals that one of the most powerful features is the licensing model and the price. According to the pricing, it is really fantastic to get th...
What needs improvement with Duo Security?
One downside of Cisco Duo is the expense, as there are clients that can afford only the basic package, which does not include Geo-fencing, leaving them unable to pay for the more expensive level, w...
What needs improvement with Imprivata OneSign?
Fast user switching and Citrix integration in Imprivata OneSign could improve. There are many options available for VDI connectivity, but I've seen issues with VDI connectivity and Citrix storefron...
What is your primary use case for Imprivata OneSign?
I have experience with Imprivata OneSign and Imprivata Confirm ID. For the past three and a half years, I've been using Imprivata OneSign 7.9 and Confirm ID 7.9 versions. The client I'm working wit...
What advice do you have for others considering Imprivata OneSign?
As an end user, it's easy to use Imprivata OneSign. Users don't have to rely much on knowledge to use that tool. It's basic, just an agent that sits on your machine and you shouldn't worry about an...
 

Also Known As

Duo Security
OneSign, Imprivata OneSign Authentication Management
 

Overview

 

Sample Customers

Information Not Available
AZ Groeninge, Cambridge University Hospitals NHS Foundation Trust, East Kent Hospitals University NHS Foundation Trust, Liverpool Womens NHS Foundation Trust, Mahaska Health Partnership, Phoebe Putney Memorial Hospital, Boulder Community Hospital, City of Marietta, Spencer Hospital, Southwest Washington Medical Center, South Shore Hospital
Find out what your peers are saying about Cisco Duo vs. Imprivata OneSign and other solutions. Updated: December 2025.
881,082 professionals have used our research since 2012.