Alternatives to Akto in Healthcare

This tool is a black-box API security scanner designed to surface risks before production exposure. You submit an API endpoint, and it returns a risk score from A to F along with prioritized findings. It performs read-only checks using GET and HEAD methods, with text-only POST support for LLM probes. Scan completion typically occurs in under a minute. The scope intentionally avoids intrusive exploitation, authentication bypass via destructive payloads, or active SQL injection and command injection testing.

Findings map directly to three frameworks: PCI-DSS 4.0, SOC 2 Type II, and OWASP API Top 10 (2023). Detection covers 12 security categories aligned to OWASP API Top 10, including Authentication bypass and JWT misconfigurations such as alg=none, HS256, expired or missing claims, and sensitive data in claims. It identifies BOLA and IDOR via sequential ID enumeration and active adjacent-ID probing, as well as BFLA and privilege escalation through admin endpoint probing and role/permission field leakage.

Additional checks include Property Authorization over-exposure, Input Validation issues like CORS wildcard usage and dangerous HTTP methods, Rate Limiting and Resource Consumption via header detection and oversized responses, and Data Exposure patterns such as email, Luhn-validated card numbers, context-aware SSN formats, API key leakage for AWS, Stripe, GitHub, and Slack, and error or stack-trace disclosure. Encryption checks validate HTTPS redirects, HSTS, and cookie flags. The scanner also covers SSRF indicators including URL-accepting parameters and internal IP probing, and Inventory Management issues such as missing versioning and legacy paths. LLM / AI Security testing performs 18 adversarial probes across Quick, Standard, and Deep tiers, including system prompt extraction, instruction override, DAN and roleplay jailbreaks, data exfiltration attempts, cost exploitation, encoding bypasses, prompt injection variants, token smuggling, tool abuse, and nested instruction injection.

OpenAPI analysis supports versions 3.0, 3.1, and Swagger 2.0 with recursive $ref resolution, cross-referencing spec definitions against runtime behavior to detect undefined security schemes, sensitive fields, deprecated operations, and missing pagination. For other frameworks, the tool aligns with security controls described in relevant standards and supports audit evidence for compliance reviews.

Authenticated scanning is available from the Starter tier and above, supporting Bearer, API key, Basic auth, and Cookie credentials. Domain verification is enforced through a DNS TXT record or an HTTP well-known file to ensure only the domain owner can scan with credentials. The scanner forwards a restricted allowlist of headers, limited to Authorization, X-API-Key, Cookie, and X-Custom-* headers.

The scanner follows a strict read-only posture, never sending destructive payloads. Private IPs, localhost, and cloud metadata endpoints are blocked at multiple layers. Customer scan data is deletable on demand and purged within 30 days of cancellation. It is not sold and is not used for model training.

The Web Dashboard centralizes scans, reports, and score trend tracking, with the option to download branded compliance PDFs. The CLI, distributed as an npm package named middlebrick, supports commands such as middlebrick scan <url> with JSON or text output. A GitHub Action is available for CI/CD gating, failing the build when the score drops below a defined threshold. An MCP Server enables scanning from AI coding assistants including Claude and Cursor, and a programmatic API client supports custom integrations.

Pro tier adds continuous monitoring with scheduled rescans at intervals of 6 hours, daily, weekly, or monthly. Diff detection highlights new findings, resolved findings, and score drift over time. Email alerts are rate-limited to 1 per hour per API. HMAC-SHA256 signed webhooks are provided, with auto-disable after 5 consecutive failures. Slack and Teams alerts are supported in this tier, along with compliance reports and signed webhooks.

Because this is a scanning tool, it does not fix, patch, block, or remediate findings; it provides detection and guidance. It does not perform active SQL injection or command injection testing, does not detect business logic vulnerabilities, and does not detect blind SSRF due to the absence of out-of-band infrastructure. It is not a replacement for a human pentester in high-stakes audit scenarios.

Pricing tiers include a Free plan with 3 scans per month and CLI access, Starter at 99 USD per month for 15 APIs with dashboard and email alerts, Pro at 499 USD per month for 100 APIs with continuous monitoring and CI/CD integration, and Enterprise at 2000 USD per month for unlimited APIs, custom rules, SSO, and dedicated support. These tiers help you prepare for security reviews and align with controls in PCI-DSS 4.0, SOC 2 Type II, and OWASP API Top 10 (2023).

middleBrick is a scanning tool and does not perform audits or certify compliance. It surfaces findings relevant to regulatory frameworks and supports audit evidence collection, but it does not guarantee compliance with HIPAA, GDPR, ISO 27001, NIST, CIS, CCPA, NIS2, DORA, FedRAMP, DPDP, APPI, PDPA, PIPEDA, PIPA, UK DPA, LGPD, SOX, GLBA, FERPA, or any other regulation.