The lowest-priced HIPAA AI receptionist with a signed BAA.*

Q: Can I keep my current phone number?

Yes. You keep your number and forward calls to Talkya.

Q: How many calls can it answer at once?

Up to 10 simultaneous calls are included. Each extra simultaneous line is $1 a month.

$20 a month plus 19¢ a minute. Your AI receptionist answers every call 24/7, books patients, and hands urgent calls to your team, on the phone number your patients already have. No per-seat fees and no annual contract.

✓ Keep your current phone number ✓ 10 simultaneous calls included ✓ Month-to-month, cancel anytime ✓ BAA always included

Plans

Simple, public pricing.

Most practices

HIPAA AI Receptionist

$20/month

+ $0.19 per minute · $997 one-time setup

24/7 AI receptionist that answers, qualifies, and books patients
Keep your current phone number, just forward your calls
Up to 10 simultaneous calls included, then $1/month per extra line
Urgent and clinical calls handed to your staff
Signed BAA, encrypted calls and transcripts, audit logs
Month-to-month, no annual contract
Add-on: text messaging, $20/month + 1¢ per text. Patients can text your number and the AI texts back, books and sends reminders.

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More automation

Enterprise

Custom

For practices that want more automation

Everything in the AI Receptionist plan
More automations: CRM follow-up, reminders, intake, recalls
EHR / EMR, telehealth, and secure team messenger
Multiple locations and custom call flows
EHR and API integrations, HIPAA and security audits
Dedicated setup and support

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How we compare

What other HIPAA receptionists cost.

Monthly cost for a practice that uses about 500 call minutes a month.

Receptionist	Cost at ~500 min/month	Signs a BAA?	Pricing
Talkya	$115	Yes, included	$20/mo + $0.19/min, keep your number
Trillet	$119	Only on Agency/Enterprise plans	$49 plan + $0.20/min
Upfirst	~$137	Only on custom-priced plan	Per-call pricing
My AI Front Desk	$174	Not confirmed	$99 for 200 min + $0.25/min
Dialzara	$199	Not published	500-minute plan
Smith.ai (AI receptionist)	~$309	No, not HIPAA-compliant per Smith.ai	Per-call pricing
Ruby (live receptionists)	$1,725	Yes	500-minute human plan
Vapi	~$2,050	Yes, $2,000/mo add-on	Developer platform
Synthflow	$2,500+	Enterprise contract	$30,000/yr minimum

Per-call plans are estimated at about 3 minutes per call. Talkya also charges a one-time $997 setup fee. *Lowest monthly starting price among done-for-you AI receptionists that publish their pricing and sign a BAA, based on public pricing pages checked October 23, 2026. Competitor prices can change.

Pricing FAQ

Common pricing questions.

How much does the Talkya AI receptionist cost?

$20 a month plus $0.19 per minute of calls, with a one-time $997 setup fee. A practice that uses 500 minutes a month pays $115 a month.

Can the AI receptionist text patients?

Yes, with the text messaging add-on: $20 a month plus 1¢ per text. Patients can text your practice number, and the AI replies, books visits and sends reminders.

What is the $997 setup fee for?

We build your receptionist for you: your services, hours, booking rules, FAQs, urgent-call handoffs, and call forwarding from your current number. It is paid once.

Can I keep my current phone number?

Yes. You keep your number and forward calls to Talkya, so patients call the same number they always have.

How many calls can it answer at once?

Up to 10 calls at the same time are included. Each extra simultaneous line is $1 a month.

Is there a contract?

No. Talkya is month-to-month and you can cancel anytime. A signed BAA is always included.

What does Enterprise add?

More automations (CRM follow-up, reminders, intake, recalls), plus EHR/EMR, telehealth, secure messenger, multiple locations, integrations, and audits. Book a call and we will scope it with you.