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Comparison LabCompare 27 voice AI platforms and components across seven buying contexts, with sourced capabilities, current price captures and visible unknowns.Voice AI Price Index: prices, evidence and historyUnderstand the complete voice-agent cost stack: models, voice, transcription, telephony, subscriptions, capacity and add-ons.Know the cost before the first callEstimate monthly voice-agent costs, AI minutes, setup expenses and volume scenarios using your own transparent assumptions.AI voice agents for dentalAppointments, rescheduling and after-hours calls—with a person ready for clinical questions. Explore call flows, safe automation, integrations, tests and cost considerations.

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Cartesia vs OpenAI Realtime API

Cartesia is positioned as speech models for teams assembling a voice stack, with a separate managed-agent product. OpenAI Realtime API is positioned as speech-to-speech API for developers implementing their own voice application.

The decision in context

Cartesia is positioned as speech models for teams assembling a voice stack, with a separate managed-agent product. OpenAI Realtime API is positioned as speech-to-speech API for developers implementing their own voice application. Start by deciding who owns the missing layers, then inspect the documented differences below.

Voice Engines and Developer Frameworks are different product categories. An underlying engine or framework is not a complete substitute for a deployed agent workflow.

9 jointly documented catalog fields. This measures evidence coverage, not equivalent quality or an overall winner.

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Test opening hours, booking conflicts and an unanswered transfer.

2 of 4 slots
CartesiaOpenAI Realtime API
Decision signals / differences first

Start where the records differ.

4 of 8 priority fields differ

Values and evidence states are compared together. Shared facts follow the differences; Unknown never means No.

Selected platforms: buyer-critical differences before detailed dimensions
Decision pointCartesiaOpenAI Realtime API
Billing unitDifferent records
TTS/STT credits; Managed Agents conversation minutesVerified Yes · 2026-09-28
1 million text/audio/image tokens; transcription separately meteredVerified Yes · 2026-09-28
Bring your modelDifferent records
YesConditional · 2026-09-28Line SDK versus Managed Agents distinction
UnknownUnknown after research · 2026-09-28
HIPAA pathDifferent records
YesVendor claim · 2026-09-28Cartesia vendor statement; specific service/contract scope must be confirmed
UnknownUnknown after research · 2026-09-28
WebhooksDifferent records
YesVerified Yes · 2026-09-28API / webhook
YesConditional · 2026-09-28Unknown
Billing modelShared state
component-stackVerified Yes · 2026-09-28
component-stackVerified Yes · 2026-09-28
Bring your telephonyShared state
YesConditional · 2026-09-28
YesConditional · 2026-09-28Realtime SIP inbound
Your requirements & next steps
Carried from your shortlist

Your requirements

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Ready-made / AI receptionist · Strict evidence mode

No personal requirements yet. Add criteria in Advanced Filter to prioritize this comparison.

Unknown ≠ No
Evidence, side by sideNo benchmark scores
CartesiaVoice Engines
OpenAI Realtime APIDeveloper Frameworks
Pricing model
Cartesia
component-stackVerified Yes · 2026-09-28

TTS/STT credit subscriptions and Managed Agents minute charges remain separate.

OpenAI Realtime API
component-stackVerified Yes · 2026-09-28

Realtime model tokens plus input transcription, tools and carrier/hosting; not GPT-Live session-minute billing.

Headline / base price
Cartesia
Managed Agents $0.06/min; Cartesia-provided-number telephony $0.014/minVerified Yes · 2026-09-28

Speech model credits and selected LLM/evaluation charges have separate scope.

OpenAI Realtime API
GPT-Realtime-2 audio input $32/M, audio output $64/M; text input $4/M, output $24/MVerified Yes · 2026-09-28

Cached audio/text and image inputs have separate rates. Rate is not per-minute.

Billing unit
Cartesia
TTS/STT credits; Managed Agents conversation minutesVerified Yes · 2026-09-28

Product-specific units preserved.

OpenAI Realtime API
1 million text/audio/image tokens; transcription separately meteredVerified Yes · 2026-09-28

Model scope fixed to GPT-Realtime-2, not all voice models.

Platform fee
Cartesia
$0 Free; $5 Pro; $49 Startup; $299 Scale; Enterprise customVerified Yes · 2026-09-28

Plan allowances include separate agent prepayment; do not double-count as universal included voice minutes.

OpenAI Realtime API
UnknownUnknown after research · 2026-09-28

Published Realtime token rates do not establish these account/contract terms. GPT-Live duration billing and unrelated fine-tuning discounts must not be imported.

Included usage
Cartesia
Free 20K credits / $1 prepaid agent; Pro 100K / $5; Startup 1.25M / $49; Scale 8M / $299Verified Yes · 2026-09-28

Separate credit and agent budgets; no arbitrary cross-product minute conversion.

OpenAI Realtime API
UnknownUnknown after research · 2026-09-28

Published Realtime token rates do not establish these account/contract terms. GPT-Live duration billing and unrelated fine-tuning discounts must not be imported.

Overage
Cartesia
UnknownUnknown after research · 2026-09-28

Free allowances and product rates are available; old changelog, bandwidth trial and speech volume controls do not establish these current billing terms.

OpenAI Realtime API
UnknownUnknown after research · 2026-09-28

Published Realtime token rates do not establish these account/contract terms. GPT-Live duration billing and unrelated fine-tuning discounts must not be imported.

Pass-through costs
Cartesia
LLM tokens after promotional coverage; telephony and evaluation usageVerified Yes · 2026-09-28

LLM promotion ends October 1, 2026; quoted model/usage mix determines bill.

OpenAI Realtime API
Input transcription, tool/backend calls, carrier and application infrastructureVerified Yes · 2026-09-28

Repeated context, cache behavior and turn count affect token charges.

Free offer
Cartesia
UnknownNot researched

Not yet researched against this buyer-critical field standard.

OpenAI Realtime API
UnknownNot researched

Not yet researched against this buyer-critical field standard.

Complete cost ceiling
Cartesia
UnknownUnknown after research · 2026-09-28

Product mix, LLM promotion expiry, carrier routing and other metered components prevent a universal all-in ceiling.

OpenAI Realtime API
UnknownUnknown after research · 2026-09-28

Full bill requires measured model/token/cache/tool/carrier usage; conversation minutes alone are insufficient.

What remains unresolved
Cartesia
UnknownUnknown after research · 2026-09-28

Product mix, LLM promotion expiry, carrier routing and other metered components prevent a universal all-in ceiling.

OpenAI Realtime API
UnknownUnknown after research · 2026-09-28

Full bill requires measured model/token/cache/tool/carrier usage; conversation minutes alone are insufficient.

Anyone with this link can view the encoded decision criteria.

Vendor documentation establishes a claim. Public model benchmarks are separate context, not measurements of these platforms.

Open saved comparison ↗

What to verify together.

Cartesia

A speech credit plan is not a complete phone-call bill.

Managed Agents $0.06/min; Cartesia-provided-number telephony $0.014/min · V3.3 evidence review · Managed Agents base rate; carrier/model charges and prepaid plan balances separate

Excluded / confirm: Complete cost cannot be established from this reference. Product mix, LLM promotion expiry, carrier routing and other metered components prevent a universal all-in ceiling. · LLM tokens after promotional coverage; telephony and evaluation usage

component-stackVerified Yes · 2026-09-28

TTS/STT credit subscriptions and Managed Agents minute charges remain separate.

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OpenAI Realtime API

A token rate cannot be compared directly with a bundled call-minute price.

GPT-Realtime-2 audio input $32/M, audio output $64/M; text input $4/M, output $24/M · V3.3 evidence review · GPT-Realtime-2 input audio tokens only; output/audio/text/cache have different rates; not 2.1 rate evidence

Excluded / confirm: Complete cost cannot be established from this reference. Full bill requires measured model/token/cache/tool/carrier usage; conversation minutes alone are insufficient. · Input transcription, tool/backend calls, carrier and application infrastructure

component-stackVerified Yes · 2026-09-28

Realtime model tokens plus input transcription, tools and carrier/hosting; not GPT-Live session-minute billing.

Read the complete profile →

The evidence overlap.

Both records have documented values for Product type, Technical setup, Pricing model, Published numeric pricing, Realtime / streaming audio, Function / tool calling, Official product documentation, Checked within 30 days, Retained price snapshot. Matching availability does not measure behavior under your call conditions.

Run the same booking, tool failure and unsuccessful human-transfer cases. Record both outcomes and billable units before signing a deployment agreement.

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Editorial index gate: noindex-cross-category. Different product layers. This pair is useful for architecture inspection, not a like-for-like purchase ranking.