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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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OpenAI Realtime API vs Retell AI

OpenAI Realtime API is positioned as speech-to-speech API for developers implementing their own voice application. Retell AI is positioned as a configurable call-agent platform with visual flows, APIs and integrated call operation

The decision in context

OpenAI Realtime API is positioned as speech-to-speech API for developers implementing their own voice application. Retell AI is positioned as a configurable call-agent platform with visual flows, APIs and integrated call operations. Start by deciding who owns the missing layers, then inspect the documented differences below.

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

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

Compare for the job

Test opening hours, booking conflicts and an unanswered transfer.

2 of 4 slots
OpenAI Realtime APIRetell AI
Decision signals / differences first

Start where the records differ.

6 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 pointOpenAI Realtime APIRetell AI
Billing unitDifferent records
1 million text/audio/image tokens; transcription separately meteredVerified Yes · 2026-09-28
minuteVerified Yes · 2026-09-28Documented product/configuration only; see research notes · PAYG
Bring your telephonyDifferent records
YesConditional · 2026-09-28Realtime SIP inbound
YesVerified Yes · 2026-09-28Documented product/configuration only; see research notes
Bring your modelDifferent records
UnknownUnknown after research · 2026-09-28
YesVerified Yes · 2026-09-28Documented product/configuration only; see research notes
Warm transferDifferent records
UnknownUnknown after research · 2026-09-28
YesVerified Yes · 2026-09-28Documented product/configuration only; see research notes
HIPAA pathDifferent records
UnknownUnknown after research · 2026-09-28
YesVendor claim · 2026-09-28PHI processing through Retell, subject to signed BAA and deployment configuration · BAA self-signing; no extra agreement fee stated · No EU operation stated in this compliance document
WebhooksDifferent records
YesConditional · 2026-09-28Unknown
YesVerified Yes · 2026-09-28API / webhookDocumented product/configuration only; see research notes
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
OpenAI Realtime APIDeveloper Frameworks
Retell AIFull Platforms
Pricing model
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.

Retell AI
component-stackVerified Yes · 2026-09-28

Reviewed current public offer; retain original billing scope and units.

Documented product/configuration only; see research notes · PAYG
Headline / base price
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.

Retell AI
Voice-agent configuration range $0.07–$0.31/minVerified Yes · 2026-09-28

Reviewed current public offer; retain original billing scope and units.

Documented product/configuration only; see research notes · PAYG
Billing unit
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.

Retell AI
minuteVerified Yes · 2026-09-28

Reviewed current public offer; retain original billing scope and units.

Documented product/configuration only; see research notes · PAYG
Platform fee
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.

Retell AI
PAYG $0; optional recurring number/concurrency/KB chargesVerified Yes · 2026-09-28

Zero platform fee is not zero total fixed cost.

Included usage
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.

Retell AI
20 concurrent call slots and first 10 knowledge bases; call usage billed separatelyVerified Yes · 2026-09-28

Paid extras$8/slot/month and$8/KB/month; usage separate.

Overage
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.

Retell AI
Metered usage; selected model, voice, carrier and add-ons determine rateVerified Yes · 2026-09-28

Reviewed current public offer; retain original billing scope and units.

Documented product/configuration only; see research notes · PAYG
Pass-through costs
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.

Retell AI
Telephony, selected LLM/TTS, add-ons and concurrency burst can add chargesVerified Yes · 2026-09-28

Reviewed current public offer; retain original billing scope and units.

Documented product/configuration only; see research notes · PAYG
Free offer
OpenAI Realtime API
UnknownNot researched

Not yet researched against this buyer-critical field standard.

Retell AI
$10 free creditsVerified Yes · 2026-09-28

Reviewed current public offer; retain original billing scope and units.

PAYG
Complete cost 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.

Retell AI
UnknownUnknown after research · 2026-09-28

A headline configuration range is not a ceiling on telephony, model, add-on or burst charges.

Documented product/configuration only; see research notes · PAYG
What remains unresolved
OpenAI Realtime API
UnknownUnknown after research · 2026-09-28

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

Retell AI
A headline configuration range is not a ceiling on telephony, model, add-on or burst charges.Verified Yes · 2026-09-28

Research conclusion about cost completeness, not a vendor capability.

Documented product/configuration only; see research notes · PAYG

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.

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 →

Retell AI

The advertised price band is not a ceiling for every model configuration.

Voice-agent configuration range $0.07–$0.31/min · V3.3 evidence review · Published configured-agent range lower reference; not a guaranteed all-in floor or ceiling

Excluded / confirm: Complete cost cannot be established from this reference. A headline configuration range is not a ceiling on telephony, model, add-on or burst charges. · Telephony, selected LLM/TTS, add-ons and concurrency burst can add charges

component-stackVerified Yes · 2026-09-28

Reviewed current public offer; retain original billing scope and units.

Documented product/configuration only; see research notes · PAYG
Read the complete profile →

The evidence overlap.

Both records have documented values for Product type, Technical setup, Pricing model, Published numeric pricing, OpenAI TTS, OpenAI models, MCP tools, Function / tool calling, Interruption controls, 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.