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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.

Vendor intelligence

OpenAI Realtime API

Speech-to-speech API for developers implementing their own voice application.

At a glance / documented capabilities

Read the signals. Keep the scope.

All evidence ↗

Voice

Unknown after research
Scope & source
UnknownUnknown after research · 2026-09-28

Telephony / SIP

Conditional
Scope & source
YesConditional · 2026-09-28Realtime SIP inbound

Agent tools

Verified Yes
Scope & source
YesVerified Yes · 2026-09-28

Integrations / webhooks

Conditional
Scope & source
YesConditional · 2026-09-28Unknown

Enterprise / HIPAA path

Unknown after research
Scope & source
UnknownUnknown after research · 2026-09-28
Developer Frameworks

A place in your stack.

Best for

  • Custom agents that need direct realtime model access and tool orchestration.
  • Teams able to instrument token usage and implement carrier and business-system logic.

Watch-outs

  • A token rate cannot be compared directly with a bundled call-minute price.
  • Pin the model and track conversation context, caching and transcription costs before estimating a production bill.
Visit OpenAI Realtime APIOfficial site · no affiliate tracking
Product evidence coverage

Documented claims, not tested performance.

8 / 23 fields

Product specification

What the evidence says.

Unknown means we have not established it. It does not mean No. Compliance claims require plan and contract review.

White label

UnknownUnknown after research

No supporting statement located in the bounded official corpus; confirm scope with vendor. Unknown is not No.

Source ↗ (opens in new tab)

Client tenancy

UnknownUnknown after research

No supporting statement located in the bounded official corpus; confirm scope with vendor. Unknown is not No.

Source ↗ (opens in new tab)

Client billing

UnknownUnknown after research

No supporting statement located in the bounded official corpus; confirm scope with vendor. Unknown is not No.

Source ↗ (opens in new tab)

ISO 27001

Unknown

Not established by the evidence reviewed. This does not mean unsupported.

No verified source

BAA availability

UnknownUnknown after research

General healthcare-addendum guidance does not alone establish the exact Realtime model/endpoint/region agreement for this buyer; confirm covered service and contract.

Source ↗ (opens in new tab)

SIP

DocumentedConditional

Realtime section documents incoming SIP calls through a buyer-selected provider.

Source ↗ (opens in new tab)

Warm transfer

UnknownUnknown after research

SIP REFER is established, but consultation, context payload, queue routing, summary and transfer-failure recovery are not specified as Realtime features.

Source ↗ (opens in new tab)

Cold transfer

DocumentedConditional

Realtime call refer endpoint sends SIP REFER to target; successful API response is not transfer completion proof.

Source ↗ (opens in new tab)

Batch calling

Unknown

Not established by the evidence reviewed. This does not mean unsupported.

No verified source

MCP tools

DocumentedVerified Yes

Remote MCP tools and application functions; connector_id deprecated for models released after September1,2026.

Source ↗ (opens in new tab)

Webhooks

DocumentedConditional

Incoming-call webhook with signature verification and call lifecycle API.

Source ↗ (opens in new tab)

Calendar

DocumentedConditional

Legacy built-in read connector on eligible pre-cutoff model; not native booking or current-model blanket support.

Source ↗ (opens in new tab)

CRM

UnknownUnknown after research

No supporting statement located in the bounded official corpus; confirm scope with vendor. Unknown is not No.

Source ↗ (opens in new tab)

Bring your carrier

DocumentedConditional

Realtime section documents incoming SIP calls through a buyer-selected provider.

Source ↗ (opens in new tab)

Bring your model

UnknownUnknown after research

Native audio model is documented. Custom tools/backend code do not prove a supported replacement for the native TTS/STT/LLM stages.

Source ↗ (opens in new tab)

Bring your voice

UnknownUnknown after research

Native audio model is documented. Custom tools/backend code do not prove a supported replacement for the native TTS/STT/LLM stages.

Source ↗ (opens in new tab)

HIPAA / BAA

UnknownUnknown after research

General healthcare-addendum guidance does not alone establish the exact Realtime model/endpoint/region agreement for this buyer; confirm covered service and contract.

Source ↗ (opens in new tab)

SOC 2

UnknownUnknown after research

No supporting statement located in the bounded official corpus; confirm scope with vendor. Unknown is not No.

Source ↗ (opens in new tab)

GDPR

UnknownUnknown after research

No supporting statement located in the bounded official corpus; confirm scope with vendor. Unknown is not No.

Source ↗ (opens in new tab)

Languages

UnknownUnknown after research

Transcription language hints and examples do not establish a complete Realtime conversational language matrix. Translation model language counts cannot be reused.

Source ↗ (opens in new tab)Source ↗ (opens in new tab)

Voices

Unknown

Not established by the evidence reviewed. This does not mean unsupported.

No verified source

Realtime audio

Speech-to-speech

No independent latency or quality measurement.

Source ↗ (opens in new tab)

Voice cloning

Eligible custom voices

Restricted availability; consent and sample recordings required.

Source ↗ (opens in new tab)

Architecture & connections

Understand the moving parts.

STT

OpenAI configured input transcription models

LLM

OpenAI

TTS

OpenAI native Realtime audio

TELEPHONY

External SIP carrier

Integrations

Function tools · Remote MCP · Webhooks

GPT-Realtime-2 model pricing (opens in new tab)OpenAI Realtime telephony and SIP (opens in new tab)OpenAI Realtime tools and MCP (opens in new tab)OpenAI custom voices (opens in new tab)OpenAI voice cost guidance (opens in new tab)
Research outcomes / sources / limitations

Evidence you can inspect.

A documented feature, a supplier claim and an unanswered question are different kinds of evidence.

Buyer-relevant evidence114 / 114 applicable P0 fields researched

31 strong-source resolved · 66 unknown after research

Evidence coverage details
Strong-source resolved
31
Vendor-claim only
0
Conditional
17
Other sourced outcomes
0
Unknown after research
66
Conflicting evidence
0
Not applicable
0
Not researched
0

P1: 157 / 157 researched · Relevant P2: 27 / 27 researched.

Checked 2026-09-28. P0 means buyer-critical. Research coverage measures the work completed, not product quality, trust, or a benchmark score. A researched field can still be Unknown.

Inspect detailed evidence, sources and research gaps

September 2026 remains the historical baseline. A new research date does not mean a feature launched that day. Unknown after research and not researched are separate states.

Official documentation establishes what the supplier documents. No paid calls, independent product benchmarks or compliance audits were performed in this research pass. Coverage measures research work, never product quality.

Buyer intelligence / September 2026 baseline

The operating decision.

Price structure

Component stack

V3.3 evidence review · GPT-Realtime-2 input audio tokens only; output/audio/text/cache have different rates; not 2.1 rate evidence

component-stackVerified Yes · 2026-09-28

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

Human fallback

Unknown — no established fallback mode

UnknownUnknown after research · 2026-09-28

No individually verified capability establishes this selection. Conditional support and vendor claims do not satisfy Strict Must-have.

Documented transfer is not a staffed human service. Verify who answers, when they answer and what happens if they do not.

Try it yourself

Unknown — no independently checked public demo entry is attached.

External signals

No dated external signal in this record. Missing evidence is not a negative review.

Underlying model context: the documented stack above does not establish an exact benchmark checkpoint or its deployed settings. Public model results cannot become a OpenAI Realtime API score.

Append-only price history

Every capture leaves a trace.

A new check creates a new snapshot. Deltas appear only for the same currency, unit, model and scope.

Checked datePrevious → currentDeltaEvidence
No earlier capture$32 input / $64 output per 1M audio tokens

Tracked: $32 / 1m-tokens · GPT-Realtime-2 audio input only; output and other modalities are additional

First captureGPT-Realtime-2 model pricing (opens in new tab)OpenAI voice cost guidance (opens in new tab)
$32 input / $64 output per 1M audio tokensGPT-Realtime-2 audio input $32/M, audio output $64/M; text input $4/M, output $24/M

Tracked: $32 / 1m-tokens · V3.3 evidence review · GPT-Realtime-2 input audio tokens only; output/audio/text/cache have different rates; not 2.1 rate evidence

Evidence improvedgpt realtime 2 (opens in new tab)realtime costs (opens in new tab)
GPT-Realtime-2 audio input $32/M, audio output $64/M; text input $4/M, output $24/MGPT-Realtime-2 audio input $32/M, audio output $64/M; text input $4/M, output $24/M

Tracked: $32 / 1m-tokens · V3.3 evidence review · GPT-Realtime-2 input audio tokens only; output/audio/text/cache have different rates; not 2.1 rate evidence

Evidence improvedgpt realtime 2 (opens in new tab)realtime costs (opens in new tab)

New research observations preserve earlier captures. “Evidence improved” records what we learned; it does not claim the market changed on that date. September 2026 is the historical baseline.

Cost estimator

Price the actual workflow.

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

Carry the current source into your estimate, then enter the model, voice, carrier and fixed fees your configuration needs.

Estimate OpenAI Realtime API costs

Alternatives by category

Other developer frameworks to inspect.

Alphabetical alternatives within the same category. An editorial starting point, not a performance ranking.

LiveKitDeveloper Frameworks

Engineering teams building custom phone and web voice workflows.

Compare
PipecatDeveloper Frameworks

Teams that want to own pipeline code and choose deployment infrastructure.

Compare

Evidence archive

Inspect the record.

GPT-Realtime-2 model pricingreviewed

GPT-Realtime-2: per million audio tokens, input $32, cached input $0.40 and output $64; text input $4 and output $24. The free API usage tier is unsupported. These are token rates, not an all-in call-minute price.

v2-openai-realtime-price · official · Captured 2026-09-27

Inspect official source ↗
OpenAI Realtime telephony and SIPreviewed

The Realtime API accepts SIP calls using incoming-call webhooks. The call refer endpoint forwards SIP REFER to the carrier; the downstream system completes the transfer. Carrier setup remains external.

v2-openai-realtime-sip · official · Captured 2026-09-27

Inspect official source ↗
OpenAI Realtime tools and MCPreviewed

Realtime sessions can call function tools and remote MCP servers. Remote tools require configuration, authentication where relevant, and application handling of lifecycle events.

v2-openai-realtime-mcp · official · Captured 2026-09-27

Inspect official source ↗
OpenAI custom voicesreviewed

Custom voices are limited to eligible customers. Access requires contacting sales; voice creation requires a consent recording and a voice sample.

v2-openai-custom-voices · official · Captured 2026-09-27

Inspect official source ↗
OpenAI voice cost guidancereviewed

Conversational Realtime charges for input and output tokens across modalities. Input transcription uses a separate model and rate card. Conversation growth, caching and reasoning settings affect cost.

v2-openai-realtime-cost · official · Captured 2026-09-27

Inspect official source ↗

Evidence describes documented scope, not a tested platform score. Unknown means a conclusion has not been established; API connectivity does not establish a native integration. Read our research methodology →

Commercial transparency

Public affiliate terms and an approved tracking link have not been verified.

Partner eligibility and commercial terms are unverified.

Visit OpenAI Realtime APIOfficial site · no affiliate tracking