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Best HIPAA-compliant AI voice agent platforms (2026)
16 vendors that say they are HIPAA compliant or sign a BAA, ranked on published data only. Nobody pays for position and we have not tested these products; latency and concurrency figures are the vendors' own claims. Checked Oct 26, 2026.
6 of 16 publish a per-minute rate, from $0.01 to $0.14. Top of the list: Famulor, Retell AI, Bland AI, Vapi, Floatbot and 11 more.
| # | Vendor | Starts at | Per-min | Build | Telephony | LLM choice | Latency (claimed) | Concurrency | HIPAA |
|---|---|---|---|---|---|---|---|---|---|
| 1 | Famulor Voice agent platform · site | Free | — | No-code / low-code | Included | Yes | — | Scales to thousands of parallel calls | BAA available |
| 2 | Retell AI Voice agent platform · site | Free | $0.07 | No-code and API | Included | Yes | ~600ms | 20 free concurrent calls; no cap on Enterprise | BAA available |
| 3 | Bland AI Voice agent platform · site | Free | $0.14 | Developer / API | Bring your own | — | — | 10 (Start), 50 (Build), custom (Enterprise) | BAA available |
| 4 | Vapi Voice agent platform · site | Free | $0.05 | Developer / API | Included | Yes | Sub-500ms | 4, 10 or 30 concurrent calls by package; add-ons available | BAA available |
| 5 | Floatbot Voice agent platform · site | $99/mo | — | No-code / low-code | Bring your own | Yes | — | Maximum concurrent calls set per plan | Claims HIPAA |
| 6 | Cartesia Managed Agents Voice agent platform · site | Free | $0.06 | No-code and API | Included | — | — | Concurrency pool per service; high/custom limits on Scale and Enterprise | Claims HIPAA |
| 7 | LiveKit Agents Voice agent platform · site | Free | $0.01 | Developer / API | Included | Yes | Under 250ms media delivery worldwide | Plan-based concurrent session limits (5 and 20 concurrent calls listed on lower plans) | BAA available |
| 8 | Telnyx Voice AI Agents Voice agent platform · site | $0.05/min | $0.05 | Developer / API | Included | Yes | Sub-200ms response times (edge inference) | — | Claims HIPAA |
| 9 | Lindy Voice agent platform · site | $49.99/mo | — | — | — | — | — | — | BAA available |
| 10 | Thoughtly Voice agent platform · site | Not published | — | — | Bring your own | Yes | — | 100+ concurrent calls | BAA available |
| 11 | ElevenLabs Agents Voice agent platform · site | Not published | — | No-code and API | Bring your own | Yes | Ultra-low latency (no figure published) | — | BAA available |
| 12 | Deepgram Voice Agent API Voice agent platform · site | Not published | — | Developer / API | — | — | — | — | BAA available |
| 13 | Twilio ConversationRelay Voice agent platform · site | Not published | — | Developer / API | Included | Yes | Low-latency infrastructure (no figure published) | — | Claims HIPAA |
| 14 | Voiceflow Voice agent platform · site | Not published | — | No-code / low-code | — | Yes | — | — | Claims HIPAA |
| 15 | Kore.ai Enterprise voice AI · site | Quote | — | No-code and API | — | — | Sub-second responses | — | Claims HIPAA |
| 16 | Regal Enterprise voice AI · site | Quote | — | — | Included | — | — | Listed as a pricing factor | Claims HIPAA |
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Questions
Which HIPAA-compliant AI voice agent platforms publish a per-minute price?
6 of 16: LiveKit Agents ($0.01/min), Vapi ($0.05/min), Telnyx Voice AI Agents ($0.05/min), Cartesia Managed Agents ($0.06/min), Retell AI ($0.07/min), Bland AI ($0.14/min). Most add telephony, LLM or voice costs on top; see each listing.
Which ones only quote on request?
2 of 16: Kore.ai, Regal.
Which have a free plan, trial or credits?
10 of 16: Famulor, Retell AI, Bland AI, Vapi, Floatbot, Cartesia Managed Agents, LiveKit Agents, Lindy, Deepgram Voice Agent API, Twilio ConversationRelay.
Which are no-code and which are developer platforms?
No-code or low-code builders: Famulor, Retell AI, Floatbot, Cartesia Managed Agents, ElevenLabs Agents, Voiceflow, Kore.ai. API/SDK-first: Retell AI, Bland AI, Vapi, Cartesia Managed Agents, LiveKit Agents, Telnyx Voice AI Agents, ElevenLabs Agents, Deepgram Voice Agent API and 2 more. 3 don't make it clear on the pages we read.
Do they include phone numbers and telephony?
Famulor, Retell AI, Vapi, Cartesia Managed Agents, LiveKit Agents, Telnyx Voice AI Agents, Twilio ConversationRelay, Regal provide numbers or telephony themselves. Famulor, Retell AI, Bland AI, Vapi, Floatbot, Cartesia Managed Agents, LiveKit Agents, Thoughtly and 1 more let you bring your own carrier or SIP trunk.
Can I choose the LLM?
Famulor, Retell AI, Vapi, Floatbot, LiveKit Agents, Telnyx Voice AI Agents, Thoughtly, ElevenLabs Agents, Twilio ConversationRelay, Voiceflow say you can choose or bring your own model.
What latency do they claim?
Vendor claims, not our measurements: Retell AI: ~600ms; Vapi: Sub-500ms; LiveKit Agents: Under 250ms media delivery worldwide; Telnyx Voice AI Agents: Sub-200ms response times (edge inference); ElevenLabs Agents: Ultra-low latency (no figure published); Twilio ConversationRelay: Low-latency infrastructure (no figure published); Kore.ai: Sub-second responses.
Which sign a HIPAA BAA?
Famulor, Retell AI, Bland AI, Vapi, LiveKit Agents, Lindy, Thoughtly, ElevenLabs Agents, Deepgram Voice Agent API say they sign a BAA.
Which integrate with existing contact centers?
Famulor (Zendesk, Freshdesk, ServiceNow, Intercom); Telnyx Voice AI Agents (Amazon Connect); ElevenLabs Agents (Genesys, Salesforce, Zendesk, Cisco); Deepgram Voice Agent API (Amazon Connect).
How did you choose these 16?
Every vendor we verified that say they are HIPAA compliant or sign a BAA, from its own site. Order uses published data only: published price first, then how many facts the vendor publishes. Nobody pays for placement, and we have not tested these products. Checked Oct 26, 2026.