Pricing
Published pricing, because you should not need a sales call to learn a number
Flat monthly tiers. No setup fee, no per-call charges, no annual lock-in. The HIPAA Business Associate Agreement is included on every plan.
Starter
For a single-location practice that just needs the phone answered.
$99/month
200 calls & texts included
- Ava (voice) or Max (text) — pick one
- 1 local or toll-free number
- 24/7 answering + after-hours coverage
- Booking links sent by text
- Call transcripts and recordings
- Email + chat support
Growth
Most practicesBoth agents, sharing one memory across voice and text. Most practices land here.
$249/month
750 calls & texts included
- Ava and Max together, with shared conversation memory
- Missed-call text-back within 10 seconds
- Two-way calendar write-back
- Automated review requests
- Appointment reminders and no-show follow-up
- Up to 3 staff seats
Pro
Multi-location groups that need routing, integrations and an onboarding lead.
$499/month
2,000 calls & texts included
- Everything in Growth
- Multi-location routing and per-site greetings
- Practice-management and CRM integrations
- Priority call routing and escalation rules
- Dedicated onboarding specialist
- Custom reporting
In short
optni.ai costs $99 per month for the Starter plan (200 calls and texts, one agent), $249 for Growth (750 interactions, both Ava and Max with shared memory, calendar write-back) and $499 for Pro (2,000 interactions, multi-location routing and integrations). There is no setup fee, billing is monthly with no contract, and a HIPAA Business Associate Agreement is included on every plan. Annual billing includes two months free.
What it replaces
Compare it against what you're paying now
Not a claim that people are replaceable — a comparison of what each option costs to cover the same calls.
| Option | Typical monthly cost | Covers after hours | Books the appointment |
|---|---|---|---|
| A part-time front-desk hire | $2,400–3,200 | No | Yes |
| A traditional answering service | $300–900, per minute | Yes | No — takes a message |
| Voicemail | $0 | Technically | No |
| optni.ai Growth | $249 flat | Yes | Yes |
Wage figures are US averages for a part-time front-desk role including employer costs. Your market will differ.
HIPAA-ready
Business Associate Agreement available on every plan
TCPA + A2P 10DLC
Registered messaging, express written consent captured
Encrypted end to end
TLS 1.3 in transit, AES-256 at rest
Audit logged
Six-year retention on every call and message
Pricing questions
Answered plainly
One answered call or one SMS conversation, however many messages it contains. A patient who texts eight times to book one appointment is one interaction, not eight.
Nothing stops working. Overage is billed per interaction at your plan's rate and shown in your dashboard before it bills. If you consistently exceed your tier we will tell you — moving up is almost always cheaper than paying overage.
No setup fee and no contract. Plans are monthly and cancel any time from your dashboard. Annual billing is available and includes two months free.
Yes. A Business Associate Agreement is included on every plan including Starter. We do not treat compliance as an upsell — a practice on the entry plan handles the same protected health information as one on Pro.
No. Carrier brand and campaign registration is handled as part of onboarding at no additional cost. Carrier pass-through fees, where they apply, are billed at cost with no markup.
Yes. Starter includes either Ava or Max; you can switch between them or move up to Growth for both at any point in the month, prorated.
Answering services bill per call or per minute, commonly $1–2 per minute, so cost rises exactly when you are busiest. optni.ai is a flat monthly tier — and it books the appointment rather than taking a message.
Try it before you pay for it
Hear Ava answer a call first. If she cannot handle your practice's calls, no amount of pricing detail matters.