Best AI receptionist for HIPAA-Compliant Practices (2026)

Affiliate disclosure: we earn a commission if you sign up for Allo AI Receptionist through the links marked “affiliate link” on this page. We don’t link to other vendors; affiliate status never changes picks or order. Full disclosure.

Short answer: Many AI receptionists say "HIPAA" somewhere on their site. Far fewer say they will sign a Business Associate Agreement (BAA), which is what a covered practice needs before patient calls go through the tool. On their own pages, four do: Allo (the only one with a published BAA price, $50/mo per workspace), My AI Front Desk, Upfirst AI (custom plan) and Phonely (Enterprise).

Order rule: vendors whose own page says they sign a BAA come first. Among those, a BAA you can add to a self-serve plan at a listed price, with no sales call, ranks above a BAA by quote. Then published price. Affiliate status does not change the order; Allo is an affiliate partner. We have not test-called these tools.

Verdict

• Pick: Allo AI Receptionist
• Best for: small healthcare teams that want to add a BAA without a sales call
• Starting price (verified): Business seat $32/mo billed yearly ($45 monthly) + AI Receptionist $32/mo per agent billed yearly + signed HIPAA BAA $50/mo per workspace (Business and Ultra). Call allowance not published. Allo says its "Pricing is early and can still change." Because the call allowance isn't published, you can't estimate the full monthly cost before a trial.
• Source: withallo.com/security and withallo.com/pricing, checked 2026-10-22

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BAA status by vendor

Price table is generated from tools.json. What each vendor's own page says, checked 2026-10-22:

• Allo: "On Business and Ultra, Allo signs a Business Associate Agreement for $50 a month per workspace." Source: withallo.com/security (price also on withallo.com/pricing)
• My AI Front Desk: "HIPAA compliant. Handle sensitive conversations with signed BAAs, encryption in transit and at rest, and strict access controls." Plan for the BAA not stated. Source: myaifrontdesk.com
• Upfirst AI: "BAAs for compliance: Business Associate Agreements for HIPAA-regulated businesses", listed with its custom plan. Source: upfirst.ai/pricing
• Phonely: "can sign a Business Associate Agreement (BAA) for Enterprise customers." Source: phonely.ai/pricing
• Nextiva XBert: "maintain HIPAA compliance"; footer "HIPAA Compliant". No BAA wording found. Source: nextiva.com/products/ai-receptionist
• Quo: "HIPAA ready". No BAA verified. Source: quo.com/pricing
• echowin: "HIPAA compliance" add-on at $500/mo. No BAA wording on the pricing page. Source: echo.win/pricing
• Trillet: a "HIPAA mode toggle" on Studio, Agency and Enterprise that disables call recording and storage. No BAA wording found. Source: trillet.ai/pricing

BAA available on a self-serve plan at a listed price:

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Cost at 3-minute calls (standard plans, not BAA plans)

These are the cheapest standard plans; a BAA may need a different plan or add-on. - Upfirst AI: $24.95 at 30 calls, $69.95 at 100, $159.95 at 300. - Quo: $39 at 30, $68 at 100, $145.50 at 300, including a one-user $19 Starter phone plan. - echowin: $28 at 30, $70 at 100, $160 at 300, including a $10 number, before the $500 HIPAA add-on. - Nextiva XBert: $99 at 30 or 100, $297 at 300. - My AI Front Desk: $99 at 30 calls (200 minutes); overage at 25 credits ($0.25) per voice minute is on its pricing page but not yet in our data, so higher volumes are not modelled. - Allo: not computable; call allowance not published.

Assumptions: every call 3 minutes, monthly list prices, tools.json tiers and overage fields. Script: batch5/calc.py.

Allo

Allo is a business phone system with an AI Receptionist add-on. Its security page says it signs a BAA on Business and Ultra for $50 a month per workspace, the only BAA price published by any vendor here. Allo's medical-practices page covers booking, rescheduling and insurance questions. Weak spot: no published call allowance for the AI add-on.

Source: withallo.com/security and withallo.com/pricing, checked 2026-10-22

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My AI Front Desk

Its homepage says HIPAA compliant with signed BAAs. Its pricing page lists Business-in-a-Box at $99/mo ($79 billed yearly) with 200 voice minutes and a Partner/Enterprise custom plan, but does not say which one includes the BAA. Ask before you sign up.

Source: myaifrontdesk.com and myaifrontdesk.com/pricing, checked 2026-10-22

Upfirst AI

Upfirst AI has the lowest published per-call prices on this list, but its BAA is on a custom plan with no published price. See Upfirst alternatives.

Source: upfirst.ai/pricing, checked 2026-10-22

Phonely

Phonely's plan table shows "HIPAA (BAA Signature)" on Enterprise, described as for organizations taking 1,000+ calls a month or needing HIPAA compliance.

Source: phonely.ai/pricing, checked 2026-10-22

HIPAA mentioned, BAA not found

Nextiva XBert, Quo, echowin and Trillet mention HIPAA but we did not find BAA wording on the pages we checked. That doesn't mean they won't sign one. It means you should ask for it in writing. See Nextiva vs Quo.

Bottom line

"HIPAA" on a homepage is not a BAA. If you want to add a BAA to a self-serve plan without a sales call, Allo is the only one that offers that at a listed price (it says its pricing "is early and can still change"). My AI Front Desk, Upfirst AI and Phonely say they sign BAAs, so get a quote from each. Don't route patient calls through any AI receptionist or answering service until the BAA is signed.

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Not sure? Try /match.

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