Per-conversation usage plus one-time setup. Compliance tier sets the rate. No per-seat fee. No per-state fee. Hand-priced enterprise contracts available for >100,000 calls per month or government ATO.
By Addie Conner · Last reviewed 2026-06-05.
The standard tier ($0.50/call) is negative gross at retail orchestrator pricing. That is intentional — the standard tier is an acquisition lane for tenants who bring their own provider keys. It is not a self-serve consumer SaaS lane, and we cannot scale it that way. If you are running a $20 ARPU consumer product on top of voice AI, Sage Voice is the wrong vendor.
The HIPAA tier ($0.80/call) is the first tier with positive gross margin at retail orchestrator pricing for a five-minute call, and it is the tier that pays for the compliance engineering, the BAA chain, and the audit infrastructure. The unit economics assume enterprise buyers who would otherwise spend $1-3M on a 12-18 month internal build per vertical.
If retail orchestrator prices drop 50% (plausible by 2027 as Cresta/Sierra/Hippocratic scale), the buy-vs-build math compresses and Sage Voice's pricing power compresses with it. That is the same 24-36 month window framed differently — see the homepage kill-shot.
Overage above 10 minutes per call: $0.02 per additional minute.
Industry-typical raw infrastructure for a five-minute regulated voice AI call: ~$0.65–$1.30 across LLM + TTS + STT + telephony, based on listed provider pricing as of 2026-06-05:
A human insurance call-center contact loads to roughly $5–$12 per contact depending on tenure mix and complexity. Sage Voice prices above raw infra and well below the human handle cost. The margin pays for the compliance infrastructure and audit log. The standard tier requires BYO provider keys or pass-through; HIPAA at $0.80 is the first tier with positive gross margin at retail orchestrator pricing for a five-minute call.