Price
Cartesia's pricing page lists Managed Agents at $0.03/min, marked "Previously $0.06". That's the lowest headline per-minute rate among the managed platforms here (Vapi and Ultravox list $0.05). LiveKit's $0.01/min is an overage rate on top of its plans.
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Compliance
Vapi lists HIPAA as a $2,000/mo add-on; ElevenLabs, Deepgram and Vaani reserve BAAs for enterprise. Retell, Bland, Cartesia, Synthflow and LiveKit state HIPAA support outright.
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Latency
Vapi says <500ms, Retell ~600ms, Vaani p90 ~450ms; LiveKit's 100ms is network only and Synthflow's sub-100ms is telephony only. The numbers measure different things, so treat them as claims.
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MCP
Vapi, Retell AI, ElevenLabs Agents, OpenAI Realtime API, LiveKit Agents, Vaani document agent-side MCP. The rest offer custom tool or function calling only.
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Pricing
Synthflow's pricing page says there's no free plan or trial and no rate by the minute; it sells annual enterprise agreements.
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Free tier
LiveKit's $0 Build plan includes 1,000 agent session minutes a month; Deepgram offers $200 in credit and ElevenLabs 15 minutes a month.
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