Pricing
One monthly bundle covers calls, texts, emails, forms, and autopilot — all drawing from the same balance. Bigger bundle, lower per-token rate. Try free for 14 days, no credit card.
14-day trial · No credit card required
Plans
Hear the AI on your own number, no card required.
Single-location practices getting started.
Multi-location, higher patient volume.
IDNs, hospital systems, Epic/Cerner/Athena.
Tiers differ by included token volume, not features. Integration setup varies by EMR and is quoted during onboarding. Annual billing saves 10% on Starter and Growth.
How tokens work
Pay only for what you actually use. Calls, texts, emails, forms, and autopilot all share one monthly balance. Bigger bundle, lower price per token.
Failed calls (no-answer, voicemail, under 10 seconds of conversation) aren't billed.
Questions
Tokens are the shared unit Echo uses to meter automation. 1 token = 1¢. A completed AI call uses 100 tokens, SMS or MMS uses 10, email uses 1, a completed form uses 5, and each Autopilot-enrolled patient uses 100. Calls, texts, email, forms, and autopilot all draw from the same monthly balance.
Two options: buy a top-up at your tier's overage rate, or upgrade to the next bundle. Top-ups are sold in $100 minimums and never replace your monthly commit — they're consumed after your included tokens are used up. Top-up tokens expire 12 months from purchase.
1,000 automation tokens (about 10 AI calls or 100 texts), 14 days, no credit card. Trials are sandbox-only — verified phone numbers only, no patient outreach, no EMR integration. The trial is to hear how Echo sounds; Starter and above are for using it on real patients with a signed BAA.
Flat per completed call (100 tokens) and per SMS (10 tokens) — no per-minute meter. Failed calls (no-answer, busy, or voicemail dropped with under 10 seconds of conversation) aren't billed. Carrier passthrough fees (A2P 10DLC, MMS surcharges) are billed at cost.
Yes. Move up or down between Starter and Growth anytime; higher tiers give you more included tokens at a lower effective per-token rate. Annual prepay locks in a 10% discount. Need more than Growth? Talk to us about Enterprise.
OpenDental and Prognocis are available on all paid plans with a one-time setup fee (Prognocis also carries the EMR vendor's per-practice fees). Epic, Cerner, Athena, and custom IDN integrations are part of Enterprise and are scoped during onboarding alongside security review and a custom MSA.
Yes. Calls and two-way patient texting are encrypted, transcripts are stored securely, and Echo signs a Business Associate Agreement (BAA) with every paid customer before going live.
Compliance isn't an upsell. Every plan includes encrypted calls and two-way patient texting, securely stored transcripts, and a signed Business Associate Agreement (BAA) before you go live. See Echo in action across every specialty.
Ready when you are
See exactly how Echo answers every call, text, and form for a practice like yours, and which plan fits.