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AI receptionist for chiropractors: cost per call, setup and a sample script

What an AI phone agent built on HighLevel Voice AI costs a chiropractic clinic, what it should and should not handle, and how a call sounds.

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$297 a month, or $2,970 a year

  • Answers, books and texts 24/7
  • Pay per use or $97 flat per business
  • Hands off to staff by transfer or task
  • Agency Pro rebills AI usage with markup
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The short answer

An AI receptionist for chiropractors built on HighLevel Voice AI costs about $0.16 per answered call, or $48 a month for 300 calls averaging 2 minutes, phone line included. Roughly 90 of those calls (30%) would come outside office hours, which is where an AI answering service earns its keep. Emergencies, complaints and anything needing judgment should go to a person.

What the AI should handle

Book new patient exams

Collect name, phone, how they heard about the clinic, and whether the visit relates to an auto accident or work injury, then book a new patient slot and text the intake forms.

Move care plan visits

Find the patient's next visit, offer the nearest open times with the same doctor, and confirm by text. Offer slots in the same week first so the visit frequency on the plan holds.

Answer pricing and coverage basics

Give the cash visit price and payment options from the knowledge base, and explain that insurance and Medicare coverage depend on the plan, so staff verify benefits before the first visit.

Route auto accident callers

Tag callers injured in a car accident, collect the claim details the clinic asks for, and create a task for the personal injury coordinator, who handles attorney and insurer paperwork.

What to send to a person

  • Benefit verification and Medicare questions
  • Personal injury cases involving attorneys or insurers
  • Callers describing numbness, weakness or a recent serious injury
  • Billing disputes

HighLevel's voice agents can transfer a live call, create a task, or trigger a workflow that texts the owner. Set the handoff rules before the agent goes live.

Cost per call and per month

Assumptions for a typical chiropractic clinic: 300 calls a month answered by the AI, averaging 2 minutes. Phone minutes are billed per call and rounded up, so each call bills 2 phone minutes at $0.01165.

Setup AI cost Phone line Per month Per call
Pay per use, Standard voice, GPT-4.1 Mini $40.80 $6.99 $48 $0.16
Pay per use, ElevenLabs voice, GPT-4.1 Mini $52.80 $6.99 $60 $0.20
Pay per use, speech-to-speech (OpenAI) $120.00 $6.99 $127 $0.42
AI Employee Unlimited, $97 flat $97.00 $6.99 $104 $0.35
Our estimate from HighLevel's published rates, checked 2026-09-29. Token use is estimated. Highlighted row is the cheapest at this volume.

The breakdown of every Voice AI charge is in our Voice AI pricing guide. Agencies can price this as a monthly service with the calculator's Price a client tab, preloaded for a chiropractic clinic.

Compared with staff time

Those 300 calls take about 10 hours of talk time a month. At the US median receptionist wage of $18.27 an hour (May 2025, Bureau of Labor Statistics), that talk time alone is worth about $183, before hold time, breaks, benefits and the calls that come in after hours. An AI receptionist does not replace a good front desk; it catches the overflow and the evenings, and frees staff for the people in front of them.

Sample call

Example AI receptionist call for a chiropractic clinicIllustration

AI AGENTThanks for calling Northside Chiropractic. I'm the clinic's AI assistant. What can I do for you?

CALLERI tweaked my back moving a couch. Can I get in today?

AI AGENTI can help with that. Are you a current patient, or would this be your first visit?

CALLERFirst visit.

AI AGENTOur next new patient exam is today at 4:45 p.m. with Dr. Reyes, and it takes about an hour. Would you like it?

CALLERYes. Do you take Medicare?

AI AGENTThe team checks Medicare and insurance benefits before your visit and will call if anything isn't covered. Can I get your full name and date of birth?

CALLERCarol Jensen, June 2, 1957.

AI AGENTThank you, Carol. You're booked for 4:45 today, and I'm texting the intake form now.

Prompt tips

  1. Tip 1Give the agent each visit type with its length, new patient exam versus adjustment, so it never books a first visit into a 15 minute slot.
  2. Tip 2Add a hard rule that the agent does not say whether Medicare or a plan covers care, and always hands benefit questions to staff.
  3. Tip 3Have the doctors list the complaints they want escalated immediately, plus the exact transfer or 911 wording the agent should use for each.

Rules to watch

Medicare coverage is narrow. Medicare Part B covers only adjustments of the spine by a chiropractor to correct a subluxation, and does not cover other services or tests a chiropractor orders, such as X-rays or massage therapy. The AI should never tell a Medicare caller that a visit is covered; staff confirm.

HIPAA and the HighLevel add-on. Chiropractors appear on HHS's list of providers that are covered entities when they transmit health information electronically for standard transactions such as claims. If HighLevel will hold visit histories or intake answers, budget for its $297 a month HIPAA package with a business associate agreement, and have the setup reviewed.

Asking for reviews. Google's review policy prohibits discouraging negative reviews, selectively soliciting positive ones, and offering incentives for reviews. Send the same request to every patient and skip gift card or discount offers tied to a review.

General information, not legal advice.

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Questions

How much does an AI receptionist cost for a chiropractic clinic?
On HighLevel Voice AI, about $48 a month for 300 calls averaging 2 minutes, or $0.16 per answered call including the phone line. That is our estimate from HighLevel's published rates with a standard voice; premium voices cost more per minute.
Is an AI receptionist worth it for a chiropractor who has a front desk?
It covers the calls the desk cannot: rings during adjustments, lunch and evenings. At our assumption of 300 AI-answered calls a month at 2 minutes, pay per use costs about $48 a month, around $0.16 a call including phone minutes. Whether that pays off depends on how many new patients were reaching voicemail.
Can the AI receptionist handle care plan scheduling?
It can move and book visits in HighLevel calendars, including finding slots with the same doctor. It does not know how many visits remain on a patient's plan unless that number lives in HighLevel, so either keep it in a custom field or leave plan changes to staff.
What should the AI say about Medicare and insurance?
Very little. Medicare covers only spinal adjustments to correct a subluxation, and private plans vary widely. Have the AI collect the insurance details, tell the caller the team verifies benefits before the visit, and create a task for staff. It should never promise that a visit is covered.
Can the AI take auto accident calls?
It can collect the caller's name, accident date, insurer and attorney if there is one, tag the contact and alert the clinic's injury coordinator. It should not discuss fault, settlements or whether treatment will be paid; those conversations belong with staff and the patient's attorney or insurer.

Sources

  1. Medicare coverage: chiropractic services
  2. Covered Entities and Business Associates (HHS)
  3. Google Maps user contributed content policy on reviews
  4. HIPAA compliance with HighLevel (help center)
  5. HighLevel pricing page
  6. HighLevel AI product pricing (help center)
  7. HighLevel Phone System pricing and billing guide
  8. HighLevel AI product pricing (help center)
  9. AI Voice Agents overview
  10. HighLevel Phone System pricing and billing guide
  11. BLS Occupational Outlook: Receptionists (May 2025 pay)

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