A full-time front desk receptionist in the US typically costs a small business between $46,000 and $62,000 a year once payroll taxes and benefits are added to a base salary in the high thirties to mid forties. That buys roughly 40 of the 168 hours in a week. A live answering service covering the rest runs from about $250 to $2,100 a month depending on volume, and an AI answering service covering all 168 hours runs from roughly $49 to $800 a month. The right answer depends less on the sticker price than on how many of your calls arrive outside business hours and what one new client is worth to you.
Last updated July 2026.
The real cost of hiring, not the salary
The number in the job ad is never the number on your P&L. Employer payroll taxes, unemployment insurance, workers compensation, health contributions and paid time off typically add somewhere between 25% and 35% on top of base pay for an administrative role. Then there are the costs that never appear on a benefits summary: recruiting time, the four to eight weeks before a new hire knows your services well enough to answer confidently, and the whole cycle repeating when they leave, which in front desk roles happens often.
Here is the model with the arithmetic shown, so you can substitute your own local market rate rather than trusting ours.
| Line item | Low estimate | High estimate |
|---|---|---|
| Base salary, full-time front desk | $37,000 | $46,000 |
| Payroll taxes, insurance and benefits at 25% to 35% | $9,250 | $16,100 |
| Loaded annual cost | $46,250 | $62,100 |
| Loaded monthly cost | $3,854 | $5,175 |
| Hours of phone coverage per week | About 40, minus lunch, vacation, sick days and time spent on other tasks | |
| Effective cost per covered hour | $22 | $30 |
Treat these as a model, not a citation. Front desk pay varies enormously by metro area, and a receptionist in San Francisco or New York will sit well above the top of that range while one in a smaller market may sit below the bottom. What does not vary is the structure: the loaded cost is roughly a quarter to a third above base, and the coverage you get is roughly a quarter of the week.
The coverage gap nobody prices in
The 40-hour figure is the part that quietly undermines the whole calculation. Your business is reachable 168 hours a week as far as a searching customer is concerned, and a single receptionist covers under a quarter of that. Worse, the uncovered hours are not evenly boring. Evenings, weekends and holidays are when people deal with the problems they were too busy to deal with during the week, which is precisely when urgent, high-intent inquiries arrive.
There is a second gap inside the covered hours. One person holds one line. When an ad runs, or a referral wave arrives, or somebody calls while your receptionist is already talking, the second caller hears a busy signal or a voicemail greeting. Most of them do not wait. They call the next business on the list, which is a competitor who is not necessarily better, just available.
- 128 hours a week are uncovered by a single full-time hire
- Simultaneous calls are lost even during covered hours
- Lunch, vacation, sick days and turnover create unpredictable additional gaps
- Front desk staff also handle walk-ins, email and admin, so phone coverage is partial even at the desk
What the alternatives cost
Once you accept that the comparison is coverage per dollar rather than headcount, the options line up cleanly. Every figure below was read off the vendor's own published pricing page in July 2026.
| Option | Cost | Coverage | What it does with a call |
|---|---|---|---|
| Full-time receptionist | $3,854 to $5,175 a month loaded | About 40 hours a week, one call at a time | Everything, including walk-ins and admin, at human quality |
| Part-time receptionist | $1,900 to $2,600 a month loaded | About 20 hours a week | Same, half the hours |
| Live answering service (Ruby) | $250 for 50 minutes to $1,725 for 500 minutes a month | 24/7 | Answers warmly and takes a message; you do the follow-up |
| Live answering service (Smith.ai) | $300 for 30 calls to $2,100 for 300 calls a month | 24/7 | Answers and takes intake, capped at 5 questions; booking, payments and extra questions billed per call |
| AI answering service | $49 to $800 a month depending on vendor and volume | 24/7, unlimited simultaneous calls | Answers, captures details, books; depth varies by product |
| AI intake agent (Consultations) | $49 to $299 a month flat by business size | 24/7, unlimited simultaneous calls and web inquiries | Runs the full intake, screens against your criteria, collects documents, books the paid appointment, writes a brief |
When hiring is still the right call
Plenty of businesses should hire, and the comparison above does not change that. If you have walk-in traffic, someone has to greet people at the door. If your front desk also handles billing, scheduling logistics, supply orders and the hundred small things that keep an office running, you are not buying phone coverage, you are buying an operations person, and no answering service replaces that.
Human staff also handle the calls that go sideways: the distressed caller, the complaint, the situation nobody anticipated. That judgment is worth paying for. If a large share of your calls are emotionally difficult, staff the desk and use technology only to cover the hours nobody is there.
Where hiring is a poor fit is the narrow case of after-hours coverage for a business that gets urgent inquiries. Nobody solves 2am with a full-time hire; you solve it with three shifts, which is $150,000 a year for a phone that rings occasionally. Whoever you do hire will also need to be trained on your intake script and your criteria before they are useful on a call, and keeping that training consistent across turnover is its own recurring cost. Businesses that treat it as a documented, repeatable process rather than shoulder-tapping usually run it through a system that onboards and certifies new staff on the same material every time instead of relying on whoever is free that week.
The number that actually decides it
Stop comparing monthly fees and calculate what a missed call costs you. Take your average client value, multiply by the share of inquiries that become clients, and you have the value of one inquiry. Then pull the after-hours and missed-call report from your phone system for the last 90 days.
Most professional service businesses find the answer is not close. If a new client is worth $3,000 and one in four inquiries converts, each inquiry is worth $750. Recovering two missed inquiries a month pays for every option in the table above, several times over. The decision stops being a cost comparison and becomes a question of which option converts the most callers.
That is also why answering is only half the job. A service that picks up and takes a message has stopped the caller from dialing your competitor, which is worth a lot, but the qualification and the callback still land on your desk. A service that runs the whole intake, screens the caller, collects what you need and books the appointment removes the follow-up work as well. We laid out the whole category with published prices on the best AI receptionist comparison, and the mechanics of the front door itself on the AI answering service page. If you are running the numbers for a small practice specifically, the AI receptionist for small business page puts the loaded cost of a hire next to the published price of every alternative, and once you have chosen, the setup playbook covers the configuration that decides whether it works well.
See how Consultations runs intake for your field on the use cases page.