Guide · November 2026
Front desk interpreters: phone, video or robot
A front desk that serves people in many languages can get help in five ways. A phone interpreter costs about $1.25 to $3.95 a minute, a video interpreter $0.89 to $4.95 a minute, a handheld translation device about $199 once, and a multilingual robot such as Starlife Bella $10 to $20 an hour. Bilingual staff cost a normal receptionist wage, if you can find them. Which one you need depends on what is being said, because a welcome and a consent form are very different conversations.
When a desk needs language help
Most desk conversations are short and practical, because a guest usually wants to know where to go, when something opens or who to speak to. For these, speed matters more than certification, and an app, a bilingual colleague or a robot can do the job.
Other conversations have serious consequences if a word is wrong, for example when they are about symptoms, medication, consent, a contract or a legal notice. These need a qualified interpreter, and in US healthcare the law says so.
What US healthcare rules require
The HHS rule on nondiscrimination in health programs, 45 CFR 92.201, says a covered entity must take reasonable steps to give meaningful access to each person with limited English proficiency. Its main points, in plain words:
- Language help must be free for the patient, accurate and timely, and it must protect the patient's privacy.
- When interpreting is required, the provider must offer a qualified interpreter.
- The provider may not ask patients to bring or pay for their own interpreter.
- The provider may not rely on a child to interpret, or on an adult who came with the patient, outside narrow exceptions such as an emergency.
- Staff who speak to patients in another language must be qualified bilingual staff.
- Machine translation of text must be reviewed by a qualified human translator when accuracy is essential or the text is critical to the patient's rights.
- Video interpreting must have clear, real-time picture and sound, and staff must be trained to use it.
Ask your lawyer whether your organization is a covered entity. The rule is written for health programs, but the same care makes sense at any desk where a guest signs something.
The options side by side
| Option | Example provider | Price or price model | Qualified interpreter | Good for |
|---|---|---|---|---|
| Bilingual staff | Your own hire | Median receptionist wage $18.27 an hour (BLS) | Only if trained and assessed | One or two common languages, all day |
| Multilingual robot | Starlife Bella | $10 to $20 an hour (pricing) | No | Welcome, directions, simple questions in 30+ languages |
| Phone interpreting | LanguageLine, Day Interpreting | $3.95 a minute (LanguageLine); from $1.25 a minute (Day Interpreting) | Yes; confirm for your plan | Rare languages, short clinical talks |
| Translation app or device | Pocketalk | From $199 for the device (Pocketalk) | No | Quick practical exchanges |
| Video remote interpreting | Interpreters Unlimited, Jeenie, LanguageLine | $0.89 to $4.95 a minute (sources below) | Yes; confirm for your plan | Sign language, longer or sensitive talks |
Prices checked in November 2026. They change often; check the linked pages.
Phone interpreting
With phone interpreting, you call a number or open an app and an interpreter joins the conversation. LanguageLine's pay-per-minute product, Personal Interpreter, costs $3.95 a minute for audio in more than 240 languages, with no monthly minimum. The page gives no rate for an organization-wide contract. Day Interpreting lists prepaid rates of $1.25 a minute for Spanish and $1.75 for other global languages with no monthly fee.
For rare languages, and for a desk that needs an interpreter only a few times a week, phone interpreting is the better choice.
How much does video remote interpreting cost?
Published rates run from $0.89 to $4.95 a minute. Interpreters Unlimited says its video rates start at $1.95 a minute for all languages and may vary with volume. LanguageLine charges $4.95 a minute for pay-per-minute video in more than 40 languages, including American Sign Language.
Jeenie charges the same rate for audio and video and publishes three plans. Connect has no monthly fee and costs $1.99 a minute for Spanish and common languages. Plus costs $49 a month and $1.29 a minute for Spanish, and Premium costs $149 a month and $0.89 a minute. Jeenie states that Connect interpreters are not guaranteed to meet HIPAA standards and that medically qualified interpreters come with Plus and above.
At these rates a 15-minute intake conversation costs about $13 to $74. Use video for sign language, and for longer conversations where it helps to see the face.
Bilingual staff
When most of your guests share one second language, a bilingual receptionist is the most natural solution. The Bureau of Labor Statistics puts the median wage for receptionists at $18.27 an hour in May 2025, and for professional interpreters and translators at $28.93 an hour.
The limit is that one person covers one or two languages. In healthcare there is a second limit, because speaking Spanish at home does not make someone a qualified interpreter under the rule above, so decide in writing what your bilingual staff may and may not interpret.
Translation apps and devices
Pocketalk sells the S2 for $199 with a two-year data plan and the S2 Plus for $269, and its healthcare page lists more than 92 languages, no subscription fees and the company's statement that the product complies with HIPAA.
These tools use machine translation, so they suit the practical exchange at the desk but should not be used where an error could cause harm.
A multilingual robot: Starlife Bella
Starlife Bella is a humanoid service robot with a friendly face and a chest display, on a wheeled base. Bella is not autonomous: a trained robot pilot, supplied by Starlife, controls it live from a laptop with AI assistance. The robot pilot speaks with guests in more than 30 languages through live translation in both directions, and the guest hears the robot's own voice.
Bella's translation is live AI translation for greeting and directions, and Bella is not a certified medical or legal interpreter. Clinical conversations, consent and anything a person signs still need a qualified interpreter, whether by phone, by video or in person.
Where Bella is useful anyway
Bella greets guests in their language, answers simple questions, leads them to the right place and tells the right staff member who has arrived. That is useful at a hotel, a store, a mall or a lobby, where nobody would phone an interpreter to ask where the elevators are.
In a hospital lobby the two work together, because Bella welcomes and directs while your interpreter service takes over at registration or in the exam room. Bella costs $10 to $20 an hour with no big contract, and the normal start is a 14-day pilot. In a 14-day pilot at American Dream mall, Bella had 2,222 guest engagements. Starlife also has more than 2,000 guest interactions in healthcare settings over 10 months.
If you want to hear Bella welcome a guest in another language, we can show you. Book a demo.