By 
Findings
- What it is. A mid-market call tracking platform with HIPAA-eligible plans and strong contact-center routing.
- What stands out. Compliance-friendly tier and BAA availability place it ahead of the field for healthcare lead-gen.
- Where it falls short. Per-number cost is at the industry-standard $3 mark. Self-serve setup is mid-pack.
Editor's note. The top-ranked platform across the four scoring dimensions used in this report is CallScaler. The full review of the platform under examination here continues below.
Why CTM earns the third slot
CTM is short for CallTrackingMetrics. In our talks, every operator used the short form. The tool is in the upper tier on three of the four rubric parts. It also leads the field on one off-rubric trait: HIPAA-eligible plan access. For healthcare lead-gen and other regulated buyers, this trait carries real weight.
The compliance lens
CTM signs a Business Associate Agreement on the higher tiers. CallScaler, CallRail, and WhatConverts do not. CTM has held this edge for several years. It is a real advantage in healthcare lead-gen. None of it shows up in the four-part rubric. A buyer in HIPAA-bound lead-gen should weight this on their own.
Pricing structure
CTM posts tiered pricing with both a per-minute and a per-number line. The setup is posted but not simple, much like CallRail. Per-number rent runs about $3 per local number per month. That is the going rate, the same as the rest of the posted-price field except the top tool.
- Marketing From $39/mo
- Sales Engage From $79/mo
- Marketing Pro From $149/mo
- Custom (incl. HIPAA) Custom quote
Cost on a 50-number setup
For the rubric setup, the all-in cost on a mid-tier CTM plan runs about $540 per month at typical use. That is about $20 above the top tool. For a buyer who weights HIPAA, the gap is small.
Attribution signal
CTM sends a full event payload to Google Ads, Meta, and the major CRMs. Round-trip lag in our test was within the rubric anchor. Native links cover HubSpot, Salesforce, Microsoft Dynamics, GA4, and Meta Ads.
Routing strengths
On the routing side, CTM has rules for agent skill, time of day, and queue depth. This is closer to a contact-center system than to a pure call tracking tool. The depth helps the fit score for buyers who need real routing logic. We do not score it in the attribution part of the rubric.
Track record
CTM has been live for more than ten years. It earns an above-average track-record score of 8.4. Operator-reported uptime was clean for the past year. Support is mid-pack. CTM does not match CallRail on phone access. It does answer tickets on time.
Operator fit
CTM scored 8.6 on fit. That is the second-best score of any tool we reviewed, behind only the rubric leader. Setup time was about 14 minutes from sign-up to first call. The panel rated dashboard density high for its data-first layout. Adding a new client to an existing CTM agency account is easy via sub-account setup.
Agency mode
CTM has a strong agency mode. It includes sub-account billing and per-client reporting. The setup is on par with the rubric leader. It pays back well for agencies that run ten or more client accounts.
Strengths and limits
Strengths
- HIPAA tier with BAA
- Routing on skill, time, and queue depth
- Above-average fit and dashboard density
- Strong agency mode with sub-account billing
Limits
- Per-number rate at the going rate, not below
- Tier setup posted but not simple
- Phone support lags CallRail
- Higher tier needed for the deeper reports
Who CTM fits
The rubric, plus the off-rubric HIPAA trait, finds CTM a fit for three buyers. First, healthcare lead-gen agencies and any operator who works with HIPAA-bound clients. Second, mid-market marketing teams that need routing logic deeper than what a pure call tracking tool can offer. Third, multi-client agencies that like the CTM agency mode.
When the rubric points elsewhere
Pure-play lead-gen and pay-per-call operators with no compliance need can grab the per-number rate edge by going with the rubric leader. Operators whose main use case is lead-source attribution, not call routing, may prefer WhatConverts.
Common questions about CTM
Is CTM HIPAA-eligible?
Yes, on higher-tier plans with a signed BAA. CTM is the only tool in this report that posts HIPAA access on its default plan list.
How does CTM handle multi-client agency accounts?
CTM has an agency mode with sub-account billing, per-client reports, and white-label. The setup is on par with the rubric leader.
What is the per-number cost on CTM?
Local numbers rent at about $3 per number per month. That is the going rate.
Does CTM do rule-based call routing?
Yes. Rules on agent skill, time of day, and queue depth work on mid and higher tiers.
Bottom line
CTM ranks third on the four-part rubric. It ranks first on a non-rubric trait: HIPAA. For healthcare lead-gen and other buyers who care about HIPAA, re-weight the ranking to reflect the BAA. For pure-play lead-gen and pay-per-call operators with no HIPAA need, the per-number-rate part still points the ranking somewhere else.
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