Electricity is the bill you'll feel monthly. EPA's 2000 aerobic treatment fact sheet puts fixed-film units at 1 to 4 kWh a day and suspended-growth units at 2.5 to 10 kWh a day. At 12 cents per kWh that works out to roughly $44 to $175 a year for fixed-film and $110 to $440 for suspended-growth. For a current estimate, ask for the proposed equipment's expected energy use and apply your own power rate.
Budget for contract renewal after the included first four years. A TDEC-approved provider visits every three months unless the state approves a different schedule, and the price is whatever the provider charges. This page models $500 a year; call two providers who service your brand before you sign anything, and ask whether the yearly price covers remote monitoring and any state tracking fee they pass along, so you can compare the full recurring cost.
Parts are the lumpy cost. EPA's homeowner guidance says many septic pumps and controls need replacement every 10 to 20 years, and blower life varies by model. If your unit uses chlorine tablets or a UV lamp, those are a small recurring buy too. Pumping happens when the provider's sludge measurement calls for it, and necessary pumping falls within the initial contract's scope, subject to the rule's damage exception.