If you are thinking about outsourcing, cost is usually the first question. This guide explains how billing companies price their services and how to compare quotes fairly. For our own pricing model, see medical billing services pricing.
The short answer
Most billing companies charge a percentage of what they collect for you — typically around 4%–10% across the industry. Some charge a flat fee per claim or a fixed monthly fee instead.
What pushes the price up or down
- Your specialty and how complex your claims are
- Monthly claim volume
- Payer mix, especially Medicaid managed care and authorization-heavy plans
- Whether you need full billing or only denials and A/R
- How much old A/R needs to be cleaned up
Hidden costs to ask about
- Setup or onboarding fees
- Charges for credentialing or payer enrollment
- Patient statement printing and mailing
- Extra fees for working aged A/R
- Software or clearinghouse fees passed through to you
Compare against the true cost of in-house billing
An in-house biller costs more than a salary: benefits, payroll taxes, training, software and the revenue lost when that person is out or leaves. For many small practices, outsourcing is cheaper in total.
Next step
The only way to get an exact number is a review of your real data. Request a free billing audit and we will give you a written quote.