One of the first questions practices ask is how much medical billing services cost. The honest answer: it depends on your specialty, claim volume and the services you need. This page explains how medical billing pricing works so you can compare options with confidence.
Common Medical Billing Pricing Models
- Percentage of collections — how it works: A percentage of the payments collected on your claims — industry rates typically fall around 4%–10%. Best for: Most practices; aligns the billing company's income with yours.
- Flat fee per claim — how it works: A fixed amount for each claim submitted. Best for: High-volume, low-complexity practices.
- Fixed monthly fee — how it works: A set monthly price for a defined scope. Best for: Practices with very stable volume.
Medical Coder primarily uses percentage-of-collections pricing, because it means we only earn when your practice gets paid.
What Affects Your Medical Billing Rate
- Specialty — complex specialties (surgery, oncology, behavioral health with authorizations) take more work per claim.
- Claim volume and average claim value — higher volume usually means a lower percentage.
- Payer mix — Medicaid managed care and authorization-heavy plans need more follow-up.
- Scope — full revenue cycle vs. only denials and A/R.
- Backlog — large amounts of aged A/R to clean up at the start.
What's Included in Our Medical Billing Services
- Eligibility verification and certified coding
- Claim scrubbing, submission and payment posting
- Denial management and appeals
- A/R follow-up and patient statements
- Monthly reporting and a dedicated account manager
Ask any billing company for the full list of what is included and what costs extra — setup fees, credentialing, patient statements and aged A/R recovery are common add-ons.
Outsourcing vs. In-House: The Real Cost Comparison
An in-house biller costs a salary plus benefits, payroll taxes, training, billing software and the revenue lost during turnover or leave. For many small and mid-size practices, outsourcing costs less in total and collects more. See medical billing for small practices and our guide to affordable medical billing services.
Get an Exact Quote
The fastest way to an exact price is a free review of your current billing. We look at your specialty, volume, payers and A/R and give you a clear quote with no obligation. Texas practice? See our Texas and San Antonio pages. Request your quote, or start with a medical billing audit.