Medical Billing Pricing
Simple, transparent pricing based on your practice’s real claim volume — not a one-size-fits-all rate. Get a written quote after a free billing audit.
How Medical Billing Is Priced
Most billing companies use one of three models. We will recommend the one that costs your practice least for the work involved.
Percentage of Collections
You pay a percentage of what we actually collect. The most common model, and it keeps our incentives tied to your revenue. Market rates commonly fall around 3%–10%.
Flat Monthly Fee
A fixed monthly price for an agreed scope and claim volume. Predictable budgeting for high-volume practices with steady claims.
Per-Claim or Per-Service
A set price per claim, or per project such as credentialing or an A/R cleanup. Useful when you only need help with part of the cycle.
Factors That Shape Your Quote
- Specialty — specialties with complex coding, authorizations or time-based codes take more work per claim.
- Claim volume and average claim value — more and higher-value claims usually mean a lower percentage.
- Payer mix — Medicaid, workers’ comp and PI claims often need more follow-up.
- Services included — full RCM, credentialing, prior authorizations or old A/R recovery.
- Current A/R condition — a large backlog of aged claims may be priced as a one-time project.
What In-House Billing Really Costs
| Cost item | In-house biller | AccMed RCM |
|---|---|---|
| Salary, payroll taxes and benefits | Paid every month, whatever is collected | None — included in our fee |
| Billing software and clearinghouse seats | Often paid by the practice | We work in your existing system |
| Training and coding updates | Your cost and time | Included |
| Vacation, sick days and turnover | Billing slows or stops | A team covers your account |
| Denial and A/R follow-up | Depends on one person’s time | Worked on a set schedule |
| Reporting | Varies | Monthly report on collections, denials and A/R |
Medical Billing Pricing: Common Questions
How much does medical billing cost?
Across the US market, outsourced medical billing is most often priced at a percentage of collections, commonly in a range of about 3% to 10%. Where a practice falls depends on specialty, claim volume, average claim value, payer mix and which services are included. Flat monthly fees and per-claim fees are also used.
Why does the percentage vary so much?
A high-volume practice with simple, high-value claims needs less work per dollar collected than a low-volume practice with many small claims, authorizations or denials. Services such as credentialing, old A/R recovery or prior authorizations also add work.
What is included in the AccMed RCM price?
Your quote lists exactly what is included — typically eligibility checks, charge entry, coding review, claim submission, payment posting, denial management, A/R follow-up, patient statements and monthly reporting. Optional services such as credentialing are quoted separately so you only pay for what you use.
Is percentage-of-collections pricing better than a flat fee?
Percentage pricing means the billing company is paid only when you are paid, which keeps incentives aligned. A flat fee can be cheaper for very high-volume practices with predictable claims. We can discuss both after the audit.
How do I get an exact quote?
Request a free billing audit. We review your claim volume, payer mix, denial rate and A/R, then send a written quote based on your real numbers.
Get a Quote Based on Your Real Numbers
Request a free billing audit and we will send a written quote with exactly what is included.