Pricing
Medical Billing Pricing
Pricing is customized based on specialty, claim volume, payer mix and the services required. Here is how the common pricing models work, so you can compare proposals with confidence.
How much do medical billing companies charge?
Most US medical billing companies charge 4% to 10% of the money they collect for you. Published 2026 pricing guides put medical billing cost per claim at about $3 to $12 and flat monthly fees of about $500 to $2,500 for small and mid-size practices, plus hybrids of these models. These are market ranges, not Jupiter RCM rates. Where a practice lands depends on its specialty and claim complexity, monthly claim volume, number of providers, payer mix, the services needed, and whether an old A/R backlog has to be cleaned up. When you compare proposals, look past the headline rate. Check what counts as collections, whether patient payments are included, whether appeals and follow-up cost extra, and whether there are setup fees, a monthly minimum or a long contract term. Jupiter RCM quotes after reviewing your practice, and the ROI calculator below lets you compare any quote with what billing costs you in-house today.
Pricing models
Four common ways billing services are priced
Compare
How the models compare
| Model | Often suits | Things to check |
|---|---|---|
| Percentage of collections | Most practices that want aligned incentives | What counts as “collections”, minimums, and whether patient payments are included |
| Per claim | High-volume practices with predictable claims | Whether rework, appeals and follow-up are included or billed separately |
| Flat monthly fee | Smaller or very stable practices | Exactly which tasks are in scope and what happens when volume changes |
| Hybrid | Practices with a backlog or special projects | How each component is calculated and when it ends |
The price follows the scope. Day-to-day medical billing services cost less than full revenue cycle management, and one-time work like an A/R cleanup or credentialing is often quoted separately. Still deciding whether to outsource at all? Our in-house vs. outsourced billing guide walks through the real costs.
What affects pricing
What we look at before quoting
A fair price depends on the actual work involved. We look at your practice before proposing anything.
- Specialty and claim complexity
- Monthly claim volume and number of providers
- Payer mix (Medicare, Medicaid, commercial, other)
- Services needed, from billing only to full RCM
- Size and age of any existing A/R backlog
- Systems you use and how they are set up
ROI calculator
Compare in-house billing with outsourcing
Before you sign anything, check the math with your own figures. Add up what billing costs you in-house each month, enter the fee from the proposal you are looking at, and see the difference over a year.
- Works with any proposal, not only ours
- Shows the result even when outsourcing costs more
- Runs in your browser, so nothing is sent to us
Enter your monthly collections, your current in-house billing cost and the fee you are comparing to see an illustrative comparison.
- Outsourcing fee per month
- $0
- In-house cost you would no longer pay
- $0
- Change in monthly collections
- $0
- Net effect per month
- $0
- Net effect over 12 months
- $0
- Return on the billing fee
- 0%
Illustrative estimate, not a guarantee. The result uses only the numbers you enter. A real comparison also depends on what each proposal includes, your contract terms and how your payer mix changes over time. Nothing you type here is sent to us.
Before you sign
Questions to ask any billing company about pricing
- Is the fee based on gross collections, net collections or insurance payments only?
- Is there a monthly minimum or a setup fee?
- Are denials, appeals and A/R follow-up included, or charged separately?
- Who pays clearinghouse and statement costs?
- What is the contract term and notice period, and how is data returned if you leave?
- What reports will you receive, and how often?
Let’s take a closer look at your revenue cycle
Tell us what’s getting stuck. Denials, old A/R, credentialing, reports nobody reads? We’ll look at how you work now and tell you straight what we’d change, and why.