Simple, percentage-based pricing.
You pay only when you get paid.
No setup fees. No per-claim charges. No software costs. One percentage of what we actually collect for you — so our revenue only grows when yours does.
Medical billing companies in the US typically charge 3–9% of monthly collections. Where you land in that range depends on six factors — specialty, volume, claim value, payer mix, denial rate, and scope of services. We quote every practice individually after a free billing audit, and the quote is all-inclusive: claims, denials, AR follow-up, eligibility, and reporting under one percentage.
How percentage-of-collections pricing works
With percentage-based pricing, your billing company's fee is calculated as a percentage of the money it actually collects on your behalf each month — not what it bills, not the number of claims it submits. If we collect $100,000 for your practice in a month and your rate is 5%, our fee is $5,000. If a claim is denied and never paid, we earn nothing on it.
This matters because it aligns incentives. A billing company paid per claim earns the same whether your claim is paid or denied. A billing company paid on collections only earns when you do — which is why we work every denial, chase every unpaid claim, and follow up on aging AR instead of letting it write off quietly.
The fee is deducted transparently and reported line by line in your monthly statement. You always see exactly what was collected, from which payer, and what our fee was.
What the industry charges in 2026
Published rates across the US medical billing industry generally fall between 3% and 9% of collections. Here is how the range typically breaks down — use it to sanity-check any quote you receive, including ours:
Some companies also quote flat monthly fees ($1,000–$3,000+) or per-claim rates ($3–$10). These can suit very small or very predictable practices, but they remove the performance incentive — the biller gets paid the same whether your claims do.
The six factors that determine your exact rate
When we prepare your quote, these are the things we actually look at. Knowing them in advance means you'll understand any quote you receive — from us or anyone else.
Behavioral health with authorization tracking, surgical specialties with global periods and modifiers, or oncology with high-dollar drug claims all take more work per dollar collected than straightforward E/M billing.
Higher volume spreads fixed effort across more revenue, which lowers your percentage. This is why large groups pay 3–4% while solo practices pay more.
A $2,000 surgical claim and a $75 therapy claim take similar effort to submit and follow up. Practices with low average claim values sit higher in the range.
Heavy Medicaid or workers' comp mix means more follow-up work per dollar. Clean commercial and Medicare mixes bill more efficiently.
If we're inheriting months of aged AR and a high denial backlog, the first months take extra recovery work. We'll tell you up front how we handle it.
Billing only? Or billing plus credentialing, eligibility verification, prior auth, and patient statements? Bundled scope changes the rate — and usually saves money overall.
In-house biller vs outsourced billing: the real cost
The most useful comparison isn't between billing companies — it's between outsourcing and hiring. Here is the honest, fully-loaded math for a typical independent practice collecting around $1M per year:
And that's before the revenue side: practices switching from a single overloaded in-house biller typically see collections rise, because denials get worked instead of written off. Run your own numbers with our ROI calculator.
What your percentage includes at ImmediCare
One rate, everything below. No line-item surprises, no "that's extra" mid-contract:
Provider credentialing and accounting & taxation are quoted separately or bundled — we'll show you both options.
Seven questions to ask any billing company about pricing
Whether you talk to us or a competitor, ask these before signing. The answers reveal more than the headline rate ever will:
A percentage of billed charges is a red flag — it pays the biller even on claims that are never collected.
$500–$2,000 onboarding fees are common in the industry. Ours is $0.
Some low headline rates exclude exactly the work that recovers your hardest revenue.
Minimums can quietly turn a 5% quote into an effective 8–10% for smaller practices. Ask for the number.
Multi-year lock-ins with penalties usually protect the biller, not you. Look for clean 30–60 day exit terms.
Your claims data, payer logins, and reports should be yours — confirm handover terms in writing.
Clean claim rate, first-pass acceptance, days in AR, denial rate — a serious company reports these monthly without being asked.
Pricing FAQs
How much do medical billing services cost?
Most medical billing companies charge a percentage of monthly collections, typically between 3% and 9%. The exact rate depends on specialty complexity, claim volume, average claim value, and the scope of services included. ImmediCare Solutions uses percentage-based pricing with no setup fees — you pay only when you get paid.
Is a 4% medical billing rate good?
It depends on what is included. A 4% rate covering claims submission, denial management, AR follow-up, eligibility checks, and reporting is excellent value. A 4% rate that charges extra for denial appeals, patient statements, or credentialing can cost more overall than a 6% all-inclusive rate. Always compare the full scope of services, not just the headline percentage.
Are there setup fees or long-term contracts?
ImmediCare Solutions charges no setup fees and no charge until your claims are paid. Many billing companies charge $500–$2,000 in onboarding fees and lock practices into multi-year contracts with termination penalties — always read the contract terms before signing with any billing company.
Why do medical billing companies not publish exact prices?
Because the correct rate genuinely varies by practice. A high-volume primary care practice with clean claims costs far less to bill than a low-volume surgical practice with complex prior authorizations and appeals. A single published rate would overcharge simple practices and undercharge complex ones. Reputable companies quote after reviewing your specialty, volume, payer mix, and current denial rate.
Is percentage-based billing better than per-claim pricing?
For most practices, yes. Percentage-based pricing aligns incentives: the billing company only earns when you collect, so it is motivated to fight denials and follow up on every claim. Per-claim pricing ($3–$10 per claim) pays the biller the same whether the claim is paid or denied, which rewards volume over results.
How much does an in-house biller cost compared to outsourcing?
A full-time in-house biller costs roughly $55,000–$70,000 per year fully loaded (salary, benefits, payroll taxes, software, clearinghouse fees, training) and creates single-point-of-failure risk during vacations and turnover. For a practice collecting $1M annually, outsourcing at 5% costs about $50,000 with a full team, no turnover risk, and performance accountability.
Get your exact rate in 24 hours
Request a free billing audit. We'll review your specialty, volume, payer mix, and current denial rate — then send you a written, all-inclusive quote. No obligation, no setup fee, and you only ever pay on what we collect.
