Pricing · Medical billing rates

Medical billing pricing: 2.8% to 5% of net collections

PhysiAssist charges one percentage of what we collect for you. The rate covers medical coding, claim submission, payment posting, denials and AR follow-up, and your exact number is confirmed in writing before you sign. Industry articles put the typical range at 4% to 10%.

Estimate your rateFive questions, 30 seconds

For every $100 we collect

Rate 2.8% to 5%
  • A percentage of net collections, nothing on claims that are never paid
  • Coding, claims, posting, denials and AR in one rate
  • Your rate in writing before you sign

Illustration of the fee split across the rate range

  • 2.8% to 5%of net collections
  • 4% to 10%typical industry range, per published guides
  • In writingyour rate, before you sign
  • One ratecoding, claims, posting, denials, AR

What the rate covers

What is included in 2.8% to 5%, and what is quoted separately

The percentage pays for the work that turns a visit into collected revenue. Everything else is optional and priced on its own, so you only pay for what you use.

Included in the rate

Coding through collection

  • Medical coding: certified coders, CPT, ICD-10 and modifiers on every chart. Coding →
  • Claim submission: scrubbing, clearinghouse rejections and resubmission
  • Payment posting: ERAs and EOBs posted and reconciled to deposits
  • Denial management: root cause, corrections and appeals. Denials →
  • AR follow-up: every open claim worked until it is paid or closed, old AR included

Quoted separately, only if you want them

Add-on services

  • Front desk services: eligibility checks, patient calls and scheduling support
  • Prior authorization: approvals before the visit. Prior auth →
  • Reporting dashboard: live KPIs and claim status in RevCore
  • Patient statements: patient balance billing
  • Credentialing: payer enrollment and revalidation
  • Digital marketing: for practices opening or growing. See a launch →

Pricing

Estimate your medical billing rate

Our rate is 2.8% to 5% of net collections. Five things decide where you land. Answer them to see your likely range; your exact rate comes in writing after the assessment.

Monthly collections
Specialty
Scope
Share of AR over 90 days
Payer mix

Your likely rate

3.0% – 4.0%

of net collections

Mid-size practice with full RCM. Collections volume and specialty move this range the most.

Covers coding, claims, posting, denials and AR. An estimate, not a quote. Your rate is confirmed in writing before you sign.

How we compare

Medical billing rates: industry pricing models vs PhysiAssist

Published guides describe four common ways billing companies charge. Here is where we sit.

Medical billing pricing models compared
Pricing modelTypical industry rangePhysiAssist
Percentage of net collections4% to 10%; surgical and oncology practices often 8% to 12%2.8% to 5%, confirmed in writing
Per claim$3 to $12 per claim submittedNot used: we earn when you collect, not when a claim is sent
Flat monthly fee$500 to $2,500 a monthNot used for full billing
Hybrid (base fee + percentage)A monthly base plus 3% to 5% of collectionsNot used: one percentage

Industry ranges as published by Neolytix and Helpware. Check each provider's current terms.

What moves your rate

Five things decide where you land between 2.8% and 5%

01 · Volume

Monthly collections

More collections spread the fixed work, so larger practices sit lower.

Over $1M → lowerUnder $200K → higher
02 · Specialty

Coding complexity

E/M-heavy practices code faster than infusion, surgery or behavioral health with add-on codes.

Primary care → lowerOncology → higher
03 · Scope

Who codes

If your team codes and we run claims, posting and AR, the rate is lower than coding through collection.

You code → lowerWe code → higher
04 · Backlog

AR over 90 days

Old AR takes more calls and appeals per dollar. We work it under the same rate.

Under 10% → lowerOver 25% → higher
05 · Payers

Payer mix

Medicaid-heavy books mean more rules and more follow-up per claim.

Commercial → lowerMedicaid-heavy → higher

In-house vs outsourced

In-house billing cost vs PhysiAssist: compare with your numbers

Move the sliders to match your office. The salary starts at the US median for medical records specialists; change any number to yours.

Salary default: US median pay for medical records specialists, $51,140 (May 2025, BLS). Other defaults are assumptions to edit; set the rate from the estimator above.

Your comparison, per year

In-house billing cost$0
That is0%
PhysiAssist fee (coding through AR)$0
Lower cost with PhysiAssist, per year$0

Leaves out what in-house teams also cost: hiring, training, cover for leave, and revenue lost to denials nobody worked.

Need just one service?

Single services, quoted for your practice

Outsource only the part that hurts most. We quote after a short call about your volume.

Medical billing pricing questions

How much do medical billing companies charge?

Most US medical billing companies charge a percentage of collections, commonly cited at 4% to 10% of net collections, with surgical and oncology practices often quoted 8% to 12%. Some charge $3 to $12 per claim or a flat monthly fee instead. PhysiAssist charges 2.8% to 5% of net collections.

What percentage do medical billing companies take?

Industry articles put the typical range at 4% to 10% of net collections. PhysiAssist charges 2.8% to 5%, and your exact rate is confirmed in writing before you sign.

What does the 2.8% to 5% rate include?

Medical coding, claim submission, payment posting, denial management and AR follow-up: the work that turns a visit into collected revenue. Front desk services, prior authorization, the reporting dashboard, patient statements, credentialing and digital marketing are quoted separately.

What are net collections?

Net collections are the payments actually received on your claims, after refunds. Because our fee is a percentage of what is collected, we earn more only when you collect more.

What decides where my rate lands between 2.8% and 5%?

Five things: your monthly collections, your specialty, the scope of work, how much of your AR is over 90 days old, and your payer mix. Larger, cleaner practices sit near 2.8%; smaller practices or large backlogs move toward 5%.

Can I outsource just one service, like coding or prior authorization?

Yes. Single services such as medical coding, prior authorization, or denial and AR recovery are quoted per practice after a short call, based on your volume.

Is outsourcing cheaper than billing in-house?

It depends on your numbers. An in-house biller costs salary plus benefits, software and clearinghouse fees; the US median pay for medical records specialists was $51,140 in May 2025 (BLS). Use the in-house calculator on this page to compare with your own figures.

How do I get my exact rate?

Request a free assessment. We look at your collections, specialty, AR aging and payer mix, then send your rate in writing before you sign anything.

Keep exploring

Get your rate in writing

A free assessment of your collections, AR aging and payer mix, then your exact rate before you sign.

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