ANSWERS · PRACTICE FINANCE

How much do medical billing companies charge?

Most medical billing companies charge 4–9% of collections, sometimes higher for small or complex practices, and some charge per claim. The number that matters more than the rate is what's included — many exclude denial work and underpayment recovery, which is where a lot of your money actually sits.

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What actually matters

  • Typical range is 4–9% of collections; per-claim pricing also exists
  • Watch the exclusions — denials, appeals, aged A/R, and underpayments are often outside the base fee
  • A low percentage on clean claims can still leave the hard money unworked
  • Judge on the net collection rate delivered, not the headline rate

Common questions

Is percentage-of-collections or per-claim billing better?

Percentage aligns the biller with your collections; per-claim can reward volume over recovery. Either way, confirm in writing that denials and underpayments are covered.

Where Volari fits: Volari isn't priced as a billing service — it's outcome-based, a fee only on the denied and underpaid dollars it actually recovers.

Related answers
How do I lower my practice's denial rate? →How do I reduce days in A/R? →How do I know if I'm being underpaid by insurers? →In-house billing vs. outsourcing: which is right for my practice? →How do I renegotiate payer contracts for better rates? →How do I fix my prior-authorization workflow? →

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