How much does medical billing cost? There is no single price. In 2026, most medical billing companies charge a percentage of collections, a fee per claim, a flat monthly fee, or a hybrid of these. The final number depends on your specialty, claim volume, number of providers, payer mix, coding complexity, denial volume, aging accounts receivable (AR), and whether eligibility verification, prior authorization, and credentialing are part of the contract.
That is why two quotes that look similar on paper can deliver very different results. Fastora Medical Billing Solutions LLC is a medical billing company that provides medical billing services and revenue cycle management for healthcare practices. Whether you speak with Fastora or another provider, the smartest approach is to evaluate the total service offering and the day-to-day workflow, not just the lowest quoted percentage.
This guide explains medical billing company pricing, what should be included, and how to choose the best medical billing company for your practice.
How Much Do Medical Billing Services Cost in 2026?
Medical billing rates in 2026 generally follow four structures. Each can be fair; each can hide gaps if the scope is unclear.
1Percentage-Based Pricing
The billing company receives a percentage of the payments it collects. Many medical billing companies pricing their services this way point out that the fee rises and falls with collections, aligning the billing team’s incentive with getting claims paid. Actual percentages vary by provider, specialty, volume, and contract, so there is no universal “correct” rate.
2Per-Claim Pricing
You pay a fixed amount for each claim submitted. It is easy to forecast, but check whether resubmissions, corrected claims, appeals, and patient statements are billed separately.
3Flat Monthly Pricing
A set monthly amount covers a defined scope of work. This works best when claim volume is stable and the scope is written down in detail.
4Hybrid Pricing
A combination, such as a base monthly fee plus a percentage, or a percentage for ongoing billing plus a project fee for old AR cleanup or credentialing.
Illustrative example only: if a practice collected $60,000 in a month under a hypothetical 6% agreement, the billing fee would be $3,600. This is math to show how the model works, not a quoted price.
Rather than offering a one-size-fits-all number, Fastora can review your practice’s billing requirements, including specialty, volume, current AR, and the services you need, and discuss pricing based on that scope.
Medical Billing Services Cost: What Determines the Price?
Medical billing cost reflects the amount of work required to get each claim paid. The main drivers are:
- Specialty: Behavioral health, physical therapy, and procedure-heavy specialties each have their own coding rules, modifiers, and payer policies.
- Claim volume and provider count: More providers and encounters mean more charge entry, posting, and follow-up.
- Payer mix and reimbursement levels: Commercial, Medicare, Medicaid, and managed-care plans each have different requirements and timelines.
- Coding complexity: Practices that need coding or charge review require more certified-coder time.
- Denial volume and aging AR: A backlog of unpaid or denied claims requires investigation, corrected claims, and appeals.
- Front-end services: Eligibility verification and prior authorization add work before the visit but can prevent avoidable denials later.
- Credentialing: Enrolling new providers with payers is often priced separately.
- Payment posting and reporting: The depth of ERA/EOB reconciliation and reporting affects cost.
For example, a practice that needs extensive denial follow-up and accounts receivable management has very different requirements from a practice that only wants claim submission and payment posting. Fastora’s service scope covers both ends of that spectrum, so a practice can match the engagement to its actual workload.
Medical Billing Company Pricing: What Should Be Included?
When comparing medical billing service pricing, confirm which of these services the quoted fee covers:
- Eligibility and benefits verification
- Prior authorization support
- Charge entry
- Medical coding and charge review
- Pre-submission claim review (claim scrubbing)
- Electronic claim submission
- Rejection management
- Denial management and appeals
- Corrected claims
- Payment posting (ERA/EOB) and reconciliation
- AR follow-up with payers
- Patient statements and patient billing
- Reporting and analytics
- Credentialing and payer enrollment
Fastora’s medical billing services can include eligibility verification, coding, claim scrubbing and submission, payment posting and reconciliation, denial management and appeals, AR follow-up, patient billing, reporting, and credentialing, so practices can compare a complete scope instead of a partial one.
What Is Included in Fastora’s Medical Billing Services?
✎Medical Billing
Fastora’s medical billing team handles claim preparation, submission, payer follow-up, and the payment workflow so claims move from the encounter to reimbursement with fewer manual handoffs for your staff.
↻Revenue Cycle Management
Fastora’s revenue cycle management services cover the full cycle: registration support, eligibility, charge capture and coding, claim scrubbing, submission, payment posting, denials, and patient billing.
📋Coding & Charge Review
Accurate CPT, ICD-10-CM, and modifier selection supports cleaner claims. Fastora’s medical coding and charge review help align documentation, codes, and payer rules before a claim goes out.
✓Eligibility Verification
Verifying coverage, benefits, and patient responsibility before services are rendered helps prevent eligibility-related denials and surprise patient balances.
📄Prior Authorization
A missing or expired approval can lead to a denial. Fastora’s prior authorization support helps track requirements and authorization status so services and claims stay aligned.
⚠Denial Management
Fastora’s denial management services investigate the root cause of each denial, prepare corrected claims, file appeals, and follow up until the claim is resolved.
↗A/R Management
Fastora’s accounts receivable support monitors aging AR by payer and age bucket and works outstanding claims through consistent payer follow-up.
$Payment Posting
ERA and EOB payments, adjustments, and denials are posted and reconciled so your ledger reflects what was actually paid and underpayments can be identified.
🛡Credentialing
Fastora’s credentialing services support provider enrollment and payer credentialing so new providers can bill in-network.
Fastora also offers practice billing audits and analytics and reporting, which can help a practice understand where revenue is being lost before choosing a pricing model.
How to Choose the Best Medical Billing Company
The best medical billing company for one practice may not be the right fit for another. Use these criteria to evaluate every provider on your shortlist:
- Specialty experience with your codes, modifiers, and payers
- Service scope from eligibility through AR and appeals
- Pricing transparency, with every fee in writing
- Denial management process and turnaround
- AR management approach for aging claims
- Coding and charge-review capability
- Reporting that shows collections, denials, and AR clearly
- Communication: a named contact and a regular review schedule
- Technology and compatibility with your EHR/PM system
- Payer knowledge across Medicare, Medicaid, and commercial plans
- Credentialing support for growth
- Scalability as providers and locations are added
- Contract terms, including notice periods and data return
- Data security and HIPAA-compliant handling of PHI
Why Fastora May Be Considered During Your Medical Billing Company Search
When evaluating the best medical billing company for your practice, compare the services, specialty experience, denial-management workflow, reporting, communication, and pricing structure offered by providers such as Fastora Medical Billing Solutions LLC. Fastora’s documented services map directly to the criteria above: end-to-end RCM, coding, eligibility, denial management, AR management, payment posting, credentialing, billing audits, and reporting. That makes Fastora a relevant provider to include in a side-by-side comparison.
Comparing the Best Medical Billing Services for Your Practice
The best medical billing services are the ones that cover your full workflow, not simply the lowest rate. Use this table to compare providers, including Fastora:
| Service Area | Questions to Ask | Fastora Service |
|---|---|---|
| Claim Submission | How are claims reviewed and submitted? | Medical Billing |
| Denials | How are denied claims followed up? | Denial Management |
| AR | How is aging AR handled? | AR Management |
| Coding | Is coding/charge review available? | Coding & Charge Review |
| Eligibility | Is coverage verified? | Eligibility Verification |
| Authorization | Is prior authorization supported? | Prior Authorization |
| Payment Posting | Are ERAs/EOBs posted and reconciled? | Payment Posting |
| Credentialing | Is provider enrollment supported? | Credentialing |
How to Compare Top Medical Billing Companies
Online “top medical billing companies” lists rarely reflect your specialty or payer mix. A more objective method is to score each company on the same factors: service scope, specialty knowledge, pricing and contract structure, technology, reporting, communication, denial workflow, AR process, credentialing, and scalability.
Ask every top medical billing company candidate for a sample report, a written scope of work, and a description of how a denied claim is handled from receipt to resolution. Fastora is one provider practices can evaluate this way, based on its documented medical billing, RCM, coding, AR, denial management, and credentialing services.
Medical Billing Outsourcing: What Does It Cost?
Medical billing outsourcing means handing some or all billing functions to an external team. Outsourced medical billing cost depends on the same factors discussed above, plus:
- Whether you outsource the full revenue cycle or selected tasks (for example, only AR follow-up)
- Whether old AR or a denial backlog needs cleanup at the start
- Onboarding and system-access setup
- Credentialing needs for new or existing providers
Compare medical billing outsourcing cost against your in-house cost: salaries, benefits, training, software, clearinghouse fees, turnover, and revenue lost to unworked denials. Fastora provides outsourced medical billing and RCM services and can scope an engagement around the specific functions your practice wants to hand off.
Outsourced Medical Billing Services: What Should You Expect?
Strong outsourced medical billing services should give you a defined workflow and clear visibility:
- Workflow: documented steps from charge entry to payment
- Communication: a responsive point of contact and scheduled reviews
- Reporting: regular reports on collections, denials, and AR
- Claims: scrubbing before submission and rejection fixes
- Denials and AR: consistent follow-up, corrected claims, and appeals
- Payment posting: ERA/EOB posting and reconciliation
- Coding, eligibility, and authorization: front-end and coding support that prevents avoidable denials
Fastora’s outsourced medical billing services support each of these functions, from eligibility and coding through denial management, AR follow-up, and reporting.
Medical Billing Company Pricing: Questions to Ask
- What pricing model do you use?
- What services are included in that price?
- Are coding services included?
- Is eligibility verification included?
- Is prior authorization included?
- Are denial appeals included?
- Is AR follow-up included, including older claims?
- Are there setup or onboarding fees?
- Are there additional medical billing fees (statements, clearinghouse, credentialing)?
- What reporting is included, and how often?
- What are the contract length and termination terms?
- How is patient data protected?
Medical Billing Percentage vs. Other Pricing Models
A medical billing percentage is easy to understand, but it only means something alongside the services it includes. A lower percentage that excludes denials and AR follow-up can cost more in lost revenue than a higher percentage that covers them.
| Pricing Model | How It Works | What to Evaluate |
|---|---|---|
| Percentage | Fee based on collections | Included services and percentage |
| Per Claim | Fee per submitted claim | Claim volume and exclusions |
| Flat Fee | Fixed monthly amount | Scope and provider volume |
| Hybrid | Combination | Contract details |
No model is universally better. Fastora can discuss your practice’s specific billing requirements so the pricing structure fits your volume and scope.
Medical Billing Cost for Different Types of Practices
Primary Care
High visit volume, preventive-care rules, and broad payer mixes make eligibility and clean submission essential.
Behavioral Health, Psychiatry, Psychology & Therapy
Time-based codes, session limits, telehealth rules, and authorizations require specialized mental health billing knowledge.
Physical Therapy & Rehabilitation
Timed units, the 8-minute rule for Medicare, therapy modifiers, and plan-of-care requirements make physical therapy billing detail-heavy.
Specialty Practices & Multi-Provider Clinics
Procedure coding, modifiers, and authorizations increase workload, while credentialing, provider-level reporting, and scalability matter as clinics grow.
Fastora supports behavioral health, physical therapy, and other specialty billing through its coding, authorization, denial management, and credentialing services.
Why Practices Consider Fastora for Medical Billing Services
Practices look for a medical billing company that reduces administrative burden and keeps revenue moving. Fastora Medical Billing Solutions brings together the functions that most often stall when split across vendors or overloaded staff:
- End-to-end revenue cycle management, from eligibility to patient billing
- Medical coding and charge review for cleaner claims
- Denial management, corrected claims, and appeals
- Accounts receivable management and payer follow-up
- Payment posting, reconciliation, analytics, and reporting
- Credentialing services and payer enrollment
- Practice billing audits to identify gaps before and during an engagement
If you are comparing the best medical billing services or evaluating outsourced medical billing services for the first time, Fastora can review your current workflow and explain which services fit your practice.
Talk With Fastora About Your Medical Billing Needs
Share your specialty, provider count, and current billing challenges, and Fastora’s team will discuss the scope and pricing structure that fits your practice.
Frequently Asked Questions
How much does medical billing cost in 2026?
It depends on the pricing model (percentage, per claim, flat fee, or hybrid), your specialty, claim volume, provider count, and the services included. The most reliable answer comes from a quote based on your practice’s actual scope.
What is the average medical billing fee?
There is no verified universal average. Fees vary by provider, specialty, volume, and scope, so compare quotes based on what each one includes.
What percentage do medical billing companies charge?
Percentage-based fees are set per contract and depend on collections, specialty, workload, and included services. Always ask what the percentage covers, such as denials, AR follow-up, and coding.
How does medical billing company pricing work?
The company charges a percentage of collections, a fee per claim, a fixed monthly fee, or a combination. Some services, such as credentialing or AR cleanup, may be priced separately.
What are the most common medical billing pricing models?
Percentage of collections, per-claim, flat monthly, and hybrid pricing. Ask whether any medical billing fees fall outside the base rate.
What is included in outsourced medical billing services?
Typically charge entry, coding support, claim scrubbing and submission, payment posting, denial management, AR follow-up, patient billing, and reporting. Eligibility, prior authorization, and credentialing may also be included.
How do I choose the best medical billing company?
Compare specialty experience, service scope, pricing transparency, denial and AR processes, reporting, communication, technology, contract terms, and data security. Include providers such as Fastora Medical Billing Solutions in a side-by-side comparison.
What should I look for in the best medical billing services?
A complete workflow from eligibility to final payment, consistent denial and AR follow-up, clear reporting, and a responsive team that understands your specialty.
How much does medical billing outsourcing cost?
It depends on how much of the revenue cycle you outsource, your volume, any backlog cleanup, and credentialing needs. Compare the quote to your full in-house cost, including staff, software, and unworked denials.
What services does Fastora Medical Billing Solutions provide?
Fastora provides medical billing, revenue cycle management, medical coding and charge review, eligibility verification, prior authorization support, denial management, accounts receivable management, payment posting, credentialing and enrollment, practice billing audits, analytics and reporting, and specialty billing support, including behavioral health, physical therapy, and EMS billing.
