Best Medical Billing Software in 2026: Compared by What It Really Costs

Prices checked October 6, 2026 (UTC).

There is no single best medical billing software. The best one fits your billing work and is priced the way your office works.

Here is where to start:

• Each provider sends a lot of claims. Look at a flat price per provider. RXNT's billing bundle is $213 per provider a month with unlimited claims.
• One biller covers several providers. Look at a price per user. EZClaim is $199 a month for the first user and $149 for each added user.
• You want to keep your EHR. Look at CollaborateMD. Its preferred-partner EHR interfaces have no additional interface fee. The company says plans typically start around $299 per provider a month.
• Money is tight. Office Ally Practice Mate has a $0 subscription. You pay fees for some claims and checks.
• You run a therapy practice. Compare TherapyNotes and SimplePractice.
• Nobody on your team wants to chase claims. Software still needs someone to run it. Look at a billing company and confirm which work it takes over.

We rechecked the vendor pricing pages, help articles and available terms on October 6, 2026 (UTC). We have not used these systems in a practice. What we can show you is the real posted price, what it is charged per, the fees on top, and the terms that change your bill later.

The vendor links on this page are unpaid. How we make money.

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The 10 best medical billing software options, by situation

These are not ranked 1 to 10. They cover different jobs, so a single ranking would mislead you. Find your situation in the first column.

Looking at athenaOne? It is priced as a share of what you collect, so it sits in its own section.

"Posted price" means the vendor's own page showed it on October 6, 2026 (UTC). A quote can be different. A missing price is unknown. It is not zero.

What will medical billing software cost your practice each month?

A starting price tells you very little. Your real bill depends on three things: how many providers you have, how many people need a login, and how many claims you send.

Put in your numbers. The calculator uses each vendor's posted price. For each one it shows what we could count and what we could not.

Example 1: one doctor, one biller, 300 claims a month

This office has one physician and one biller. It sends 300 electronic claims a month, receives 300 claim items on ERAs, and runs 300 eligibility checks. (An ERA is an insurer's electronic explanation of how claims were processed; a claim item can be denied or have no payment.) For EZClaim, assume one licensed billing user, one company file and one office; the doctor does not need a login. For Office Ally, use one account and one Tax ID + Rendering NPI pair that submits at least one Non-Par claim that month.

How we got the Office Ally number: $0 subscription, plus the $44.95 Non-Par fee, plus $10 for the first 100 eligibility checks, plus 200 more checks at $0.10 each. That is $44.95 + $10 + $20 = $74.95. (Office Ally data sheet, revised June 1, 2026.)

How we got the AdvancedMD number: its bundle builder lists Practice Management at $399 and Eligibility at $30 per provider a month. AdvancedMD also posts $0.87 to $1.74 per claim for PM. Multiplying those rates by 300 claims gives $261 to $522 before any applicable minimum or additional charges. Ask for the rate, minimum and included services in your quote.

Tebra, eClinicalWorks and DrChrono include an EHR in the offers shown; the other rows are billing or practice management offers. So do not read this as "Office Ally wins." Read it as a list of questions to ask. These are known subtotals, with optional services, card processing, taxes and unresolved charges left out.

Example 2: three doctors, one biller, 900 claims a month

Same setup, but with three physicians, 900 electronic claim submissions, 900 ERA claim items and 900 eligibility checks. EZClaim still has one licensed billing user, one company file and one office; the doctors do not need logins. Office Ally still uses one account, with three Tax ID + Rendering NPI pairs that each submit at least one Non-Par claim that month.

Here is the lesson. In Example 1, RXNT's and EZClaim's base subscriptions were $14 apart. In Example 2, they are $440 apart. That gap changes because RXNT charges by provider while EZClaim still has one paid user. Clearinghouse, staff and other unpriced charges still need to be added.

If your providers outnumber the people who need logins, compare per-user pricing. If you are solo, compare the flat per-provider price with your full usage bill.

Medical billing software pricing: what each vendor posts

This is each vendor's own posted pricing as of October 6, 2026 (UTC). "Not posted" means we did not establish it in the linked sources.

Did a price change? Tell us and send the page. We will recheck it.

Medical billing software reviews: who each one fits

These are reviews of what each company publishes. They are not hands-on tests. For each one you get the reason to look, the price, what to check, and when to skip it.

RXNT: a clear price for a small in-house team

Good fit if you have 1 to 5 providers and your own staff does the billing.

Why look. RXNT sells billing and scheduling as its own bundle, without making you buy its EHR. The price is posted: $213 per provider a month, unlimited claims. Sixty days of onboarding and an initial patient-demographics and insurance import are included.

Check first. It is an annual contract, billed monthly. RXNT's FAQ says "there is a fee for non-prescribing users." Ask whether it applies to your PM biller role and how much it costs. ERAs and eligibility are listed as included. Confirm whether allowances or overage charges apply.

Skip it if you need a month-to-month commitment. If you have many providers and only one biller, compare a per-user quote before deciding.

See RXNT pricing

EZClaim: priced by user, built for billers

Good fit if one or two people do the billing for several providers. It also fits independent billers.

Why look. EZClaim charges for the people who log in, not for each provider. That is $199 a month for the first user and $149 for each added user. The annual option shows monthly rates of $189 and $144; confirm its payment and cancellation terms.

Check first. EZClaim's page says "additional clearinghouse fees may apply." Get the applicable charges in writing. A clearinghouse carries claims to insurers and returns remittance information. EZClaim sells billing and scheduling, with integrations to outside EHRs. Ask how visits get from your EHR into the billing system and whether scheduling costs extra. Extra company files, portal access, a second product and storage above the included allowance can also add cost.

Also look at TotalMD, which posts $129 a month for the first cloud user and $99 a month each for users 2 to 9. Confirm transaction charges, setup and contract terms.

Skip it if you want charting and billing in one system.

See EZClaim pricing

CollaborateMD: start here if you are keeping your EHR

Good fit if you like your EHR and only want better billing.

Why look. CollaborateMD says its links to "preferred partner" EHRs cost nothing. For other EHRs, it offers an import tool. It has a built-in clearinghouse, unlimited users, and no setup or implementation fees, the company says.

Check first. There is no posted price for each plan. The company says plans "typically start around $299/provider/month." The first provider pays the full fee. Added providers pay a full, half or minor fee based on how many claims they send. Ask if your EHR is a preferred partner. If it is not, ask what the link costs. The page lists $0 to $5,000 for WebAPI interfaces. Its public agreement has an initial one-year renewing term and also permits termination on 30 days' notice, no earlier than the last day of the month in which the request is received. Confirm the applicable end date and final charges in your order.

Skip it if you want a new EHR in the same purchase.

See CollaborateMD pricing

Office Ally Practice Mate: $0 a month, with fees to count

Good fit if you are solo or very small, your claims are simple, and cost comes first.

Why look. Practice Mate's subscription is $0. It handles scheduling, billing and reports. It sends claims through Office Ally's own clearinghouse.

Check first. Office Ally marks payers as participating (Par) or nonparticipating (Non-Par) on its payer list. This classification does not describe whether you are in the insurer's network. For each unique Tax ID + Rendering NPI pair that sends at least one Non-Par claim in a month, you pay $44.95 that month. A practice-wide Non-Par claim does not trigger the fee for every provider. Eligibility costs nothing when you run no checks, $10 for 1 to 100 checks in a month and $0.10 each after that. Office Ally's EHR is a separate product at $44.95 per provider a month.

Skip it if the EHR connection you need cannot be demonstrated, or you want a company to perform billing work for you.

See Office Ally pricing

AdvancedMD: build your own bundle

Good fit if you want to pick modules one at a time and can pay more for it.

Why look. AdvancedMD posts real ranges: $429 to $1,070 per provider a month for medical specialties. Its bundle builder lists each part per provider per month: Practice Management is $399, Eligibility is $30, and the EHR is $220. It also posts PM per-claim pricing of $0.87 to $1.74, or $1.08 to $2.17 for PM with EHR. Get the applicable minimum and included services in your quote.

Check first. Setup runs from free to $1,000 for smaller practices. Standard PM migration tiers cost $800 to $2,000; clinical EHR migration requires a separate quote. AdvancedMD's FAQ says its standard PM migration tiers do not include financial transaction history. If you have unpaid claims in your old system, plan how you will finish working them.

Skip it if you are on a tight budget. It is one of the higher posted prices here.

See AdvancedMD pricing

Tebra: lower entry prices for low claim volume

Kareo is now part of Tebra. Use Tebra's current plans when comparing Kareo billing prices.

Good fit if you send fewer than 100 claims a month, or you want an EHR and billing together.

Why look. Tebra posts prices by provider type. Billing Starter begins at $199 a month per physician and $99 per non-physician. The bundle with an EHR, called Practice Essentials, is $599 per physician, $399 per non-physician and $225 per therapist at standard volume.

Check first. Tebra's Starter footnote says fewer than 100 claims per month, while its general low-volume description includes exactly 100. The overview speaks about practices; the pricing policy counts claims per provider. Get your eligibility and counting rule in writing, especially with multiple providers. The pricing policy also requires nonrenewal notice at least 60 days before the term ends.

Ask to see the billing workflow on your computers. Tebra's PM desktop application runs on Windows; Tebra lists a companion solution for Macs. Confirm which parts your team would use.

Skip it if your only affordable quote depends on staying under the low-volume limit and you are growing.

See Tebra pricing

eClinicalWorks: when the EHR is part of the decision

Good fit if you are replacing your EHR and billing at the same time.

Why look. The price is posted and simple: $599 per provider a month for the EHR with Practice Management. First training is included for practices with 1 to 9 providers.

Check first. The $499 plan is EHR only, so it is not the billing plan. eClinicalWorks says fees apply per patient statement and per eClinicalMessenger transaction. Clearinghouse and other transaction terms need confirmation. Airfare for on-site training is billed separately; practices with more than nine providers have additional implementation fees.

Skip it if you want to keep a different EHR.

See eClinicalWorks pricing

DrChrono: get the plan details in writing

Good fit if you want an EHR and billing in one system and you are fine asking for a quote.

Why look. DrChrono has three plans: Foundation, Growth and Premium. All three list billing tools.

Check first. Base subscription prices are not posted. The pricing chart lists Foundation billing tools charged per use, while DrChrono's billing FAQ names Growth and Premium as the plans that include medical billing software. Confirm Foundation's exact scope and its per-claim and per-check rates in writing. Mailed patient statements are $0.90 each and electronic ones are $0.59. Data migration "may be free of charge or may require an additional fee," depending on your data.

Skip it if you want to see a price before you talk to sales.

See DrChrono plans

TherapyNotes: published subscription and transaction fees

Good fit if you run a therapy, counseling or psychiatry practice.

Why look. TherapyNotes lists its subscriptions and common optional fees. Solo is $69 a month. Group is $79 for the first clinician and $50 for each added clinician. There is no long-term contract, and the trial is 30 days.

Check first. Solo means one user, period. If you hire a biller, you need Group at $79. Billers and schedulers are free on Group. You also pay 14¢ for each electronic claim, each claim on an ERA, and each eligibility check.

Skip it if you need a general medical or institutional workflow that the vendor cannot demonstrate. Its focus is behavioral health.

See TherapyNotes pricing

SimplePractice: low base price, new claim fees

Good fit if you run a therapy practice and want a low starting price.

Why look. Plans are $49, $79 and $99 a month. All three can bill insurance. ERAs are free.

Check first. Insurance pricing changed on October 1, 2026. The free monthly claim allowances on the two higher plans went away. After the trial, electronic claims submitted through the default Insurance Essentials offering follow this schedule:

To add a biller, you need the $99 Plus plan. The biller's login is free. Successful mental-health insurance checks cost $0.15 each on Starter and Essential. On Plus they are included through March 31, 2027, then $0.15 each. There is also a $20 yearly fee per clinician for billing codes. These are standard subscription rates, without a temporary new-customer discount.

Skip it if you send a lot of claims and want one flat price.

See SimplePractice pricing

TherapyNotes vs SimplePractice: one therapist and a biller

Say you are one therapist with one biller, sending 300 electronic claims a month. Budget for 300 claim items in ERAs and 300 eligibility requests in TherapyNotes, versus 300 successful mental-health insurance checks in SimplePractice. The checks can return different information. These figures exclude taxes, payment processing, prescribing, reminders and other optional services.

They are close today. At these rates and volumes, the modeled TherapyNotes subtotal is $55 lower per month beginning April 1, 2027, before SimplePractice's annual code fee. At low volume it flips. With no biller, 80 electronic claims, 80 ERA claim items and 80 checks a month, the calculation is $92.20 for SimplePractice Starter, plus its $20 annual clinician fee, versus $102.60 for TherapyNotes Solo. That is $49 + (80 × $0.39) + (80 × $0.15), compared with $69 + (240 × $0.14). The same exclusions apply.

Best medical billing software for small practices: two questions first

Before you pick a vendor, answer two things. Are you keeping your EHR? And who will do the billing work?

Five things that change your bill after you sign

The monthly price is only part of the cost. Each of these comes from a vendor's own page.

1. Who counts as a paid user. RXNT's FAQ lists a fee for non-prescribing users; confirm whether it applies to your PM biller role and how much it is. CollaborateMD includes unlimited users. TherapyNotes Group and SimplePractice Plus include billers at no charge. One biller's login can swing the choice.
2. Low-volume deals can end. Tebra's policy moves accounts to standard pricing after more than 100 claims per provider per month for three consecutive months. Above 500 claims per provider a month, it can switch to a transactional plan with 30 days' notice. Confirm how your order counts claims and other transactions.
3. Bundles can unwind. Tebra's policy says that if you cancel one product in a discounted bundle, the others go back to full price.
4. Renewals and price hikes. Tebra asks for 60 days' written notice or the contract renews, and its contractual fees are nonrefundable. Its general software subscription rule allows increases of up to 4.9% once per 12 months, with 30 days' notice; other fees and month-to-month agreements have separate rules. RXNT is an annual contract. SimplePractice shows the other risk. In October 2026, its included monthly electronic claim allowances ended.
5. The small fees. Mailed statements start at $1.10 for the first page at Tebra and $0.90 at DrChrono. In-person card payments cost 2.75% plus $0.30 through Tebra Payments, or 2.9% plus $0.30 through its Stripe integration. TherapyNotes charges 3.1% plus 30¢ per transaction. Setup and data migration: up to $1,000 for smaller-practice setup and $800 to $2,000 for AdvancedMD's listed practice-management migration tiers. They add up. (Tebra policy, DrChrono pricing, TherapyNotes pricing, AdvancedMD pricing.)

Medical billing software or a billing company?

Software is a tool. Someone still has to use it. Someone has to fix rejected claims, appeal denials, post payments and send patient bills.

If you have that person, software may be enough. If you do not, software will just give you a nicer place to watch claims pile up.

Four words get mixed up here:

Do the math before you choose

A billing company may charge a share of collections. The fee basis and the work included matter as much as the percentage. Here are three published rates:

• eClinicalWorks: 2.9% of practice collections for RCM as a Service. Confirm any monthly minimum, included software and transaction fees in the quote.
• AdvancedMD: 4% to 8% of collections
• Recoup (outpatient mental health): 3% of insurance payments it collects for ongoing billing, with a $1,000 monthly minimum. Older insurance balances are a separate 10% of recoveries; claim charges from an existing system you choose to keep are extra.

Three-doctor example. Assume a proposal charges 5% on all $60,000 of the month's collections, with no binding minimum or other fees. That modeled service fee is $3,000 a month. RXNT's base subscription for three providers is $639. The gap is $2,361.

That leaves $2,361 in the model for billing pay, benefits and other software costs before the two modeled amounts match. It is not a proven break-even point: RXNT's staff fee is still unknown, and outsourcing may leave work and costs with your practice. Compare the same tasks and every charge before deciding which costs less.

Solo example. On the same assumptions, 6% of $20,000 in fee-eligible collections is $1,200. RXNT's base subscription is $213. The modeled gap is $987 a month, before uncounted fees and work.

The math leaves some things out. It does not count how good your biller is at denials. It does not count what happens when your biller is sick or quits. It also leaves out setup, migration, any software fees not in the base price, and work your team still does after outsourcing. Some billing company fees already include software; compare that bundle with the software and staffing it actually replaces.

If your biller just left and you have no one to replace them, start with billing companies.

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A low percentage can hide a monthly minimum. See how a minimum changes the real rate.

What about athenaOne?

athenaOne combines EHR, practice management, billing software and related services. athenahealth prices it as a percentage of collections, but does not publish the percentage.

A collections-based price does not tell you which billing work is included. athenahealth separately offers Enhanced Claims Resolution, where its team works qualifying claim issues and denials. Ask for the exact percentage, what counts as collections, any minimum or upfront fee, which services are included, and which tasks your staff retains.

See athenaOne

What to ask on every demo

A sales demo shows you screens. Ask to see the work instead. Have the vendor run one made-up visit through the whole process while your biller watches.

1. Bring a visit in from your EHR. What moves on its own? What gets typed twice?
2. Run an eligibility check. What comes back? What does each check cost?
3. Send a claim with a mistake in it. How does the system catch it? How do you fix it and send it again?
4. Work a denial. Where does it show up? Who is assigned? Is there a history?
5. Post an ERA. Does the fee apply per file or per claim? What happens to a payment that does not match?
6. Bill the patient. What does a statement cost? Can the patient pay online?
7. Export your data. What format? Does it include money history? What does it cost, and how long do you have after you cancel?

Then send every vendor the same request, so the quotes line up. Copy this one.

Please send a written quote for the setup below.

Practice: [specialty and care setting]
EHR we plan to keep or replace: [name and version]
Clinicians who bill: [number and type]
Billers and other staff who need a login: [number and roles]
Claims we send each month: [total and per provider]
ERAs each month: [files and claim items, including denied or zero-pay items]
Eligibility checks each month: [number]
Payers and claim types that matter most: [list, no patient details]

In the quote, please show:
1. The exact plan and every module we would need.
2. The price per provider, per user, per account or per claim.
3. Clearinghouse, claim, ERA, eligibility and statement fees.
4. Fees for staff logins.
5. Setup, training, data import and interface fees.
6. Any yearly fees and any monthly minimum.
7. What we pay at signing, each month, and in the first 12 months.
8. Contract length, how it renews, how to cancel, and what it costs to leave.
9. How our data comes out if we leave, in what format, and at what cost.

On the demo, please use made-up data to show:
- A visit coming in from our EHR.
- An eligibility check.
- A claim with an error, the fix, and the resubmission.
- A denial being worked.
- An ERA posting and a patient balance.
- A data export.

Please tell us which items are included, which cost extra, and which are a managed service.

Use made-up data in demos. Vendors do not need patient names or real claims to give you a quote.

Before you switch systems

1. Decide who finishes the old claims. Unpaid claims in your old system still need work. Name the person and the system. AdvancedMD's standard PM migration tiers, for one, exclude financial transaction history. Before turning off the old submission route, have the vendor confirm payer enrollments, ERA routing and who handles the changeover.
2. Write down the contract dates. A monthly bill is not the same as a monthly contract. Note the term, the renewal date, and how much notice you must give.
3. Get a data list in writing. Ask exactly what will move: patients, insurance, appointments, documents, balances. Plan where the rest will live.
4. Sign a business associate agreement. If your practice is a HIPAA covered entity, a cloud billing vendor that creates, receives, maintains or transmits protected health information on your behalf is a business associate. Put a HIPAA-compliant written agreement in place before it handles that information. A vendor calling itself "HIPAA compliant" is a claim, not proof, and the agreement does not replace your own risk analysis. HHS explains cloud vendors' responsibilities and business associate agreements.

This is a buying checklist. It is not legal advice for your practice.

Medical billing software FAQs

How much does medical billing software cost?

Among the offers compared here, posted prices on October 6, 2026 (UTC) run from $0 a month (Office Ally Practice Mate, plus fees) to $1,070 per provider a month (the top of AdvancedMD's medical-specialty range). Examples include EZClaim at $199 for the first user, RXNT at $213 per provider for billing and scheduling, and eClinicalWorks at $599 per provider with an EHR. The charging unit and extra fees matter.

Is there free medical billing software?

Office Ally Practice Mate has a $0 subscription. It is not always free to run. You may pay $44.95 for each Tax ID + Rendering NPI pair that submits any Non-Par claim that month, plus eligibility and other applicable fees. In our one-doctor example, one qualifying pair and 300 eligibility checks came to $74.95 a month before pass-through fees.

Do I need a clearinghouse?

Not always. You can submit directly where the payer or Medicare contractor supports it and you meet its enrollment and connection requirements. First Coast's Medicare enrollment instructions, for example, distinguish direct submitters from practices using a clearinghouse. A clearinghouse can connect your software to multiple payers. CollaborateMD and Office Ally have one built in; EZClaim says additional clearinghouse fees may apply. Ask which payers are supported, what enrollment is needed and what each route costs.

Can I still send paper claims?

Medicare generally requires initial claims to be sent electronically. There are exceptions, including qualifying physician and supplier practices with fewer than 10 full-time-equivalent employees. Use CMS's ASCA self-assessment and the linked claims manual to check the applicable exception and how employees are counted. Private insurers set their own submission rules. An exception that permits paper claims does not prevent you from choosing electronic billing.

Does billing software replace a biller?

No. It gives your biller better tools. If you want the work done for you, that is a billing company or a managed service, and it is a different contract.

Which medical billing software reviews should I trust?

Read recent reviews from practices like yours. Look for details about support, switching and canceling. Star ratings cannot tell you how a system will work in your office. Use reviews to build your list of demo questions.

How we chose and checked

We picked 10 products that sell billing software to independent US practices and had a current pricing or plan page we could read. We added athenaOne on its own because it is priced a different way. No company paid to be here. Being left off the list is not a judgment.

On October 6, 2026 (UTC), we rechecked the vendor pricing pages, relevant help articles and available published terms. We did not test the vendors' software in a practice, call references, or interview customers. Every price on this page links to the vendor page it came from. The calculator is our own comparison tool; the math is ours, and we show it.

Where a vendor did not post a price, we say "not posted" or "quote needed." We do not fill gaps with averages.

Read our full methodology. Found a mistake? Send us a correction.

Your next step

Pick two that fit your office. Send both the same quote request. Then have each one show your biller the real work.

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