Medical Billing Companies: Compare Fees, Minimums, and Contract Terms

Medical billing companies worth comparing include AdvancedMD, athenahealth, BillingParadise, CareCloud, CHB Medical Billing, CureMD, DrChrono, eClinicalWorks, Go Medical Billing, Medwave, and Recoup.

No single one is best for every practice. Start with four things to compare before you sign: what the fee is charged on, whether there is a monthly minimum, whether you keep your software, and how you leave.

The table below shows what each company publishes about those four things, and what still needs a quote. Some advertise starting rates as low as 2.49%; AdvancedMD publishes a typical range of 4% to 8%. A minimum can change the math a lot. A 3% fee with a $1,000 monthly minimum works out to about 6.7% when the collections covered by that fee are $15,000 a month.

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Sources checked October 5, 2026. We compared published terms. We have not used these companies in a working practice. They are listed A to Z, and company links take you directly to their sites. How we compare · How we make money

Medical billing companies list: 11 compared

Two words to know first. Collections means money received, rather than charges sent out. The contract decides which receipts count toward the fee. A monthly minimum is the least you pay each month, even in a slow month.

How to read this table

• "Not publicly stated" means we did not find it in the sources we checked. It does not mean the fee is zero. Ask for it in writing.
• "Starting at," "from," and "as low as" are floors. Your quote may be higher.
• Company terms come from the linked official pages, service documents, and filings. These are company statements, not proof of how well the service collects.
• Fee bases differ. Ask whether the percentage includes patient payments, refunds, old claims, and money the company did not collect itself.

How we chose these 11. We selected service offers relevant to small and mid-size US practices from software companies and independent billers, including companies that publish a rate. Paying us is not a factor. This is not every billing company, and leaving one out is not a judgment about it.

Use Tebra or Kareo? See the note below.

Which medical billing company fits your practice?

Some billing companies work inside the software you already have. Others bundle billing with their own software. Confirm the exact arrangement first. It can narrow your list.

Then find your situation. These are starting points from published terms, not a ranking of service quality.

You want to keep your EHR. Start with Medwave and AdvancedMD. Both say you can keep your system. CareCloud, CureMD, BillingParadise, CHB, and Go also describe support for outside systems. Recoup does too, for eligible outpatient mental-health practices. Send your shortlist the name of your EHR and your billing system, and get a yes in writing.

You already use DrChrono, eClinicalWorks, or athenaOne. Price that company's own billing service first. It may let you keep your clinical EHR. Then compare what billing setup changes, what work is added, what your staff still does, and the full cost.

You collect under about $30,000 a month. A minimum can change your effective rate sharply. Go Medical Billing says it has no monthly minimum. Ask every other company for its minimum before anything else. One caution: a low starting rate tells you nothing about how hard a company chases unpaid claims.

You run an outpatient mental-health group that bills insurance. Recoup publishes its base price. Below about $33,333 a month in payments subject to its 3% fee, its $1,000 minimum applies and your effective rate climbs. Recoup says it is not built for cash-only practices, or for residential, detox, or partial-hospitalization programs.

You are opening a practice. One company for software and billing can simplify setup. Look at AdvancedMD, eClinicalWorks, and athenahealth. If you change a bundled EHR later, you may also need a separate data migration.

Your biller just left. You need cover without a long lock-in. BillingParadise, CHB Medical Billing, Go Medical Billing, and Recoup all advertise no setup fee and no long-term contract. Recoup has a narrower care-setting fit. Ask each suitable company for its earliest start date and cancellation notice in writing.

Routine billing is fine, but denials or old claims pile up. Ask for a quote on just that work. Recoup prices eligible old insurance claims separately within its mental-health service. For any company, ask if it will take a stand-alone project and which claims it would own.

Get the proposal questions

What will a medical billing company cost you each month?

A percentage means little until you turn it into dollars. Type in the monthly collections covered by the fee and the terms of your quote. The tool shows the percentage calculation, any known minimum, and an estimated monthly and 12-month cost when the needed charges are filled in. Unknown fees stay unknown; a partial calculation is labeled as one.

The same math for five published offers

We ran two fee-base amounts through five published offers. Here, $15,000 and $40,000 mean the collections covered by that company's fee, which may differ from total practice receipts. Starting-rate rows apply only if your quote offers that rate. Where a minimum is unknown, the row shows the percentage calculation only, not a total bill.

These are base-fee or percentage calculations from published terms, not quotes or complete first-year costs. They leave out unpriced minimums, setup, software, usage, outside-service, and old-claim charges. The 12-month column assumes the same collections every month. Sources are linked in the comparison table.

CHB's 2.5% advertised rate is not shown at these practice sizes: it is limited to practices collecting at least $1 million a month. CHB says practices around $100,000 a month typically pay 5% to 6%; ask for your own rate.

Is the lowest percentage the cheapest?

Not always. One percentage point of fee on the same $40,000 in collections is $400. But if collections change, the fee changes too.

Here is a hypothetical example, with no minimum or extras. Company A collects $40,000 and charges 5%: a $2,000 fee leaves $38,000. Company B charges 4% but collects 3% less, or $38,800: a $1,552 fee leaves $37,248. The lower-rate company leaves you $752 less a month in this example. That is arithmetic, not a prediction about any company here.

Published terms cannot tell you who collects more. That is why the questions below ask for reports, references, and who works your denials.

The 11 companies in more detail

AdvancedMD

AdvancedMD is a software company that also runs a billing team. Its pricing page lists a typical range of 4% to 8% of practice collections, with software included. It also has a marketplace of independent billing companies that use its software. Those are two different deals.

Ask first: "Is this quote from your own billing team or a partner company? What changes in our current EHR and billing setup?"

Request an AdvancedMD billing quote

athenahealth

athenahealth sells athenaOne, which combines software with billing services. It charges a percentage of collections but does not publish a numeric rate in the sources checked. Extra help, like coding or added work on denied claims, is sold as options.

Enhanced Claim Resolution is an optional service with platform requirements. Its responsibility table leaves some work with the practice, including credentialing, timely-filing, and duplicate denials. Ask to see the division of work for your package.

Ask first: "Which services are in our quote, which cost extra, and can we see the list of what our staff still does?"

See athenahealth billing services

BillingParadise

BillingParadise is a billing company. It publishes a starting rate of 2.99% of collections. It says it charges no setup or onboarding fee and works month to month. It also offers different staffing and service arrangements, so confirm which scope that rate buys and whether old claims cost extra.

Ask first: "What rate would we pay at our volume, is there a minimum, and will you work in our current system?"

See BillingParadise pricing

CareCloud

CareCloud is a software company with a managed billing service delivered through its own or third-party systems. Its 2025 annual report describes its usual integrated-service model as a percentage of healthcare-related revenue with a monthly minimum and a one-time setup fee. The actual rate, amounts, and contract length need a proposal.

In a company notice filed with South Carolina, CareCloud reported unauthorized access to one AWS environment between March 10 and March 16, 2026. The company says it secured that environment and found no evidence of unauthorized activity after March 16; ask which environment your practice would use and request current security documentation.

Ask first: "What are the minimum, the setup fee, and the contract length in our proposal?"

Request a CareCloud demo

CHB Medical Billing

CHB (Certified Healthcare Billing) is a California-based billing company serving practices nationwide. Its 2.5% starting rate is for practices collecting at least $1 million a month. Around $100,000 a month, CHB says the rate is typically 5% to 6%. It charges on insurance and patient payments it collects, advertises no setup, per-claim, software, or statement fee, and works month to month. It says it will not raise your agreed rate unilaterally.

Ask first: "What rate applies at our volume, and is there a monthly minimum?"

See CHB Medical Billing pricing

CureMD

CureMD sells software and a billing service. Its service page offers custom quotes based on your practice's requirements. Its own pricing page advertises a starting rate as low as 3% of collections. CureMD says its billing service can connect to existing practice management systems.

Ask first: "Can we keep our EHR, and exactly what work and fees are in this quote?"

Request a CureMD billing quote

DrChrono

DrChrono (part of EverHealth) offers managed billing tied to its EHR. Pricing is by quote. Its terms define net collections as collections less refunds; the fee can include receipts from services DrChrono did not bill. It publishes a grid showing which tasks are yours and which are DrChrono's. Some tasks cost extra.

Its published terms use a one-year default term unless your order says otherwise, with automatic renewals for equal periods unless properly cancelled. Exhibit C requires written notice at least 90 days before the term ends. At DrChrono's election, work and fees on existing receivables can continue for at least six months after termination, subject to the agreement's exception for termination over a breach of its material terms. Read those provisions alongside your order before signing.

Ask first: "What are our rate, our minimum, our renewal deadline, and any charges on claims worked after we leave?"

Request a DrChrono billing demo

eClinicalWorks

eClinicalWorks publishes its billing-service price: 2.9% of practice collections. The same page lists fees per patient statement and per eClinicalMessenger transaction. Initial training is included for practices with 1–9 providers; larger practices pay additional implementation fees, and airfare is billed separately. Ask for the full amounts in your proposal.

Ask first: "At our size and volume, what is the full fee list, and what work stays with our staff?"

Request an eClinicalWorks demo

Go Medical Billing

Go Medical Billing is a billing company. It advertises rates starting at 2.49% of net collections, with no setup fee and no monthly minimum. Its contact page describes a 30-day rolling agreement; that does not establish the cancellation-notice deadline. Of the 11, it is the only one we found that states "no monthly minimum" in plain words.

Ask first: "What rate would we pay, and can you share a reference from a practice in our specialty?"

Visit Go Medical Billing

Medwave

Medwave is a billing company. It says you can keep your own software. Its fee is a custom percentage of all money collected, based on your specialty and volume.

Ask first: "Which payments count toward your percentage? Are credentialing and old claims priced separately?"

Request a Medwave billing quote

Recoup

Recoup bills only for outpatient mental-health practices that take insurance. It publishes a 3% base fee on insurance payments it collects, a $1,000 monthly minimum, no setup fee, and 30 days' notice to leave. Its homepage FAQ says patient payments also count when Recoup bills and collects them. Keeping an outside claim-submission service can add that service's charges.

Eligible old insurance claims are handled under a separate agreement at 10% of recoveries. Recoup excludes payments already in transit, existing payment plans, and work the previous biller finished but has not yet posted. Confirm the claim list and what happens to that separate work when you leave.

It is not for cash-only practices, or for residential, detox, or partial-hospitalization programs. Recoup describes itself as a new company, so ask what practice references and results it can currently support.

Ask first: "Does our care setting fit, and can you show results for our payers and our EHR?"

Request Recoup's free billing analysis

Already using Tebra or Kareo?

Kareo is now Tebra. Tebra makes the software. For outsourced billing, it connects you with an independent billing company; its own partner page says it has exited the billing-services business. So your billing-service price, service, and contract come from that partner. Compare the partner the same way you would compare any company above.

Find a Tebra billing partner

If your own staff will keep doing the billing, compare whether better software or help with a specific task would solve the problem. Start with what to check for your setup.

What will the billing company actually handle?

"Full service" means different things at different companies. For each task below, get one of three answers in writing: the company does it, you do it, or it costs extra.

One example shows why this matters. DrChrono publishes a full grid of customer tasks and company tasks. Its "alternative" tasks can replace the standard ones, sometimes for a fee. Two practices can buy "managed billing" from the same company and hand off very different work.

What to check before you sign

1. Ask for a reference like you. Same specialty, same main insurers, same state if you can.
2. Ask for a sample report. It should show unpaid claims by age, open denials, and who owns each open item.
3. Ask how they count. For a quoted clean-claim rate, ask whether it means claims accepted for processing or claims paid. Get the definition, the denominator, and separate rejection and denial figures.
4. Ask where the money lands. Prefer payments into an account in your practice's name and control. If a billing agent receives Medicare or Medicaid payments for you, the applicable federal agent-payment rules restrict fees tied to amounts billed or collected and fees contingent on collection. Those rules do not, by themselves, ban every percentage-priced billing arrangement. Have the payment flow and fee structure reviewed together. See Medicare's provider rule, its supplier rule, and Medicaid's business-agent rule.
5. Get the required business associate agreement. If your practice is covered by HIPAA and an outside billing company will handle protected health information on your behalf, put the required business associate terms in place before sharing it. HHS explains what the agreement must cover, including safeguards, subcontractors, incident reporting, and what happens to the information when the contract ends. A company calling itself "HIPAA compliant" does not verify its security practices.

In New York? Have the proposed fee checked against the rules for your profession and practice structure. Education Law §6530(19) and Regents Rule §29.1(b)(4) restrict sharing professional fees, including certain payments for personnel and other services that depend on practice income or receipts. The rules contain exceptions. Have a healthcare attorney review your billing agreement before signing a percentage-based contract.

This section is general information, not legal advice. Have the person who handles your contracts review the agreement.

How to switch billing companies without losing claims

1. Read your current contract first. Find the notice period, the renewal date, and any fee on claims collected after you leave.
2. Pick a clean handoff date. List which claims the old company finishes and which the new one starts.
3. Set up authorized access. Give the billing team its own authorized accounts and the permissions it needs in your EHR, payer portals, and reporting systems. Follow each system's access process; do not share a clinician's or employee's personal password. The HIPAA Security Rule includes access controls and unique user identification.
4. Name one owner for every open claim. Two companies working the same claim can cause duplicates and denials.
5. Match the money. Until the old claims are closed, check payments against deposits and open balances.
6. Get your exit items in writing. Final reports, a data export, and what happens to patient information.

Ask each new company for a written setup timeline, the access and enrollment steps it depends on, and who covers billing until the handoff is complete.

Copy this proposal request

Send the same request to every company on your shortlist. You get answers you can line up side by side. It contains no patient information.

Subject: Medical billing proposal for our practice
Hello,
We are comparing medical billing companies. Here is our practice:

Specialty and care setting: [fill in]
State(s), number of locations, number of clinicians: [fill in]
Current EHR and billing/practice-management system: [fill in]
Rough monthly claim count: [fill in]
Rough monthly collections (insurance / patient): [fill in]
Work we want to hand off: [fill in]
Old unpaid claims or denials we need help with: [describe in general terms]
Start date we want, and notice we owe our current biller: [fill in]

Please send a written proposal that answers these 14 questions:

Which legal company will do the work? Do you use partners or subcontractors, and where are they located?
What exactly is your percentage charged on? Insurance payments only, or also copays and patient payments our front desk collects?
Is there a monthly minimum? What is it, and when does it start?
What do setup, software, clearinghouse, patient statements, coding, and credentialing cost?
Can we keep our current system (named above)? If not, who moves our data and what does that cost?
Who does each task: eligibility, authorizations, coding, charge entry, claim submission, payment posting, denials and appeals, patient statements and calls?
Are claims that were unpaid before your start date included, priced separately, or left out?
Do insurance payments go straight into our practice's bank account?
Which reports do we get each month, and can we log in and see our claims ourselves?
Who is our contact, and how fast do they answer?
What is the term? Does it renew on its own? How much notice to cancel? Is there an exit fee?
After we give notice, who works claims already sent? Do you charge on money that arrives after we leave?
How do we get our data when we leave, in what format, and at what cost?
Will you sign a business associate agreement? Please send it, along with a reference from a practice like ours.

Please mark anything that is not included or not yet priced. We are asking every company the same questions so we can compare the same work.
This message contains no patient names, records, logins, or claim details. If you need more, please tell us your secure way to send it.
Thank you,
[Name, role, practice, phone or email]

We do not send this for you, and we do not collect your details. You choose who gets it.

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Common questions

What is the best medical billing company?

Public information does not support one winner. The best one for you supports your software, does the work you need, makes its performance visible, and prices the full scope clearly. Use the situations above to find your first two or three.

Is a billing company the same as billing software?

No. A billing company gives you people who do the work. Software gives your own staff tools. Some companies sell both, and some, like Tebra, pass you to a partner.

Do I need a local billing company?

A remote billing company can fit if it supports your systems, your state's Medicaid program, and your main insurers. Ask for a reference in your state and agree on support hours. If you need on-site work, make that part of the proposal.

Will outsourcing raise my collections?

No one can promise that for your practice. Write down your numbers today: money collected, days to get paid, and denial rate. Then measure any company against them.

I got a bill from a medical billing company. Can you help?

We compare billing companies for practices, so we cannot look up a bill. Call the number on your statement or your provider's office. CMS, the federal agency that runs Medicare, has a page on getting help with a medical bill.

How we checked this page

On October 5, 2026 we read the companies' own pricing pages, service documents, and terms, along with the relevant government rules. The links identify the source for each material term. We did not test any billing service, and published claims do not verify performance. Terms change, so confirm every number and responsibility in your own proposal.

Spot an error? Send us the page and a source.

Compare the companies