Pricing
Medical billing software pricing in 2026: real numbers, no contact-sales button
We priced fifteen vendors so you would not have to sit through fifteen sales calls. Here is what medical billing software actually costs this year, including the fees that never make it into the quote.
Try to price medical billing software and you run into the same wall over and over: a "Pricing" page with no prices, a "Get a quote" button, and a form that wants your phone number before it will tell you a number. The category has trained itself to treat price as something you negotiate, not something you publish. That is great for the vendor's sales team and miserable for a biller or practice manager trying to budget.
So we did the tedious part. Below is what the major players charge as of July 2026, pulled from published pricing pages where they exist and from third-party review sites (Capterra, GetApp, SoftwareFinder) where the vendor hides its own numbers. Verify anything load-bearing with the vendor before you sign, because prices move and contracts vary. But this is the honest lay of the land.
The table nobody else will show you
| Vendor | Publishes price? | Entry price (per provider/mo unless noted) | What the number leaves out |
|---|---|---|---|
| RXNT | Partly | $126 EHR, $213 PM/billing, $335 full suite | Numbers live in JavaScript cards and vary between the page title and meta |
| EZClaim | Yes | $199 first user ($189 annual) | $40/mo per extra client file, $3/GB storage, $19/user portal |
| Tebra (Kareo) | One level deep | $199+ standalone billing (physician); bundles $599 to $799 | Main pricing page is a quote form; module cancellation can reprice the rest |
| CollaborateMD | No | ~$235 (per Capterra) | Volume-based per-provider fees; $2,500 for a third-party mobile interface |
| PracticeSuite | No | $299 platform (per Capterra) | Reviews allege actual cost runs well above the advertised figure |
| AdvancedMD | No | ~$429 by specialty (per third parties) | Demo-gated; enterprise-leaning |
| athenahealth | No | Percentage of collections (unpublished) | The percentage itself is never printed |
| Cortex EDI | One figure | $25/mo a-la-carte cloud services | Full platform is "custom quote" only |
| Office Ally | Yes | $44.95/mo EHR (clearinghouse free tier) | Per-payer and add-on fees |
| TheraNest | Yes | $29 to $89/mo by client volume | Behavioral-health specific; scales with active clients |
| Medical Billing Cleveland | Yes, in HTML | $79 Solo, $149 Team, $249 Billing Company (flat) | Nothing. Migration, storage, portal, and clearinghouse included |
Figures reflect our July 2026 survey of vendor pricing pages and third-party listings (Capterra, GetApp, SoftwareFinder). Per-provider unless noted. Verify current pricing with each vendor.
The costs that hide behind "starting at"
The sticker price is only ever half the story. When a vendor tells you $199 a month, the real annual cost usually includes several line items that arrive separately:
- Clearinghouse fees. If the clearinghouse is not built in, expect $25 to $500 a month on top, depending on claim volume and payer connections.
- Data migration. Moving your patients, payers, and open claims can be quoted anywhere from $500 to $10,000 as a one-time project fee.
- Setup and training. Often bundled into an "onboarding" charge, sometimes billed per hour.
- Storage. Metered per gigabyte after a small allowance, which a busy practice blows through fast once documents and remits pile up.
- Per-seat add-ons. Patient portals, extra users, and client files charged individually, so the "one price" quietly becomes several.
Add these up and a $199 headline can land near $400 a month in practice. None of it is dishonest, exactly. It is just structured so the number you compare against a competitor is never the number you actually pay.
Per-provider pricing punishes billing companies
Most of these vendors price per rendering provider. For a single practice that is merely expensive. For a billing company it is brutal. Run ten small clients with two providers each on a $213-per-provider plan and you are paying for twenty providers: $4,260 a month, whether those providers send you fifty claims or five hundred. The pricing model assumes you are one practice, and billing companies are the ones who feel the mismatch every month.
That is exactly why we price by users and client workspaces instead of by provider, and why the Billing Company plan is a flat $249 with unlimited clients. The math should not get worse every time you win a client.
Why do vendors hide the price at all?
Two reasons, mostly. First, price discrimination: if every quote is custom, they can charge the large group practice more than the solo doctor for the same software, and a public price closes that door. Second, the sales call itself: a hidden price forces you into a conversation where a rep can anchor, bundle, and upsell. Neither reason benefits you. Both are why "request a quote" is the category's default and why a published price still feels radical.
Where we land, plainly
We publish three plans, in HTML, with the numbers right there: Solo at $79 a month, Team at $149, and Billing Company at $249, each billed annually, each also available monthly at a higher rate. Every plan includes the clearinghouse, ERA posting, scrubbing, eligibility, the iOS app, migration, and storage. No per-provider multiplier, no storage meter, no portal surcharge, no percentage of your collections. The pricing page has the full breakdown, and the add-on comparison table names the fees we do not charge.
You do not have to take the table's word for any of it. The point of publishing a price is that you can check it yourself, then check the product yourself, without a single phone call in between.