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Key Takeaways
- Billing software costs $49–$599+ per provider/month based on platform and features.
- Small practices may pay $50–$150/month per provider; large orgs may pay $500–$1,000+.
- Most platforms use subscription pricing; some offer revenue-based or custom quote models.
Medical billing software can either simplify your workflow — or turn it into a costly headache. Knowing what you’re really paying for, and which features justify the price tag, can help you avoid expensive missteps.
But figuring out the actual cost? That’s where things get tricky. With feature lists a mile long (some essential, some less so) and a mix of pricing models, it can feel like you need multiple advanced degrees just to make sense of it all.
This guide breaks it down clearly so you can find the right solution for your needs — without the sticker shock.
| Streamline your entire billing workflow with Tebra — a unified platform that helps private practices and billing companies reduce administrative work, improve cash flow, and get paid faster. |
Understanding medical billing software pricing
Every software provider has a unique way of pricing their product, which means your choice should reflect both your immediate needs and long-term plans.
Pricing structures
Understanding how you're charged is crucial:
- Subscription-based pricing is the industry standard, usually billed monthly per provider or user.
- Per-user pricing is ideal for larger teams or companies that anticipate growth.
- One-time licenses are largely outdated, having been replaced by flexible, cloud-based models.
Average costs by business size
Small billing companies or clinics can expect to budget around $50–$150 per provider per month.
Medium to large-scale operations usually range from $500–$1,000 per provider per month, often bundled with extras like revenue cycle management (RCM).
“Small billing companies or clinics can expect to budget around $50–$150 per provider per month.”
Factors influencing pricing
Beyond the basic sticker price, several critical factors shape the value and effectiveness of your software investment:
- Feature depth and functionality: Basic packages typically cover claims processing and eligibility checks, while advanced options offer tools like automated claim scrubbing, integrated payments, analytics, and reporting. More sophisticated features usually come with a higher price.
- Integration capability: Seamless integration with your EHR, practice management tools, and third-party apps often adds to the cost — but it can dramatically streamline your workflow and reduce manual errors.
- Customer support and training: Robust support, like live chat, onboarding, training, and dedicated account reps, usually increases subscription fees. Weigh the value of these services to ensure smooth day-to-day use.
- Compliance and security measures: Software with strong HIPAA compliance, encryption, secure backups, and disaster recovery often costs more but helps protect patient data and reduce risk.
- Scalability and customization options: Platforms that grow with your practice or allow deep customization may cost more upfront, but they can prevent expensive migrations or reconfigurations later.
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Medical billing software pricing table
Take a look at this side-by-side comparison of top medical billing platforms.
| Monthly cost | Pricing model | Notable features | |
| AthenaOne Athenahealth | ~7.5–9% of collected revenue* | % of collections | Claim scrubbing, eligibility checks, built-in RCM |
| AdvancedMD | $229–$429/provider | Subscription | Claims management, reporting and analytics, integrated PM/EHR |
| DrChrono Apollo | Requires a custom quote | Subscription + fees | Superbills, real-time eligibility checks, ERA auto-posting, mobile-first (iOS-native) |
| eClinicalWorks | $599/provider | Subscription + RCM fees | Eligibility verification, claim scrubbing, ERA auto-posting, denial management, revenue rules engine |
| SimplePractice | $49–$99 + fees | Subscription tiers + fees | Automated billing, superbills, eligibility, reminders, CMS-1500 claims |
| NextGen | Requires a custom quote | Subscription | Claims submission, clearinghouse integration, denial management, financial reporting, mobile access |
| Tebra | $99-$399 for physicians and non-physicians | Subscription | Encounter forms (superbills), claims and denial management, eligibility checks, payments, analytics |
*Note: AthenaOne pricing is typically offered as a percentage of collections. The estimate provided here is a generalization based on publicly available information.
Athenahealth is built for large practices, and uses a collections-based pricing model, which may align well with organizations that focus on revenue cycle management.
AdvancedMD includes analytics features, tiered subscription plans, and an a-la-carte pricing model — although basic features may cost more than other platforms.
DrChrono provides essential features without overwhelming smaller practices, offering features like superbills and automated posting.
If your operation is larger, eClinicalWorks offers a wide range of patient and RCM tools, with pricing that may be higher than some alternatives.
For small or solo practices, SimplePractice offers a user-friendly interface and lower-cost plans.
NextGen includes a broad set of practice management tools and reporting capabilities. However, the learning curve may be steep for some.
Tebra delivers an excellent blend of affordability and robust features — especially attractive if you're managing diverse practice needs efficiently.
“Tebra delivers an excellent blend of affordability and robust features — especially attractive if you're managing diverse practice needs efficiently.”
Choosing the right software for your budget
The right billing software supports your growth. Look for these features when evaluating platforms:
- Business growth: Choose a platform that will scale smoothly with you.
- Trial periods: Always test-drive with demos or trials first.
- Flexible terms: Shorter contracts can help you pivot if needed.
Keep these critical questions handy:
- Does it integrate smoothly with our EHR?
- What level of support can we expect?
- Are there hidden fees or transactional costs?
- How frequently is the software updated, and are updates included in the pricing?
- What specific security measures are in place to protect sensitive patient information?
- Are there costs associated with integrating third-party applications or additional services?
Frequently asked questions
Still have questions about medical billing software costs? Here are clear answers to some of the most common ones.
How much does medical billing software cost?
Expect to pay $50–$150 per provider per month for smaller businesses and $400–$800 for larger ones.
What is the average cost of billing software?
Typically, the cost ranges from $100 to $600 per provider per month, depending on your feature needs.
How much does medical billing cost?
All in, including software, fees, and staffing, it typically totals 4–10% of your practice's revenue.
How much does third-party medical billing cost?
Typically between 4–8% of the collected revenue, depending on the service.
Can medical billing software reduce overall billing errors?
Yes. Quality billing software includes features like claim scrubbing and automated eligibility checks, significantly reducing common errors and rejections.
Making the best decision for your business
Your billing software investment impacts every part of your financial workflow. Matching your choice with your specific processes, growth trajectory, and budget is essential.
Get a custom price quote for Tebra's billing software in under 2 minutes — no commitment, no surprises.
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- Current Version – Jul 23, 2025Written by: Jean LeeChanges: This article was updated to include the most relevant and up-to-date information available.
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