Pricing built around your practice.
Not a generic rate card.
Medical Billers and Coders does not publish a flat percentage — because your billing complexity, specialty, and payer mix are unique. Every quote is custom. Every engagement is built to recover more than it costs.
Most practices discover $25K–$85K in uncaptured revenue during their AR Revenue Audit. Request yours today →
Why no published rate?
Medical billing pricing that is actually fair
cannot be one-size-fits-all.
A solo family medicine physician and a 15-provider multi-specialty group have completely different billing complexity, denial rates, payer mixes, and coding requirements. A flat published percentage would either overcharge simpler practices or underserve complex ones.
The short answer: MBC quotes what your practice actually needs. Higher collections volume, complex coding specialties, and broader service scope each affect your final rate — and a custom quote ensures you pay for exactly what creates value for your revenue cycle, nothing more.
What shapes your quote
4 factors that determine
your custom billing rate
Monthly Collections Volume
Higher monthly insurance collections reflect a larger billing operation. Volume is the primary input in every MBC quote — higher volume practices typically see more favorable rates relative to collections.
Medical Specialty and Coding Complexity
Specialties with complex CPT and ICD-10 coding — ASC, orthopedics, oncology, cardiology — require specialized coders. Pricing reflects the real labor required to get your claims paid correctly the first time.
Payer Mix
A practice with a heavy Medicare or Medicaid mix requires different billing workflows than one dominated by commercial insurance. Your payer portfolio directly affects the scope and cost of your engagement.
Scope of Services
Billing only, billing plus credentialing, full RCM with denial appeals, old AR recovery, compliance monitoring — the services your practice requires determine the final engagement structure.
True cost comparison
In-house billing costs more
than most practices realize.
In-house billing — true cost
of monthly collections
Staff salaries, benefits, billing software licenses, coding training, compliance overhead, and staff turnover costs — all baked into your real cost-to-collect. Most practices underestimate this by 40%.
MBC outsourced billing — variable cost
custom-quoted to your practice
One variable fee tied to your collections performance. No fixed staff overhead. No software to maintain. Better first-pass rates and faster reimbursement from day one.
Service Scope
Choose the level of RCM support
your practice requires
Every tier is custom-priced. These describe what is included — not a rate card. Your quote will reflect your practice's actual volume, specialty, and complexity.
Practices of Any Size
Core Billing
1–5 providers · Any specialty
Rate Structure
Custom quote based on
your specialty and volume
- Charge entry and clean claim submission
- Payment posting and reconciliation
- Denial management and appeals
- AR follow-up (30/60/90-day aging)
- Monthly performance reporting
- EHR integration included
- Dedicated billing specialist
- No setup fee · No contract
Group Practices
Growth RCM
6–20 providers · Single or multi-specialty
Rate Structure
Custom quote based on payer mix,
volume, and specialty
- Everything in Core Billing, plus:
- Dedicated Account Manager
- Payer contract variance analysis
- Credentialing and re-credentialing support
- Real-time AR and denial dashboards
- Quarterly RCM business review
- Onboarding and data migration
Multi-Specialty and Enterprise
Enterprise RCM
20+ providers · Health systems and hospital groups
Rate Structure
Custom — based on entity count,
revenue complexity, and payer portfolio
- Everything in Growth RCM, plus:
- Senior Revenue Performance Manager
- Old AR recovery (90–365+ day claims)
- Multi-entity consolidation and reporting
- Custom BI dashboards and KPI tracking
- 30-day notice to cancel — no lock-in
Always included
What every MBC client receives —
regardless of practice size
EHR Integration
50+ EHR platforms at no extra cost — Epic, Cerner, Athena, eCW, NextGen, and more.
Unlimited Denial Appeals
Every denied claim is pursued through full exhaustion of remedies. No per-appeal fee. No cap on volume.
Monthly Reporting
Collections, denial rates, AR aging, and NCR/DCR benchmarks — delivered monthly at no additional charge.
HIPAA Compliance
Full BAA, encrypted data transfer, and audit-ready documentation included as standard practice.
Dedicated Specialist
A billing specialist who knows your specialty and payer mix — not a shared support queue with no context.
What provider groups say
Revenue outcomes from practices
that made the switch to MBC
We had been using an in-house billing team for eleven years. Within six months of switching to MBC, our denial rate dropped from 18% to 6% and our 90-day AR balance cleared by more than 60%. The audit was what finally convinced us — it showed exactly where the money was going.
Denial rate: 18% → 6%As CFO of a multi-specialty group, I was skeptical about outsourcing billing. MBC's custom pricing model was the deciding factor — we weren't paying a generic flat rate; we were paying based on what our volume and payer mix actually required. Collections improved in month two.
Collections improved in month 2The 90-day AR Revenue Audit found $43,000 in uncaptured revenue from payer underpayments we had no idea existed. MBC recovered a significant portion of it within 90 days of engagement. The audit alone justified the entire decision to switch.
$43K uncaptured revenue identifiedCommon questions
Pricing questions, answered directly
See exactly where your revenue
is being lost — before you commit to anything.
MBC's complimentary 90-Day AR Revenue Audit identifies your denial patterns, AR aging issues, and payer underpayments — and delivers a written recovery estimate. Most practices are surprised by what it finds.