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Pricing · Updated August 2026
What this costs, before you talk to anybody
Published ranges, including the ones that make us look expensive. If a vendor will not show you a number before a discovery call, that is information too.
Outsourced behavioral health and ABA billing typically costs 4–8% of net collections, or roughly $2–8 per claim on a flat-fee model. A dedicated remote biller runs about $1,200–$2,600 per month. A comparable in-house biller costs roughly $55,000–$70,000 a year fully loaded. Setup, credentialing and statement fees can add materially to any quoted percentage.
How much does it cost to outsource ABA billing?
Four models, and the conditions under which each is genuinely the right answer.
| Model | Typical range | Right when | Watch for |
|---|---|---|---|
| Percentage of net collections | 4–8% | Denials are high or AR is aging and nobody owns the whole cycle. | What counts as "net". Ask whether patient payments and secondary collections are included in the base. |
| Flat fee per claim | $2–8 | Volume is high and the cycle already works — you want predictability. | The vendor is paid the same whether the claim is paid or denied. Denial work often sits outside the fee. |
| Dedicated remote staff | $1,200–2,600 / mo | Your process works and you need capacity, coverage, or a role you cannot hire locally. | You still own the outcome. A seat filled is not a cycle fixed. |
| In-house biller | $55–70k / yr | Collections are under roughly $300k, or the work is genuinely simple and stable. | No coverage during leave, and the payer knowledge leaves with the person. Replacement cost is the hidden line. |
The number vendors do not print
Setup, credentialing, clearinghouse and patient-statement fees can add 15–30% above a quoted percentage in real annual cost. When comparing two quotes, compare the all-in annual figure, not the headline rate. Ask every vendor — including us — to put the excluded items in writing.
What does that look like on a real practice?
An illustrative comparison at $1.2M in annual collections. Your numbers will differ; the shape usually does not.
| Option | Direct annual cost | What it does not cover |
|---|---|---|
| One in-house biller | $55,000–70,000 | Coverage during leave, denial specialism, AR surge capacity, and the cost of replacing them. |
| Two dedicated remote staff | $28,800–62,400 | Process ownership. You still direct the work and own the result. |
| Full RCM at 6% of collections | $72,000 | Nothing in the cycle — but it is only worth it if it moves the denial rate and the AR. |
The comparison that matters is not cost against cost. At a 16% denial rate on $1.2M, roughly $192,000 is denied annually and — if six in ten are never reworked — about $115,000 is silently written off. Against that, the difference between the three rows above is a rounding error. The only question worth asking a vendor is what they will do to that $115,000, and how you will see it happening weekly.
Our terms, plainly
Percentage with a floor
4–8% of net collections depending on specialty complexity and payer mix, with a monthly minimum. The floor exists so a small practice can be served properly rather than cheaply.
Annual term, 60-day exit
Twelve months, cancellable on 60 days' notice. Your data, credentials and workflows are in your systems throughout — leaving costs you nothing but notice.
No charge for the audit
The AR and denial audit is free and unconditional. You keep the findings whether or not you hire us, and we will tell you if the honest answer is to keep billing in-house.
Quoted after the audit, not before
We do not name a percentage before seeing your denial pattern and payer mix. A rate quoted blind is a guess that gets corrected later, usually upward.
Get the audit first
Read-only access to your practice management system. Five business days. One page: denial rate by payer and code, aged AR, annualised cost of the pattern. Then we talk about price.