The medical billing industry has long relied on outdated, rigid flat-rate models. We pioneered monthly-adjusting tiered rates that reward your growth.
Most providers are still billed on flat rates that haven't evolved in decades — often 5%–10% of total collections, regardless of specialty, EHR system, or monthly volume.
A specialty surgical practice with a high-complexity code mix shouldn't pay the same rate as a low-acuity family clinic — but flat rates pretend they're the same.
A provider on a legacy EHR requires significantly more backend labor than one on a streamlined platform — yet both get charged identically.
Practices that scale up see no reward — they pay the same inflated rate, even when collections soar.
Offshore firms advertise teaser rates, but come with monthly minimums, high denial rates, and ~50% annual staff churn. You pay less on paper — but lose far more in uncollected claims.
We're proud pioneers of performance-aligned billing. Our pricing adapts to your unique profile — and because our rates adjust monthly, an exceptional month means your effective rate goes down immediately. We reward performance in real time — not next quarter, not next renewal.
Every practice is different, so every rate is different. These examples show how our tiered pricing looks for two common practice types.
| 2026 Industry Rate & Service Comparison | Medical Billing Management, Inc. | Standard US Billing Agencies | Low-Cost Offshore Billers |
|---|---|---|---|
| General Medical Billing Rate (% of Net) | 5.95% down to 3.94% (Dynamic Tiered) | 6.00% – 8.00% Flat Rate | 2.90% – 4.50% (+ Monthly Minimums) |
| ABA Therapy Billing Rate (% of Net) | 4.94% down to 2.47% (Dynamic Tiered) | 6.00% – 9.00% Flat Rate | 3.00% – 4.50% (Basic Submission Only) |
| Account Management & Staff Location | 100% US-Based (Topsfield, MA) · Dedicated Rep | Mixed US / Offshore · Pooled Queues | 100% Offshore · ~50% Annual Churn |
| Aged A/R Recovery & Denial Appeals | ✓ Included (96% Avg Collection Rate) | Often Extra / Ignored past 90 days | ✕ High write-off rate |
| Performance Guarantee | $10,000 Cash Guarantee (First in Industry) | None | None |
These examples are for illustration only. Your actual rate depends on the specifics of your practice. As we get to know your billing patterns, payer mix, and system setup, a custom rate schedule will be presented — and will evolve dynamically alongside your growth.
Share a few details and we'll build an illustrative rate schedule based on your specialty, system, and monthly volume — backed by our $10,000 collections guarantee.