Home / Pricing
✓ Rates published · No setup fee · No monthly minimum

RCM at 5%, 4% or 3% of monthly collections.

Our fee is a percentage of what is actually collected, tiered by volume. Credentialing is $250 per application. Medical coding is always quoted separately, per chart, by volume and specialty. As your collections rise you move down a tier, so it is more revenue and less our fee.

5%of collections
Entry volume tier. Smallest monthly collections.
4%of collections
Mid volume tier. Growing groups and multi site practices.
3%of collections
Highest volume tier. Large groups, MSOs, health systems.

Reviewed by Aparna Suresh, CPB · Updated September 17, 2026

The rate card

Three tiers, and which one you land in.

The tier is set by your monthly collections volume, not by negotiation stamina. Higher volume carries a lower percentage because the fixed cost of running an account spreads across more dollars. The rate is written into the agreement for the contract term, and the tier is reviewed as your collections grow.

Rate
Volume tier it fits
What the percentage covers
Rate5%
Volume tierEntry tier: solo providers, single site clinics, new practices, startup ABA and behavioral health centers.
CoversFull revenue cycle: eligibility and benefits, prior authorization tracking, charge entry, claim scrubbing and submission, payment posting, denial management and appeals, AR follow up, patient statements and calls, monthly reporting with a named senior contact.
Rate4%
Volume tierMid tier: established groups, multi site practices, multi state ABA and behavioral health organizations, FQHCs.
CoversEverything in the entry tier, plus payer mix and contract analysis, denial root cause programs by payer, a dedicated pod rather than a shared queue, and a scheduled operating review with your leadership.
Rate3%
Volume tierHigh tier: large physician groups, MSOs, hospital and health system books, national provider organizations.
CoversEverything above, plus deeper EHR and clearinghouse integration, custom reporting into your finance stack, underpayment and contract variance review, and shift coverage aligned to your internal team.
Credentialing
$250per application

One application is one provider with one payer. A provider joining eight panels is eight applications. Flat, countable, and quoted before we start.

  • CAQH setup, attestation and maintenance
  • Application preparation and submission
  • Payer follow up through to a decision
  • Effective date confirmation in writing
  • Recredentialing and revalidation priced the same way

Detail for behavior analysts is on the BCBA credentialing services page.

Medical coding
Per chartby volume and specialty

Coding is always priced separately and never bundled into the RCM percentage. There is no single published rate, because a session note and a multi procedure operative report are not the same unit of work.

  • Priced per chart, not per claim and not per hour
  • Rate set by monthly chart volume
  • Rate set by specialty and documentation complexity
  • Quoted after a review of real sample charts
  • Audit and education passes scoped separately

Send a sample chart set through contact and the per chart rate comes back in writing.

Scope

What the percentage includes, and what it does not.

Included in the RCM percentage

  • Eligibility and benefit verification
  • Prior authorization tracking and follow up
  • Charge entry and claim scrubbing
  • Primary, secondary and tertiary claim submission
  • Payment posting and reconciliation
  • Denial management, appeals and rework
  • AR follow up across the full aging
  • Patient statements, patient calls and payment plans
  • Monthly reporting and a named senior contact

Priced separately, always

  • Medical coding: per chart, by volume and specialty
  • Credentialing and enrollment: $250 per application
  • Coding audits and provider education programs
  • One time historical AR cleanup projects
  • Consulting engagements outside the billing scope
  • Clearinghouse and EHR fees billed to you by your vendors

Specialty scope detail lives on the ABA billing services, behavioral and mental health billing and FQHC billing pages. The rate structure is the same across all of them: the specialty changes the work per claim, not the way you are charged.

Model comparison

Percent of collections, per claim, FTE, or in-house.

Four ways to pay for revenue cycle work. Each is right for someone. The question is who carries the risk when a claim denies, and who pays for the hours when volume dips.

Percent of collections

What ASP-RCM charges
  • Fee is a share of cash actually received
  • Zero collections in a month means zero fee
  • The vendor absorbs the cost of rework and appeals
  • Cost scales down per dollar as you grow into a lower tier
  • Requires clean collections reporting both sides can read
Fits practices that want the billing partner carrying denial risk alongside them.

Per claim or per transaction

Flat fee per unit of work
  • Same fee whether the claim pays or denies
  • Predictable per unit cost, easy to budget
  • No vendor stake in whether an appeal succeeds
  • Rework and resubmission often billed again
  • Low value claims can cost more to process than they return
Fits very clean, high volume, low denial books with strong internal oversight.

Dedicated FTE or hourly

Fixed cost per assigned person
  • You buy hours, not outcomes
  • Cost holds steady when volume drops
  • Capacity planning and supervision stay your job
  • Scaling up means a new hire and a ramp period
  • Productivity has to be measured by you to stay honest
Fits organizations with internal RCM leadership that need staffing capacity, not a program.

In-house billing team

The cost categories people forget
  • Salaries across biller, coder, denial and credentialing roles
  • Payroll taxes, benefits, insurance and paid leave
  • Billing software, clearinghouse and coding reference subscriptions
  • Recruiting, onboarding and the ramp before full productivity
  • Turnover: the backlog that builds every time a biller resigns
  • Coverage during PTO, sick leave and parental leave
  • Management time supervising the function
  • Specialist gaps: one person rarely covers coding, denials and credentialing well
Fits organizations large enough to staff every function twice over, so no single resignation stops cash.

We will not publish a savings percentage against your in-house cost, because we have not seen your payroll. Send the roles, the software line items and your monthly collections and the comparison comes back with your own numbers in it, not ours.

Common questions

Pricing FAQ.

How much do medical billing services cost?
ASP-RCM charges 5%, 4%, or 3% of monthly collections for full revenue cycle management, tiered by volume: 5% for the smallest books, 4% in the middle tier, 3% at the highest volume. The fee applies to money actually collected, not to charges billed. Credentialing is $250 per application. Medical coding is quoted separately, per chart. Nothing is billed on claims that never pay.
How much do mental health and ABA billing services cost?
The same 5%, 4%, or 3% of monthly collections applies to ABA and behavioral health. Those specialties are authorization heavy, so the work per claim is higher, but the rate structure does not change: you pay a percentage of what is collected, tiered by volume. Coding is quoted separately per chart by volume and specialty. Scope detail sits on our ABA and behavioral health billing pages.
Is percent of collections better than per claim pricing?
Percent of collections ties the fee to your deposits: if a claim never pays, we do not earn on it. Per claim pricing charges the same amount whether the claim pays or denies, so the vendor carries no financial stake in the appeal. Percent of collections suits practices that want the billing partner holding denial risk. Per claim can be cheaper for very clean, high volume, low denial books.
What percentage do most medical billing companies charge?
Published industry ranges for full service billing run roughly 4% to 9% of collections, and small practices are commonly quoted 6% to 10%. Specialty, claim volume and payer mix drive where a practice lands. ASP-RCM sits at 3% to 5%, below the common mid-market range, because delivery runs on our own offshore teams and platform rather than being resold through a middle layer.
How much does credentialing cost?
Credentialing is $250 per application. One application means one provider with one payer, so a provider joining eight payer panels is eight applications. The fee covers CAQH setup and maintenance, application preparation and submission, payer follow up until a decision, and confirmation of the effective date. Recredentialing and revalidation are priced the same way. Credentialing is never bundled into the RCM percentage.
How is medical coding priced?
Medical coding is always priced separately from the RCM percentage, and always per chart. The per chart rate depends on chart volume and specialty, because a behavioral health session note and a multi procedure operative report are not the same unit of work. We quote the rate after reviewing a sample of real charts and your monthly volume. Coding is never folded into the collections percentage.
Are there setup fees or minimum monthly fees?
No setup fee and no monthly minimum on percent of collections engagements. If collections are zero in a month, the RCM fee is zero. Credentialing is billed per application as applications are filed, and coding is billed per chart coded. Connecting to your EHR or clearinghouse carries no implementation charge. Contract term and notice period are stated in the agreement before you sign anything.
What happens to your fee if our collections drop?
The fee drops with your collections, because it is a percentage of what is actually collected rather than a fixed retainer. There is no floor and no true up invoice to make up the difference. That is the point of the model: we are paid more only when you are paid more, and a weak month costs us too. It is also why denials get worked instead of written off.

Reviewed by Aparna Suresh, CPB, Certified Professional Biller. Updated September 17, 2026.

Your tier, in writing. Within one business day.

Send your specialty, monthly collections, claim volume and EHR. You get back the tier you land in, the credentialing count at $250 per application, and a per chart coding rate quoted against your real charts. No deck, no SDR, no theater.

Get my written quote → Try the free denial audit first