Pricing
From 3% of collections
Most billing companies in this category will not publish a number. Ours is on this page, along with what changes it and what an in-house alternative actually costs.
3%
starting rate · typically 3–6% depending on practice size, specialty and claim volume
You pay only on what we actually collect. If a claim does not pay, we do not get paid on it either — which keeps our incentive and yours pointed the same direction.
Comparing vendors? Our buyer’s guide lists the twelve questions worth asking — including the ones we would expect to answer ourselves.
What moves the rate
- Claim volume — higher volume lowers the percentage.
- Average claim value — high-value specialties price lower.
- Specialty complexity — anesthesia, oncology and interventional work carry more coding burden.
- Scope — full RCM versus a single service such as AR recovery.
- Current AR condition — a large aged backlog is scoped separately.
Never charged separately
- Setup or onboarding fees
- Denial appeals or claim rework
- EHR or practice management integration
- Monthly reporting or portal access
- Contract termination after the initial term
The honest comparison
Outsourced vs. in-house
The comparison only works if it's complete. A billing salary is the smallest line in an in-house operation.
| In-house billing | Vizora | |
|---|---|---|
| Salary and benefits | ~$73,000 per biller, fully loaded | Included |
| Billing software and clearinghouse | Licensed separately | Included |
| Training and code set updates | Your responsibility | Included |
| Coverage during leave or turnover | Collections stop | Continuous |
| Denial appeals | If there is time | Always worked |
| Specialty coding depth | One generalist | Coders assigned by specialty |
| Cost structure | Fixed, regardless of collections | Scales with what we collect |
~$73,000
fully loaded annual cost of one in-house biller
$57.23
average cost to fight a single denied claim
In-house billing is the right answer for some practices — particularly larger groups with the volume to keep specialists busy and the management depth to supervise them. It is usually the wrong answer for practices where one person is the entire billing department and their vacation stops cash flow.
Included
Everything in the percentage
- Coding by specialty-assigned certified coders
- Claim scrubbing against payer-specific edits
- Electronic submission and status tracking
- Denial management, appeals and rework
- AR follow-up and recovery
- Payment posting and reconciliation
- Eligibility verification
- Monthly reporting and performance review
- Client portal with live claim status
- A dedicated specialist you can reach directly
Questions
Vizora charges a percentage of net collections, starting at 3% and typically ranging from 3% to 6% depending on practice size, specialty and claim volume. You pay only when we collect. There are no setup fees and no hidden charges. For comparison, one in-house biller costs roughly $73,000 a year fully loaded before software or management overhead.
For most small and mid-sized practices, yes — but the comparison has to be complete. In-house costs include salary, benefits at roughly 30% of total compensation, billing software, clearinghouse fees, training, and the coverage gap when your biller takes leave. A percentage-of-collections model also scales with volume rather than requiring a hire.
We recommend a minimum six-month partnership because revenue cycle improvements compound over that horizon rather than appearing immediately. Terms beyond that are flexible, and we would rather earn renewal than enforce a lock-in.
No. Denial management and appeals are part of standard service. Charging separately for appeals would create an incentive to generate denials, which is precisely the wrong alignment.
A machine-readable version of this page is available at /pricing.md for AI agents and automated vendor comparison.
Get a quote for your practice
Tell us your specialty, claim volume and current pain points. We'll come back with a specific rate — and a free audit either way.
No setup fees · You pay when we collect · Pricing from 3% of net collections