Top 10 Medical Billing Companies in the USA (2026)
This list is for practice owners, administrators and billing managers who are comparing medical billing companies in the USA. It covers ten companies, from outsourced billing firms to software vendors that offer billing services.
Each company was assessed on pricing transparency, specialty coverage, EHR support, service scope, and company size and age. We used each company’s own website and public business directories, checked in October 2026. Where a detail is not published, we say so. BilNow published this list and lists itself first, so read that entry with that in mind.
How we ranked the companies
- Pricing transparency: companies that publish a rate or range rank higher than those that quote on request.
- Specialty coverage: the number of specialties a company says it supports.
- EHR support: how many EHRs it works with, or whether billing is tied to its own software.
- Service scope: billing, coding, credentialing, denial management and related services.
- Company size and age: founding year, headquarters and the scale each company states publicly.
The 10 medical billing companies, compared
BilNow
bilnow.com · Founded 2017 · New York, NY
BilNow is a medical billing and revenue cycle management company founded in 2017. It has offices in New York and Fredericksburg, Virginia, and works with more than 300 providers across 50+ specialties. It supports 100+ EHR systems. BilNow reports 98% first-pass claim acceptance and a denial rate under 5%. Its staff are HIPAA-trained. Pricing is public: 2.7% of collections, with no setup fee and no long-term contract. Only three companies on this list state a rate or range on their own sites, and BilNow is one of them. It is listed first because it meets the criteria used here: published pricing, wide specialty and EHR coverage, and simple contract terms. Practices should still compare quotes, ask for references and check how each company reports its metrics.
- Published fee: 2.7% of collections
- No setup fee and no long-term contract
- 50+ specialties and 100+ EHRs supported
- The fee is a percentage of collections, so the dollar cost rises as collections rise
AdvancedMD
www.advancedmd.com · Founded 1999 · South Jordan, UT
AdvancedMD is a cloud software company in South Jordan, Utah, founded in 1999. It offers an EHR, practice management software and an outsourced medical billing service. Its website says typical RCM services are priced at about 4-8% of monthly collections, with no hidden fees and no long-term agreements. The billing service covers claim submission, payment posting, denial appeals, collections and payer follow-up. The company says it serves about 13,000 private practices. Its RCM service is described as fully integrated with AdvancedMD’s own practice management, scheduling and EHR systems, and the site does not state support for other EHRs. The billing page lists ten specialties, including family practice, mental health, physical therapy and surgery.
- Publishes a typical price range
- States no long-term agreements
- Billing is integrated with its EHR and practice management software
- Billing is tied to AdvancedMD software; third-party EHR support is not stated
BillingParadise
www.billingparadise.com · Founded 2004 · Atlanta, GA
BillingParadise is a medical billing and RCM company headquartered in Atlanta, Georgia. A business directory lists its founding year as 2004. It offers medical coding, credentialing, eligibility verification, denial management, accounts receivable management and claim processing. Its homepage states that pricing starts at 2.69%, with custom pricing available on request, so it is one of the few companies here that shows a number. The company says it supports 30+ specialties, including cardiology, orthopedics, anesthesia, oncology, emergency medicine and behavioral health. It also lists 50+ EHRs, including Epic, eClinicalWorks, NextGen and Cerner, and states that it is SOC 2 compliant.
- Publishes a starting rate
- 30+ specialties and 50+ EHRs
- Wide service list, including coding and credentialing
- Only a starting rate is published; final pricing is custom
CureMD
www.curemd.com · Founded 1997 · New York, NY
CureMD is a healthcare technology company founded in 1997. Business directories list its headquarters at 120 Broadway in New York. It combines an EHR, practice management software and revenue cycle services on one platform. The company says more than 40,000 providers across all 50 states use its software, and that it supports 30+ specialties. Its billing services page lists eight specialty programs, including cardiology, neurology, OB/GYN, radiology and urology. Pricing is not published. The site asks visitors to request pricing or a financial audit. The billing pages focus on CureMD’s own platform, and they do not state whether the service works with other EHRs.
- EHR, practice management and billing on one platform
- 40,000+ providers (company figure)
- In business since 1997
- Pricing on request; support for other EHRs is not stated
Medusind
www.medusind.com · Founded 2002 · Miami, FL
Medusind is a revenue cycle management company founded in 2002 and headquartered in Miami, Florida. It serves medical and dental practices and offers billing, coding, credentialing, insurance verification, payment posting, denial management and practice management software. Its website lists 40+ specialties, including anesthesia, behavioral health, cardiology, dermatology, emergency medicine, orthopedics, pathology, radiology and wound care. Medusind says it supports 70+ practice management systems and EHRs, including ModMed, NextGen, Epic, OpenDental and Dentrix. The site says the company billed over $3 billion in charges last year. Pricing is not published on the pages we reviewed, so practices need to request a quote.
- 40+ specialties, medical and dental
- 70+ practice management systems and EHRs
- Credentialing and coding offered with billing
- Pricing is not published
Practolytics
www.practolytics.com · Founded 2014 · Columbia, SC
Practolytics is a revenue cycle company that says it has served practices since 2014. It lists offices in Columbia, South Carolina and Duluth, Georgia. Services include medical billing, coding, eligibility verification, prior authorizations, credentialing, compliance audits, denial management and practice consulting. The site lists 28+ specialties, among them urgent care, behavioral health, psychiatry, cardiology, orthopedics, oncology, dermatology and neurology. It says it works with leading practice software and EHR systems and mentions AdvancedMD, but it does not publish a full EHR list. Pricing is on request. The company says its fees depend on clinic size, specialty, claim volume and the services chosen.
- 28+ specialties, including behavioral health and urgent care
- Prior authorization and compliance audits offered
- Practice consulting available
- Pricing on request; no EHR list published
AnnexMed
annexmed.com · Founded 2004 · Salt Lake City, UT
AnnexMed describes itself as a U.S.-focused healthcare RCM company. It was founded in 2004 and has its U.S. headquarters in Salt Lake City, Utah. Its services cover patient access, medical coding, claims processing, payment posting, accounts receivable management, denial prevention, revenue recovery, credentialing and appeals. It also offers dental RCM for practices and DSOs. The company says it serves 350+ healthcare organizations, including hospitals, physician groups, dental practices, billing companies and payers, across 40+ specialties. It states that no migration is required and that its teams work inside a client’s existing EHR and practice management systems, but it does not list supported systems. Pricing is on request.
- 40+ specialties
- Serves hospitals, physician groups, dental practices and payers
- Offers revenue recovery and appeals
- Pricing on request; no EHR list published
Tebra
www.tebra.com · Founded 2021 (Kareo and PatientPop merged) · Newport Beach, CA
Tebra was formed in November 2021, when Kareo and PatientPop merged. Its headquarters are in the Newport Beach area of California. The company offers a cloud-based EHR, practice management, patient engagement and billing tools in one platform, and says it is trusted by 150,000 providers. Billing features include eligibility checks, claim submission, patient payments and denial management. For practices that want outsourced billing, Tebra’s managed billing program matches them with vetted billing partners. Its site names family medicine, primary care, pediatrics and mental health among the practices it serves, and does not give a specialty count. Pricing is not published and varies by provider count and features.
- EHR, billing and patient tools in one platform
- 150,000 providers (company figure)
- Managed billing through vetted partners
- Pricing is not published; no specialty count
athenahealth
www.athenahealth.com · Founded 1997 · Watertown, MA
athenahealth was founded in 1997 and is based in Watertown, Massachusetts. Its main product, athenaOne, combines an EHR, practice management and revenue cycle management in one cloud-based suite. For larger and specialty groups, athenaIDX offers revenue cycle tools, and athenaEDI handles claims and remittance transactions. Its site lists emergency medicine, anesthesia, radiology, oncology, pathology and hospitalists among the groups it supports. athenahealth says its platform has over 300 APIs for third-party connections. A directory listing says it processes over 315 million claims a year. Pricing is not published; the company asks visitors to request a demo.
- Integrated EHR, practice management and RCM in athenaOne
- athenaIDX for large specialty groups
- 300+ APIs for third-party connections
- Pricing is available only through a demo
R1 RCM
www.r1rcm.com · Founded 2003 · Murray, UT
R1 RCM was founded in 2003 and is headquartered in Murray, Utah. It became a private company in 2024, when TowerBrook Capital Partners and Clayton, Dubilier and Rice completed an acquisition. R1 describes its Phare platform as a revenue operating system that combines AI and human expertise across front-end access, mid-cycle claims and back-end payment work. It says it works with 95 of the top 100 U.S. health systems, as well as physician groups and critical access hospitals. R1 does not publish pricing, a specialty count or an EHR list on the pages we reviewed. Its client base is mainly hospitals and health systems.
- Works with 95 of the top 100 U.S. health systems (company figure)
- Covers front-end, mid-cycle and back-end work
- Operating since 2003
- Pricing, specialty count and EHR list are not published
Comparison table
| Company | Pricing | Specialties | EHR support | Best for |
|---|---|---|---|---|
| BilNow | Published: 2.7% of collections | 50+ | 100+ | Published fee, no contract |
| AdvancedMD | Published range: about 4-8% | 10 listed | Own EHR | AdvancedMD users |
| BillingParadise | Published: from 2.69% | 30+ | 50+ | Percentage-based quote |
| CureMD | On request | 30+ | Own EHR | One-vendor platform |
| Medusind | On request | 40+ | 70+ | Medical and dental groups |
| Practolytics | On request | 28+ | List not published | Behavioral health, urgent care |
| AnnexMed | On request | 40+ | List not published | Hospitals, groups, dental |
| Tebra | On request | Not published | Own EHR | Independent practices |
| athenahealth | On request | Not published | Own EHR; 300+ APIs | Integrated suite |
| R1 RCM | Not published | Not published | Not published | Health systems |
Figures are the companies’ own published statements as of October 2026; confirm current terms directly with each company.
How to choose a medical billing company
Start with price, and ask for the total cost. Only three companies here publish a rate or range: BilNow, BillingParadise and AdvancedMD. The rest quote on request. Ask what the percentage applies to, and ask about setup, training, statement and reporting fees. Get the quote in writing so you can compare companies on the same terms.
Match the company to your specialty and your EHR. Ask how many providers in your specialty it bills for, and ask for the exact name and version of your EHR on its supported list. Some companies on this list tie billing to their own software, so check whether you would need to switch systems.
Check the contract and the reporting. Ask about contract length, notice to leave, and who owns your data. Ask which reports you will get, such as first-pass acceptance, denial rate and days in accounts receivable, and how each is calculated. Ask for references from practices of your size, and confirm that staff are trained on HIPAA and will sign a business associate agreement.
Before you sign, compare quotes against the pricing models in our guide to medical billing pricing, and check each company’s denial handling against the current denial statistics. For a smaller practice, our page on private practice billing services covers what changes at that size. For a wider view that includes software vendors and enterprise outsourcers, see our list of the top revenue cycle management companies in the USA.
Frequently asked questions
How much do medical billing companies charge?
Most charge a percentage of collections. AdvancedMD says typical RCM services run about 4-8% of monthly collections. BilNow publishes 2.7% of collections, and BillingParadise publishes a starting rate of 2.69%. Other companies charge per claim, per provider or by the hour. Always ask about setup fees and any extra charges.
What is the difference between a medical billing company and an RCM company?
Medical billing usually means submitting claims, posting payments, following up on denials and sending patient statements. Revenue cycle management covers the whole path, from scheduling and eligibility checks through coding, billing, collections and reporting. Many companies use the two terms for similar services, so ask for a list of what is included.
Is outsourcing medical billing worth it for a small practice?
It can be. Compare the fee with the full cost of an in-house biller: salary, benefits, software, training and cover for time off. A percentage fee rises and falls with collections, which can suit a small practice. A contract with no long-term commitment lets you test the service before you rely on it.
How long does it take to switch billing companies?
Many practices plan for 30 to 90 days. The new company needs access to your systems, a signed business associate agreement and your open claims and balances. Payer changes, such as updating electronic remittance and deposit details, often set the pace. Ask for a written transition plan and keep your old biller working until it is done.
What should a medical billing contract include?
It should list the services and the fee, including any extra charges. It should state the contract length, how to end it, and what happens to open claims when you leave. Add data ownership, a business associate agreement, the reports you will receive, and who handles payer enrollment. Payments should go into an account you control.
Do medical billing companies work with my EHR?
Most independent billing companies work in many EHRs, but the number varies. BilNow supports 100+ EHRs, Medusind says 70+, and BillingParadise says 50+. Software vendors such as AdvancedMD, CureMD and Tebra build billing around their own platforms. Ask any company for its supported list and confirm your exact EHR is on it.
See what BilNow would cost your practice
2.7% of collections, no setup fee, no long-term contract, inside the EHR you already use. Get a free billing review with your own numbers.
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