Pricing
Dermatology Billing Pricing
We charge a percentage of what we actually collect for you — no setup fee, no long-term lock-in, 60-day exit. Below are our rates, how the three common pricing models differ, and the questions to ask before signing with anyone.
Pricing
Percentage of what we actually collect.
No setup fees, no long-term lock-in, 60-day exit. We only grow when you do.
Solo
4.9%
of net collections
1 provider, single location
- Coding + claim submission
- Denial rework
- Patient statements
- Monthly reporting
Group
3.9%
of net collections
2–10 providers, multi-site
- Everything in Solo
- Prior auth & eligibility
- Named RCM lead + monthly call
- Provider-level benchmarking
Enterprise
Custom
volume-based
10+ providers or MSO
- Everything in Group
- Credentialing & enrollment
- Payer contract analysis
- Quarterly compliance audit
The three pricing models, and what each one rewards
Percentage of net collections is the most common model in specialty RCM. The biller takes an agreed percentage of what is actually collected, which aligns the two sides: nobody gets paid on a claim that is never paid. The risk to watch is scope — a low percentage that excludes denial rework, appeals or patient balances is not the price you will end up paying.
Flat fee per claim charges a fixed amount per claim submitted. It is predictable and it suits very high-volume, low-complexity work. In dermatology it tends to work against you, because it pays the same for a clean single-code claim as for a Mohs case with staged reconstruction, and it pays nothing extra for chasing the denial.
Hybrid models put a base retainer under a reduced percentage. They can make sense for a practice with heavy credentialing or project work running alongside routine billing, but they need clear boundaries on what the retainer covers.
Read the percentage against the base it is applied to
- Percentage of net collections is applied to money actually received. This is the base we use.
- Percentage of gross charges is applied to what was billed, including amounts that will never be collected. The same headline number costs far more.
- Percentage of gross collections may include patient payments, refunds and credits in ways that shift the effective rate.
- Ask what happens to the percentage on a patient payment plan, on a recovered underpayment, and on aged A/R inherited from a prior biller.
Questions worth asking any dermatology billing company
- Is denial rework and appeal included in the percentage, or billed separately?
- Are patient statements, payment plans and inbound patient billing calls included?
- Is coding included, or is the practice expected to supply finalized codes?
- What is the contract term, and what is the notice period to exit?
- Is there a setup or implementation fee, and what does it cover?
- Who owns the data, and in what format is it returned if the relationship ends?
- Is credentialing and payer enrollment inside the fee or a separate engagement?
Frequently asked questions
Is there a setup fee?
No. There is no setup fee and no implementation charge on our standard agreements.
What is the contract term?
There is no long-term lock-in. Either side can exit on 60 days' notice.
Is coding included in the percentage?
Yes. Certified dermatology coding, claim submission, denial rework, patient statements and monthly reporting are inside the rate on all tiers.
How is aged A/R from our previous biller handled?
Legacy aged A/R is quoted separately from ongoing billing, because it is finite recovery work rather than a continuing service. You see the rate before we begin.
Do you charge on patient payments as well as insurance payments?
The percentage applies to net collections received on the accounts we manage, which includes patient responsibility we bill and collect. We will walk through your specific payer and patient mix before quoting.
Why is dermatology billing not cheaper than a general biller?
It usually is not, and it should not be judged on rate alone. The relevant comparison is total collections net of the fee — a lower percentage applied to systematically undercoded surgical claims costs the practice more.
Free claims audit
Find out exactly what your practice is losing.
Send a de-identified claims sample. Within five business days you get a line-item leakage report — coding gaps, underpayments, and recoverable aged A/R, in dollars.
- No cost, no obligation, no sales pressure
- BAA signed before any data is shared
- Reviewed by AAPC-certified dermatology coders