Straight answer: most therapy billing companies charge 5-10% of what they collect for you. Here's what that actually works out to — and where you can do better.
| Model | Typical rate | Cost for a solo therapist ($150k collections) |
|---|---|---|
| Percentage of collections | 5-10% | $7,500 - $15,000 / year |
| Per-claim | $2-$8 / claim | ~$2,000 - $6,000 / year |
| In-house biller (salary) | — | $45,000 - $60,000 / year |
| AI-powered billing | Fraction of % | Far less — often recovery-only |
Most solo and small practices land in the 7-10% range, since payers and mental-health coding are more complex than average. A therapist collecting $150,000 a year typically pays a human billing service $10,500-$13,500 annually, or about $875-$1,125 per month.
Here's the part most therapists miss. Doing your own billing, solo practices average 80-85% collection rates — denied claims slip through, deadlines pass, money gets written off. A professional service pushes that to about 92%. On $150,000 of expected revenue, closing that gap recovers $10,000+ per year — frequently more than the service costs. The service can pay for itself.
Traditional billers charge 5-10% because a human touches every claim. AI-powered billing automates claim submission and — critically — denial recovery: decoding cryptic denial codes, drafting appeals, and refiling before deadlines. That means the same work at a fraction of the cost. Some services (including ours) price on recovery only — you pay a share of the money we actually recover for you, so there's no downside.
Free denial audit — no commitment. We'll show you the recoverable money sitting in your denials right now.
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