Medical billing pricing for independent practices
No setup fee · No long-term lock-in · Cancel any time with 90 days' notice · Fee tied to what we collect
FYNQ Medical Billing prices by monthly collections: the more a practice collects, the lower the percentage. Rates run from 6.99% for practices collecting $10,000–$29,999/month down to 2.49% for practices collecting $500,000+/month, each with a monthly minimum. A/R-recovery-only work is 8% of collections. There is no setup fee and no long-term contract, and practices can cancel with 90 days' notice.
Ask most billing companies what they charge and you get the same answer: "It depends — let's set up a call." That's not because pricing is complicated. It's because the real number lives behind a setup fee you didn't budget for, a multi-year contract you can't leave, and per-claim or per-statement charges that don't show up until the first invoice after you've already switched.
By then, switching back costs more than staying. That's the trap. It isn't the percentage — it's everything stapled to the percentage that you couldn't see when you decided.
So here's the opposite approach: the whole price, on one page, before you talk to anyone.
FYNQ prices medical billing as a percentage of what we actually collect for you, tiered to your monthly collections. The bigger your collections, the lower your rate. That's the entire model, and here's what's attached to it, in writing, before you sign anything:
Published range: 2.49%–8% of collections. Each plan is the percentage or the monthly minimum — whichever is higher.
$10,000 – $29,999 / month
6.99% of collections or $695/mo — whichever is higher
$30,000 – $49,999 / month
4.99% of collections or $1,495/mo — whichever is higher
$50,000 – $99,999 / month
3.99% of collections or $1,995/mo — whichever is higher
$100,000 – $499,999 / month
2.99% of collections or $2,975/mo — whichever is higher
$500,000+ / month
2.49% of collections or $12,395/mo — whichever is higher
Any volume
8% of what we recover
"Whichever is higher" means each plan has a monthly minimum. It's there so we can put a dedicated, specialty-trained team on your account instead of spreading thin. For most practices in a tier, the percentage is the number that applies — the minimum matters most at the very bottom of a range. We tell you exactly which applies to you, against your own collections, in the free review. The A/R Recovery plan is for practices that only want us to work aged, unpaid claims — we're paid 8% of what we actually recover, so it costs nothing if we recover nothing.
The full cost of in-house billing
What FYNQ replaces it with
The honest comparison isn't "percentage vs. salary." It's "percentage vs. the full, loaded cost of doing it in-house — plus the revenue that leaks when one person can't get to all of it."
FYNQ Medical Billing LLC has spent 14 years billing on a percentage of collections. Practices we work with have seen collection performance in the 96–98% range within about six months — with the honest caveat that some specialties deny more by nature, so we set targets from your baseline, not from a slogan.
We don't promise a dollar figure. But because we're paid on collections, the math is simple: we don't make more unless you collect more. That's the pricing model doing exactly what it's supposed to do.
Common questions
You give up a percentage of collections, not control of them. Your rate is set by your collections tier — from 6.99% down to 2.49% as you grow — and we're paid only on what we actually bring in, inside your EHR on a login you control. Each plan has a stated monthly minimum so we can commit a real team to you; we show you exactly which number applies before you sign.
Nothing extra. A signed BAA, encryption, role-based access, and trained staff are part of the price, not an add-on. Compliance isn't a line item — it's how the service is built. You won't find a "HIPAA fee" on our invoice.
A bad transition costs money; a planned one doesn't. For the first two weeks we run parallel billing beside your current team, following your procedures, with a written 21-day transition calendar you see before you sign. No setup fee, and the goal is uninterrupted deposits — not a gap.
Because the salary is only the visible cost. Add benefits, PTO, software, clearinghouse fees, turnover, and the claims that never get worked when one person runs out of hours — and in-house almost always costs more than your tier percentage. For a practice collecting $60,000 a month, the Gold plan is 3.99% — and that buys a specialty-trained team, not one generalist. The free review shows the loaded comparison against your own numbers.
It's usually a swap, not an addition — and often a net gain. We're not asking you to double up. Let us run a free review; if the revenue we'd recover beats the percentage we'd charge, it pays for itself. If it doesn't, you shouldn't switch.
No. Named U.S. contacts — MJ Abbasi, Katie Stout, and Sofia Abraham — are part of the service, not a premium tier. You won't pay more to reach a human who knows your account.
FYNQ is U.S.-owned and managed in Houston by MJ Abbasi. We run a hybrid production team under U.S. management to keep costs efficient and work moving, but coding and compliance are supervised to U.S. standards and required U.S.-only work stays 100% onshore. You get efficient pricing without giving up U.S. accountability.
Your rate is set by your collections tier, not a specialty surcharge. Specialty affects how much work it takes to collect — which is part of what we review — but it doesn't add a hidden line to your bill. You pay your tier's published rate. We tell you your exact number, against your own collections, in the free review.
There aren't. Your tier percentage — or its stated monthly minimum — is the price. No setup fee, no per-claim fee, no per-statement fee, no technology fee. The whole tier table and every minimum is published on this page and written into the contract. If it's not on this page, you don't pay it.
Patient statements are part of the service, sent under your practice name with your payment-plan and hardship rules. There's no separate patient-billing charge to you, and patients deal with your practice's policies, not a stranger's.
Then the pricing was probably hiding something — a setup fee, a lock-in, per-item charges, or a team that didn't work the denials. Tell us what happened, and we put the whole price and the standard in writing. Judge us on a free review and a short trial, not on the company that burned you.
No dollar guarantee. But the free coding and billing review shows you where revenue is leaking in your specialty first — against your own numbers — so you can compare recoverable revenue to the percentage before you spend a dollar. If the math doesn't work, don't switch.
Onboarding is included in the price and built to be light — an EHR login, your payer list, fee schedule, and a few sample encounters. Provider questions are batched so they don't interrupt clinic. There's no setup fee and no big internal project to fund.
No. We work inside your existing systems, so there's no software to buy or rip out. Credentialing and enrollments stay in your name. It's a billing change, not a technology purchase — one of the reasons the price stays clean.
FYNQ is U.S.-owned and managed in Houston, and you pay the same published tier rate — 6.99% down to 2.49% as you grow. You don't pay a premium for U.S. accountability; the hybrid model under U.S. management is what keeps the price efficient while the ownership and oversight stay here.
Our pricing is published right here — tiered to your collections, from 6.99% down to 2.49% as you grow, each plan with a stated monthly minimum. Your exact plan depends on your collections and scope, and we confirm it against your own numbers in a free, no-obligation review. You see your plan, and where revenue is leaking, before you decide.
No patient data required to start. U.S.-owned. Houston-based.