Pricing, in the open
Most recovery firms won’t tell you their rates.
Here are ours, next to theirs.
Denial-recovery pricing is one of healthcare's best-kept secrets: the big vendors negotiate every contract behind closed doors. So we benchmarked the entire market (specialists, A/R recovery firms, collection agencies, software platforms) and published our rates on the same chart. Every number is sourced. Check our homework.
What the industry keeps
20–35%
of every dollar recovered: the typical contingency across denial & underpayment recovery vendors. Rates negotiated privately, almost never published.[1]
What Claimie charges
12–30%
tiered by how old your claims are. Published right here, in writing, before you sign anything. Nothing recovered = nothing owed.
Is percentage pricing available in your state? ↓The whole market, one chart
Every recovery rate we could find, on a single line
Green dots are Claimie’s four published tiers. Blue bars are what comparable services charge, from public pricing pages and industry benchmarks. Hover any mark for the detail and source.
rate set by claim age; you always know it up front
the large national vendors
90+ day & write-off projects
old-balance projects
bad-debt & self-pay placement
Share of recovered dollars kept by the vendor. Dashed guides mark Claimie’s published tiers. Sources listed at the bottom of this page.
Side by side
How the alternatives actually price
We put every model on the table, including options that aren’t us. If a cheaper path genuinely fits your practice, you should know about it.
| Who | How they charge | The rate | What it means for your practice |
|---|---|---|---|
| Claimie Recoverycontingency, tiered by claim age | % of dollars actually recovered | 12% / 18% / 25% / 30% Published rate | You know your exact rate before we touch a claim. No setup fee, no minimum, nothing recovered = nothing owed. Available in most states: see which model fits your state. |
| Claimie Flat Ratefixed monthly, by volume | Flat monthly, sized to your claim volume / open AR | $1,450 / $2,950 / $5,900 /mo Published rate | Predictable budgeting, and every recovered dollar is 100% yours. Same team, same pipeline. Available in all 50 states. |
| National recovery vendorsdenial & underpayment specialists | Contingency, negotiated privately | 20–35%[1] Not published | Built for hospitals and health systems. You learn your rate in a sales negotiation, not on a pricing page. |
| Aged A/R recovery firmsold-claim projects | Contingency on recovered | 25–30%[2] | Comparable work to our two oldest tiers, at or above what we charge for the same claims. |
| A/R cleanup firmslegacy-balance projects | Contingency on collected | 15–25%[3] | Project-based backlog cleanup, typically when switching systems, not ongoing denial defense. |
| Collection agenciesbad-debt / self-pay | Contingency on collected | ~30%[4] | A different tool: patient balances, not payer denials, with the patient-relationship cost that comes with collections. |
| Your billing companyfirst-pass claim submission | % of total collections | 4–10%[5][6] | Essential, but it's priced for submitting claims, not fighting denied ones. Recovery is the specialist work your billing fee usually doesn't cover. |
| RCM software platformse.g. Waystar | Custom subscription | ~$2,000–5,000+/mo[7] | Powerful tools, but it's software. Your team still does the appeals. Our flat tiers cost the same and include the work. |
| Free patient appeal toolsFight Health Insurance, AppealArmor | Free | $0[8] | Genuinely useful for patients appealing their own bills, but not built to recover a practice's payer revenue at scale. |
Our published tiers
One rate per claim age. You’ll never have to ask.
Older claims take more fights to win; that’s why the whole industry prices by age. The difference is that we print the ladder.
0–90 days
12%
industry typical: 20–35%
The lowest published recovery rate we found anywhere. Fresh denials are the most winnable, so we don’t charge you legacy-project rates to win them.
91–180 days
18%
industry typical: 20–35%
Still under the floor of what national vendors typically keep, for claims most billing teams have already stopped working.
181–365 days
25%
aged-A/R norm: 25–30%
The fair market rate for genuinely hard, aged-claim work, never above it.
365+ / write-offs
30%
aged-A/R norm: 25–30%
Money you’ve already written off. Every dollar back is found money, and you keep 70% of it.
State availability: the actual map
Find your state. Percentage pricing is available in 48 of them.
A few states regulate percentage-based (“contingency”) fees for claims services under fee-splitting or collection-licensing laws. Most vendors bury that in the contract. We researched every state against the primary statutes and put the whole map on the pricing page, because you shouldn’t need a sales call to learn the rules of your own state.
Based on Claimie’s compliance research as of July 2026, verified against primary state statutes and case law; citations are in the sources at the bottom of this page. This isn’t legal advice: your state and provider type are confirmed in writing during the free Recovery Audit, and wherever the law is unclear we default to the flat-rate program rather than bend a rule.
New York
NY fee-splitting law (Educ. Law § 6530(19); 8 NYCRR 29.1(b)(4)) prohibits percentage compensation to billing and recovery vendors, making it the strictest state in the country. NY practices get the flat-rate program, full stop.
Nevada
Nevada licenses contingency recovery of past-due receivables as collection-agency activity (NRS ch. 649, extended out-of-state by SB 276 in 2023), so Nevada practices get the flat-rate program.
California · Florida · Illinois
Percentage pricing is expressly allowed with conditions (Cal. B&P § 650(b); 225 ILCS 60/22.2(d); Florida case law): market-rate fees, you control your own fees, payments flow straight to you, zero referral ties. That’s how Claimie works everywhere, so your agreement simply cites the statute.
Your state’s status is confirmed in writing during the free Recovery Audit before you sign anything, and it never changes mid-engagement. Full terms in the pricing fine print.
Prefer a fixed number?
The flat-rate option almost nobody else offers
We couldn’t find another denial-recovery service that publishes a flat-rate menu. Ours starts at $1,450/month, inside the normal range for a billing retainer[9], about what mid-size groups reportedly pay for RCM software alone[7]. The difference: this includes the recovery work, and every recovered dollar is 100% yours.
It’s the right fit for larger groups that have modeled the math, practices in states that restrict contingency arrangements, and billing-company partners.
Both models come with
- The free Recovery Audit ($500 value) gives you a written go/no-go on your actual denials before any commitment. If the math doesn’t work, we’ll tell you.
- No setup fee, no monthly minimum on the contingency model. Nothing recovered = nothing owed.
- 90-day initial term, then month-to-month so we keep earning the relationship, not locking you into it.
- Your rate in writing, up front: the number on this page is the number in your agreement.
Compared enough? Talk to a human.
15 minutes, a real person, no pitch deck. Or skip the call and sign up online. Prefer to dial? (479) 274-0716
Know your number before you sign anything.
The Recovery Audit is a $500 analysis, yours free, in writing, with an honest go/no-go. Limited slots each month.
Check our homework
Where these numbers come from
Every market figure on this page is from a public source: pricing pages, vendor comparisons, and physician communities. We’d rather you verify than take our word for it.
- 1.MD Clarity: Best Healthcare Underpayment Recovery Services (2026) documents the 20–35% contingency norm; vendors don’t publish rates.
- 2.Go Medical Billing: A/R Recovery FAQ cites 25–30% typical aged-A/R contingency.
- 3.OmniMD: Medical A/R Cleanup Services cites 15–25% of amounts collected.
- 4.RCR Hub: Bad Debt & Self-Pay Collections Metrics cites ~30% agency contingency.
- 5.Tebra: Medical billing service pricing cites 4–10% of collections for first-pass billing.
- 6.Physician Side Gigs: What % should you pay a billing company cites 5–7% most commonly reported.
- 7.VerifyTX: Waystar pricing covers reported subscription ranges.
- 8.Fight Health Insurance and AppealArmor are free patient appeal tools.
- 9.AffinityCore: Medical billing company rates (2025) cites flat retainers of $1,000–$6,000+/mo.
- 10.N.Y. Educ. Law § 6530(19) (NYSED Article 131-A) and 8 NYCRR 29.1(b)(4): New York’s fee-splitting prohibition on percentage compensation.
- 11.225 ILCS 60/22.2(d) is Illinois’ express safe harbor for fair-market-value percentage billing/collection fees.
- 12.Cal. Bus. & Prof. Code § 650(b) deems percentage fees lawful when commensurate with the value of services and not tied to referrals.
- 13.Nev. Rev. Stat. ch. 649 (as amended by SB 276, 2023): Nevada collection-agency licensing of contingency recovery.
- 14.ABA Health Law: fee-splitting prohibitions survey, Manatt and Liles Parker offer multistate legal analyses of percentage-based billing arrangements, including Florida’s case law and board rulings.
Market benchmark and state-availability map compiled July 2026 from public sources and primary state statutes. Rates for national recovery vendors are negotiated per contract; ranges shown reflect reported industry norms. Percentage-based pricing is available in 48 states; New York and Nevada practices are served by the flat-rate program. Nothing on this page is legal advice; see the pricing fine print. Questions? Call (479) 274-0716.