Tebra Pricing Explained for Billing Companies

Short answer

Tebra publishes per-provider rates at tebra.com/pricing/overview. Its cheapest billing tier, Billing Starter, is $99 per provider per month for non-physicians and $199 for physicians, but it is a low-volume tier: it applies only to practices submitting fewer than 100 claims per month, and a practice that runs above 100 claims for three consecutive months transitions to standard rates. That cap is the most decision-relevant fact for a billing company, in both directions: busy client practices bill past it and re-rate, while low-volume practices under 100 claims a month qualify and keep the Starter rate. Standard bundles are Practice Essentials at $399 non-physician and $599 physician, and Practice Automation at $449 and $799; low-volume variants of Practice Essentials start at $199 non-physician and $349 physician, with a $225 therapist rate. Tebra's published overall range is $49 to $799 per provider per month. On top of the subscription, Tebra also publishes a per-claim overage fee ($0.99 per claim above the included volume), ERA at no extra charge, and card processing at 2.75% plus $0.30 per transaction. Contracts usually run annually with a 60-day written cancellation notice. Tebra bundles an EHR, practice management, and patient engagement into one product aimed at independent practices, which fits a practice that wants a single vendor but not a billing company that already brings its own clients.

How Tebra prices its platform

Tebra came out of the 2021 merger of Kareo (billing and EHR) and PatientPop (patient acquisition and engagement). The combined platform groups features into modules that stack into bundles.

The core modules are:

• Tebra Clinical: EHR, documentation, telehealth
• Tebra Billing: claims, revenue cycle, eligibility
• Tebra Engage: patient messaging, intake, online scheduling, marketing

Two named bundles appear in Tebra's marketing: Practice Essentials (Billing plus Clinical) and Practice Automation (Billing plus Clinical plus Engage). Single-solution tiers for billing or EHR alone are also offered.

Tebra publishes per-provider rates at tebra.com/pricing/overview. Per-provider monthly rates land in this band:

• Billing Starter: $99 per provider per month non-physician, $199 physician. This is the tier closest to what a billing company buys, but it is Medi-comparable only for practices under the claim cap described below
• Practice Essentials (Billing plus Clinical), standard: $399 non-physician, $599 physician. Low-volume variants start at $199 non-physician and $349 physician, with a $225 therapist rate
• Practice Automation (adds Engage), standard: $449 non-physician, $799 physician

Tebra's published overall range is $49 to $799 per provider per month.

The Billing Starter claim cap

Billing Starter applies only to practices submitting fewer than 100 claims per month. A practice that submits more than 100 claims for three consecutive months transitions to standard rates. For a billing company, that is the fact the cost model turns on: a client practice at a few hundred claims a month does not hold the $99 or $199 rate, so a budget built on those numbers for a busy book is wrong from the first month.

The flip side matters just as much, and it is the part most comparisons skip. Practices under 100 claims a month do qualify for Billing Starter and keep it. Solo practices, part-time providers, and behavioral health practices with a heavy private-pay mix commonly file 25 to 75 claims a month, well inside the cap. If your book is mostly practices like that, the honest comparison is not standard bundles against Medi. It is Starter seats against Medi per-claim: a $99 seat against under $100 of claims.

That comparison has a clean rule. At the $1.00 first-tier claim rate, a seat is cheaper only when the provider submits more claims per month than the seat costs in dollars. A $99 Starter seat needs more than 99 claims a month, which is above the fewer-than-100 cap the tier requires, so the arithmetic does not land in the seat's favor inside that tier. A $199 physician Starter seat needs more than 199, further out of reach under the same cap. Above the cap the rule keeps working with bigger numbers: more than 399 claims a month for a $399 standard seat, more than 799 for a $799 one. A practice filing 40 claims a month costs $40 on Medi and $99 or $199 on Starter.

Stating the rule at $1.00 is the conservative reading. Medi's claim rate is graduated and steps down to $0.90 and then $0.80 as monthly volume crosses the published tiers, so a billing company past 1,000 claims a month is paying less than $1.00 on its marginal claims and a seat needs to cover even more of them before it wins. At high volume the crossover moves up.

Tebra does not publish what a re-rated billing-only practice pays once it passes the cap. The published standard bundles are the only reference above it, which is why the scale math below uses them.

Pricing scales by the number of clinical providers (MD, DO, NP, PA). Non-clinical staff such as front desk, billing coordinators, and coders generally access the system without a per-seat charge.

The per-provider model is the standard shape for EHR platforms, because EHR licensing tracks clinical documentation, not billing headcount. A billing company on this model pays for the EHR whether or not its team ever opens it.

What Tebra's onboarding and payments fees add

The subscription line is not the full number. Reviewers and user reports cite these additional charges:

Full-practice implementation and training in third-party reviews runs wider, from roughly $1,000 to $20,000 depending on specialty complexity and data migration scope.

What a billing company pays at scale

Using Tebra's published Practice Essentials physician standard rate of $599 per provider per month and adding a $500 per-provider onboarding charge amortized over a 12-month contract. A non-physician book prices at $399, which is about a third lower. Billing Starter is not used here because this scenario models practices that run past its 100-claim monthly cap; a book of low-volume practices would price off Starter instead, and the seat-price rule above is what decides that case.

A 20-provider billing company:

A 50-provider billing company:

Medi charges per claim, not per provider and not per practice. Adding providers or signing practices never changes the schedule; the bill moves when claim volume moves. The schedule is graduated by the billing company's monthly claim volume, and each claim is priced by the bracket it falls in: the first 1,000 claims in a month are $1.00 each, claims 1,001 through 5,000 are $0.90, and every claim above 5,000 is $0.80, ERA included and no monthly fee underneath. The full schedule is published at /pricing; see tebra.com/pricing/overview for Tebra's current tier table.

An illustrative Medi estimate for a billing company with 50 client practices submitting roughly 2,000 claims a month:

These numbers use estimated volumes. Your actual Medi cost depends on your own claim volume, which you can run in the pricing calculator. The comparison is not apples to apples: Tebra includes an EHR and Medi does not. If your client practices need clinical documentation software, that cost belongs in the picture whichever billing platform you choose.

Tebra's pricing policy

Tebra publishes tier rates at tebra.com/pricing/overview, though final pricing for a specific book often involves a sales conversation because cost varies by specialty, provider count, contract length, and module mix. One policy detail to know before signing: Tebra's pricing policy addresses what happens when a bundled module is canceled, and reads as removing the bundle discount so the remaining modules reprice at their individual rates. Read the current wording yourself at tebra.com/tebra-pricing-policy before relying on it, and confirm the mechanic with Tebra in writing. Annual price increases are capped at a small percentage per 12-month period with notice, while regulatory or compliance cost increases can bypass that cap. Current terms are at tebra.com/tebra-pricing-policy.

How to cancel or leave Tebra

Tebra's pricing policy requires written notice before your agreement end date, commonly 60 days. Miss that window and the agreement auto-renews for another term. Key exit terms from the published policy:

• Fees are generally non-refundable, with no credits for partial months or prepaid plans at deactivation
• A monthly minimum fee can apply to an account period without an active provider
• Post-termination data is available in common export formats
• Tebra retains your data for a defined period after termination under its HIPAA business associate agreement
• Help-center data assistance after account close is billed hourly

If you plan to migrate away, start the data export before your termination date. State and HIPAA record-retention rules typically require keeping patient records for several years depending on jurisdiction. For a step-by-step plan, see the Tebra migration guide.

How Medi prices differently

Medi is built for the third-party billing company, not the clinical practice, and the pricing follows from that:

• Pricing starts at $1.00 per claim and drops to $0.90 and $0.80 once monthly volume passes the published thresholds, with the full schedule at /pricing. No monthly fee, no per-practice fee, no per-provider fee
• Adding providers or client practices never changes the schedule; the bill moves only with claim volume, so a client in credentialing or a slow month costs nothing
• The claim price is the same whether a claim has one service line or twelve, with ERA posting included and no separate remittance fee. Eligibility $0.25, claim status $0.20, COB, insurance discovery, and attachments $1.50 each; those three are in controlled rollout and are turned on book by book during onboarding. 277CA acknowledgments and PDF copies are included
• No setup fee, no onboarding charge, no per-provider seat, no annual contract
• Migration is a concierge service the Medi team runs. It is free with a 12-month commitment, or $100 per practice (capped at $3,000) month-to-month; data export is always free and there is no termination fee

The full rate card is at /pricing, with a live pricing calculator to model your book. Medi does not include an EHR. It runs the revenue cycle: claim submission, denial management, ERA posting, eligibility, authorizations, and the billing workflows a billing company works every day. If your clients need clinical documentation, that is a separate decision.

Frequently asked questions

How much does Tebra cost per month?

Tebra publishes per-provider rates at tebra.com/pricing/overview. Its billing-only tier, Billing Starter, runs $99 to $199 per provider per month, but only for practices submitting fewer than 100 claims per month. Standard bundles run $399 to $799 per provider per month: Practice Essentials at $399 non-physician and $599 physician, Practice Automation at $449 and $799. Onboarding fees are separate, commonly cited near $500 per provider.

Does Tebra have a free version?

No. Tebra offers a free trial but no permanently free tier.

Where can I find Tebra's pricing?

Tebra publishes tier rates at tebra.com/pricing/overview. Final pricing for a specific deployment may still involve a sales conversation because cost can vary by specialty and module mix.

Is there a Tebra cancellation fee?

Tebra does not advertise a formal early-termination fee, but its pricing policy holds customers responsible for fees through the subscription term and treats them as non-refundable. The main exit obligation is written notice before the contract end date; miss it and the contract auto-renews. Canceling a single module also reprices the remaining modules to full individual rates.

How does Tebra compare to Medi on cost for a billing company?

It depends on claim volume. At Tebra's published Practice Essentials physician standard rate ($599/provider), 20 providers runs about $11,980 to $12,800 a month in year one; 50 providers runs about $29,950 to $32,000. The non-physician standard rate of $399 puts the same books near $7,980 and $19,950. Tebra's Billing Starter tier ($99 to $199/provider) is capped at practices submitting fewer than 100 claims a month, so a busy book cannot hold it, but a book of low-volume practices can. Medi charges per claim with no seat fee of any kind, starting at $1.00 and dropping to $0.90 and then $0.80 once monthly volume crosses the published thresholds, so the comparison turns on how many claims your book actually bills rather than how many providers it carries. The rule: a seat is cheaper only when the provider submits more claims per month than the seat costs in dollars. At the $1.00 first-tier rate and roughly 100 claims per provider per month, Medi costs about $100 per provider, roughly a quarter of the $399 standard seat, and the two cross at 399 claims per provider. A 20-provider book at that volume runs 2,000 claims a month, which prices at $1,900 on the graduated schedule, or about $95 per provider, and the crossover sits slightly higher than 399 as a result. Inside Billing Starter the threshold is 99 claims for a $99 seat, which the tier's own cap puts out of reach. Tebra includes an EHR and Medi does not, so factor in clinical documentation if your clients need it. See Medi vs Tebra for the full side-by-side.

What is Tebra's contract length?

Tebra contracts are typically annual, with written notice required before the end date to avoid auto-renewal. Month-to-month agreements exist but carry broader price-adjustment rights than the capped annual increase that applies to annual subscribers.