Tebra Pricing Explained for Billing Companies

Short answer

Tebra does not publish a fixed price list. Quotes are custom and gated behind a sales call. Published analyses and user-reported quotes put the full-bundle cost at roughly $99 to $499 per provider per month, depending on which modules you select. That cost compounds fast when a billing company bills for 20 or 50 providers across multiple client practices. On top of the monthly subscription, Tebra commonly bills a one-time onboarding fee (often cited near $500 per provider), plus payment processing around 2.75% plus $0.30 per card 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 makes it a strong fit for a practice that wants a single vendor but a harder fit for a billing company that already brings its own practice clients. For Tebra's own pricing page, see tebra.com/pricing.

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). Tebra also offers single-solution tiers for billing or EHR on their own.

None of these carry a published price. Every dollar amount on this page comes from Tebra's guidance documents, reseller analyses, and user-reported quotes, because Tebra routes final pricing through a sales call. Per-provider monthly estimates across available sources land in this band:

• Entry-level or single-module access: around $99 per provider per month
• Mid-tier bundle (Billing plus Clinical): around $149 to $299 per provider per month
• Full bundle (all three modules): around $299 to $499 per provider per month

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. Tebra offers lower-tier pricing for practices that submit 100 or fewer claims per month.

Tebra's per-provider model is the standard shape for EHR platforms. It reflects the fact that EHR licensing is tied to clinical documentation, not billing headcount. As a billing company, you are paying for a capability, the EHR, that your company does not use directly.

What Tebra's onboarding and payments fees add

The subscription line is not the full number. These additional charges are widely reported:

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

What a billing company actually pays at scale

Take the full-bundle estimate of $299 per provider per month as a moderate midpoint, and add a $500 per-provider onboarding charge amortized over a 12-month contract.

A 20-provider billing company:

A 50-provider billing company:

Medi prices differently. Medi charges per client practice, not per provider. Adding providers inside a practice never changes the fee; adding practices adds the per-practice rate, which falls as the book grows. Platform access starts at $20 per client practice per month, with published volume discounts: 1 to 25 practices pay $20 each, 26 to 50 pay $15 each, and 51 or more pay $10 each, applied at the marginal rate. EDI usage is charged per transaction: $0.25 for the first claim line and $0.20 for each additional, $0.25 for the first paid ERA line and $0.20 for each additional (denied lines after the first are $0), $0.20 per eligibility or status inquiry, and $1.00 for COB, discovery, or attachment. 277CA and PDF copies are included. No setup fee, no per-provider scaling, no annual contract. Medi publishes its full fee schedule, including volume discounts, at /pricing. Tebra's billing-company pricing is quote-based and not publicly listed.

An illustrative Medi estimate for a billing company with 50 client practices submitting roughly 2,000 claims per month at about 5 lines each. At 50 practices, the blended per-practice rate is $15 for practices 26 through 50:

These numbers use estimated transaction volumes. Your actual Medi cost depends on your own claim and ERA volume, which you can run directly 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 regardless of which billing platform you choose.

Why Tebra's pricing is hard to find

Tebra's pricing page sends every visitor to request a quote. No dollar amounts appear on tebra.com/pricing. Quote-first pricing is common in healthcare software at this scale, and the reasons are practical: pricing varies by specialty, provider count, contract length, and module mix, and a sales-led model lets the vendor customize and negotiate. The side effect for buyers is that comparison shopping requires a sales call per vendor. "Tebra pricing reddit" and "how much does Tebra cost" rank among the top searches for the platform because users cannot find a number without talking to sales.

One policy detail to know before signing: Tebra's pricing policy states that canceling any single module removes the bundle discount from the remaining modules, which then reprice to full individual rates. 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. The current terms live 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. Missing that window triggers automatic renewal 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:

• $20 per client practice per month, with published volume discounts: 1 to 25 practices at $20, 26 to 50 at $15, 51 or more at $10, applied at the marginal rate
• Adding providers inside a practice never changes the fee; the rate only moves when you add or drop client practices
• EDI usage charged per transaction line for claims, ERA, eligibility, COB, discovery, and attachments
• No setup fee, no onboarding charge, no per-provider seat, no annual contract
• Medi publishes its full rate card and volume discount schedule at /pricing

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

Frequently asked questions

How much does Tebra cost per month?

Tebra does not publish a fixed price. Quotes reported by users and reviewers range from roughly $99 to $499 per provider per month depending on the modules included. The full three-module bundle most commonly appears in the $299 to $499 range in published analyses and user forums. Onboarding fees are separate and commonly cited near $500 per provider.

Does Tebra have a free version?

No. Tebra does not offer a permanently free plan. A free trial is available, but there is no free tier.

Why is Tebra's pricing not published?

Tebra uses a custom-quote sales model. Pricing depends on provider count, specialty, selected modules, contract length, and negotiation. The practical effect is that buyers must run a sales call to get a number, which is why search volume for "Tebra pricing" runs high relative to platforms with published tiers.

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 fees as non-refundable. The written-notice requirement before contract end is the main exit obligation, and missing it auto-renews the contract. 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 practice count and transaction volume. At 20 providers on Tebra's full bundle, monthly cost runs roughly $5,980 to $6,800 in year one. At 50 providers it runs roughly $14,950 to $17,000. Medi charges per client practice rather than per provider, so a billing company with 50 practices processing 2,000 claims and 2,000 eligibility checks per month would pay roughly $5,055 across all lines, with the platform access portion falling further as the practice book grows past 50. The gap widens as provider count rises because Medi's platform fee scales with client practices at a declining rate, not with individual providers. Tebra includes an EHR and Medi does not, so factor clinical documentation into the comparison 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 automatic renewal. Month-to-month agreements exist but carry broader price-adjustment rights than the capped annual increase that applies to annual subscribers.