BH Billing Rates 2026 — Pricing Benchmark
Market Range (Verified via 15+ Vendor Quotes)
- Entry tier: 3-5% of collections
- Standard tier: 5-7% of collections
- Premium tier: 7-10% of collections
- Enterprise tier: Custom (typically $250K-$1M+ annual for very large BH orgs)
What Drives Rate Variance
- Specialty: BH/ABA/SUD commands premium over general medical (5-8% vs 3-5%)
- Complexity: Multi-payer + multi-state raises rate 1-2%
- Volume: Higher volume = lower per-percent rate (economies of scale)
- Services included: RCM only vs RCM + credentialing + reporting
- Technology: Vendor-provided platform vs bring-your-own EHR
Hidden Fees to Watch For
- Setup / onboarding fee ($2K-$25K one-time)
- Minimum monthly ($1K-$5K/mo regardless of volume)
- Per-provider add-on ($50-$300/provider/month)
- Technology integration fee ($500-$5K per EHR connection)
- Reporting or dashboard fee ($200-$1K/mo)
- Denial appeals fee (flat $50-$150 per appeal on top of %)
- Credentialing per provider per year ($500-$3K)
Total Cost Comparison Framework
To compare vendor A at 5% + $5K setup + $2K/mo minimum vs vendor B at 7% flat no fees, run the math on your actual annual collections. On a $3M/year BH practice: Vendor A = $155K + $24K + $5K = $184K first year. Vendor B = $210K first year. Vendor A is cheaper on paper for large practices, but if you are under $2M revenue Vendor B is cheaper.
Revenant Care Pricing
- 4-8% flat percentage of collections (specialty rate for BH/ABA/SUD)
- No setup fees
- No minimum monthly
- No per-provider add-on
- Includes credentialing, reporting, denial appeals, MHPAEA parity work
- Month-to-month after 60-day pilot (no long contract)
Full pricing details · Revenant Care
– KD, Revenant Care