Is a rate negotiation worth it? Run your numbers.

Contract rate negotiation is $500 per successfully negotiated contract — the fee applies only when the negotiation succeeds. This page shows the break-even math on your own volumes.

1 · Your top procedure codes with one payer

Enter what this payer currently allows (pays) per unit, and your monthly volume. Your EOBs or billing reports have both. Rows left blank are ignored.

Code / service (e.g. 99214, 90837)Current allowed $ / unitUnits / monthAnnual billed to this payer

2 · Negotiated uplift

5%

Successful negotiations commonly land between 3% and 10%, depending on specialty, network need in your area, and your volume with the payer. Drag to see conservative vs optimistic cases.

3 · The math

Annual revenue with this payer (from your rows)
Additional revenue per year at 5% uplift
One-time negotiation fee (only if it succeeds)$500
First-year net gain

The uplift recurs every year of the contract; the fee is once. Multiply the annual gain by your expected contract length for the full picture. Estimates only — actual results depend on the payer, your specialty, and network conditions; no outcome is guaranteed, which is why the fee is success-only.

Start intake Ask about your payer mix