Pricing
Every rate on this page. No gated quotes.
No competitor in this category publishes a rate. Publishing removes a qualification round from every deal and lets you compare against what you already spend.
Subscription tiers
Priced per clinician, per month. Billed monthly, no minimum term.
Essential
$200PPPM
- State license renewals in every state on the roster
- DEA and state controlled substance renewals
- CE tracking, plus BLS, ACLS and PALS tracking
- Monthly exclusion screening
- One reconciled expiry calendar
Recommended
Standard
$350PPPM
- Everything in Essential
- CAQH on the 120-day cycle
- Directory attestation on the 90-day cycle
- Payer re-credentialing
- Medicare and multi-state Medicaid revalidation
- NPDB Continuous Query
- Board certification and MOC deadlines
Complete
$400PPPM
- Everything in Standard
- Hospital privileging and reappointment
- Malpractice certificate tracking
- New-state filings
- Quarterly attestation pack
- Split-fee placement support
What the group pays today
Per clinician per month, for the same obligations, assembled from separate sources.
| Approach | Range (PPPM) | Coverage |
|---|---|---|
| À la carte, all-in | $158–535 | Complete but uncoordinated |
| Vendor fees only | $92–363 | Excludes government pass-through |
| Government and board pass-through | $66–172 | Unavoidable in every model |
| One loaded coordinator | $118–173 | Capacity-bound, single point of failure |
| Enterprise platform floor | $37–140 | Partial coverage, software only |
| Realistic current state | $210–400 | Incomplete coverage |
Coordinator figure is fully loaded salary and benefits divided across a 40-clinician roster.
Licensing SKUs
| Item | Price |
|---|---|
| State license, Tier 1 | $950 |
| State license, Tier 2 | $1,200 |
| State license, Tier 3 | $1,500 |
| NP or PA state license | $1,200 |
| IMLC Letter of Qualification | $795 |
| Compact add-on state | $225 |
| FCVS setup | $175 |
| License reinstatement | $1,500–2,000 |
| Renewal management | $189, $109 at 100+ clinicians |
| International medical graduate | +$350 |
| Adverse history | +$450 |
| Rush handling | +$400 |
Tier 3 states are California, New York, Oregon, South Carolina, Virginia and Massachusetts. Regional, locums and telehealth packages are priced per package: six regional, two locums, three telehealth and one 51-jurisdiction package are built.
Payer SKUs
| Item | Price |
|---|---|
| Payer enrollment, initial | $350 per payer |
| Medicare enrollment, NP or PA | $350, then 5 years |
| Re-credentialing, commercial | $250 per 36 months |
| Medicare or Medicaid revalidation | $450 per 5 years |
| CAQH management | $200 per 120-day cycle |
| Roster and demographic updates | $50–150 per change |
First-pass payer approval averages 72% across the market; a rejected application resets the clock. In-house, each application takes about 30 hours of a group's own staff time.
Prescribing and mid-level SKUs
| Item | Price |
|---|---|
| DEA registration | $250 per 3 years, plus the $888 federal fee |
| State controlled substance registration | $250, 23 states require it |
| PDMP registration | $75–125 per state |
| APRN prescriptive authority | $250–400 per state |
| Collaborative agreement administration | $500–1,200 per month per mid-level; psychiatry $1,500–3,500 |
Collaborative agreement work covers filing, board submission, renewal and ratio tracking. Supplying the physician is the optional network line.
Continuing education SKUs
| Item | Price |
|---|---|
| CME reconciliation, primary state | Included in every tier |
| Multi-state CME reconciliation | $250 per clinician per extra state per year |
| CME allowance administration | $180 per clinician per year, or 5% of allowance |
| CME audit response | $500–1,500 per audit |
Allowance administration approves and documents the spend; your payroll disburses it.
Project and channel lines
| Item | Price |
|---|---|
| New-practice launch package | $7,500–15,000 (model $10,000) |
| One-off licensing for non-subscribers | Catalog rates (model blend $1,000) |
| Recruiter and locum agency bundle | $900 per placed clinician |
| Onboarding and credentialing package | $3,000–10,000 (model $5,000) |
The launch package covers practice NPI, Medicare and Medicaid enrollment, commercial panels, CAQH, DEA and the CLIA waiver. The onboarding package is billed by Clinician Standing whoever fills the role and is never charged to subscribers.
Discounts
| Clinicians | Discount |
|---|---|
| 5–9 | 0% |
| 10–24 | −5% |
| 25–49 | −10% |
| 50–99 | −15% |
| Clinicians | Discount |
|---|---|
| 5–19 | −10% |
| 20–49 | −18% |
| 50–99 | −25% |
| 100+ | −32% |
The size discount applies after the rack rate and never takes a tier below the $200 floor.
Government fees
State board fees, DEA fees, verification fees and compact fees are pass-through at cost. They are itemized on every quote. There is no markup and no handling percentage.
What not to buy
- Florida's out-of-state telehealth registration carries a $0 state fee and never expires. It is not a recurring line item.
- Ordering FCVS verifications simultaneously rather than sequentially saves $34 per state.
- Texas's jurisprudence exam is free with unlimited attempts. No vendor needs to sit it for you.
Every incumbent bills on at least one of these without disclosing it.
Want the number for your roster?
Send us the roster size and states. We return the subscription cost, the transactional cost, and the government pass-through, itemized, in two business days.