Most billing pricing pages hide the actual numbers behind a "contact us for a quote" button. Here's the honest breakdown of what you're actually comparing.
If you've searched around at all, you've probably noticed most billing companies charge one of three ways. None of them are inherently a scam or a bargain, they just shift the risk and the math differently depending on your situation.
Commonly somewhere in the 5% to 8% range of whatever actually gets collected. It scales with you, but it also means the biller's incentive is tied to your revenue rather than a flat rate.
One predictable number regardless of volume. Simple to budget for, though it can be a worse deal in slow months and a better one in busy ones.
Priced in bands based on your monthly claim or visit volume. You know which tier you're in and what it costs before you sign anything.
Here's a simple example. Say a solo therapist collects around $75,000 a year from insurance, a realistic figure for a practice seeing 15 to 30 sessions a week. At a typical 5% to 8% rate, that's somewhere between $3,750 and $6,000 a year going to billing.
That's not a criticism of the percentage model, it's simply what the number actually is once you attach it to a real collections figure instead of an abstract percentage. Whether that's a good deal depends entirely on what you're getting for it: how thoroughly denials get worked, how fast claims go out, and how much of your own time you get back.
A lot of practice owners frame the decision as "pay a percentage" versus "do it myself for free." That's not quite the real comparison. Doing it yourself has a cost too, it's just paid in evenings, weekends, and the sessions you don't take because you're buried in claims instead.
And if the alternative is hiring a part-time person to handle it, the math often looks worse than outsourcing once you add it all up: wages, payroll tax, training time, and the ramp-up period before they're actually good at it. Most practices spend more on one part-time hire than they would outsourcing their billing entirely, benefits, training, and turnover included.
D&T Billing uses a tiered pricing model based on your monthly visit volume, plus a standard one-time setup fee. You'll know your exact rate before you sign anything, no hidden percentage, no surprise line items showing up later.
Since your actual rate depends on your specific volume and payer mix, the fastest way to get a real number is a free consult rather than a generic estimate here. We'll walk through your numbers with you directly, no pressure either way.

Tell us about your practice and payer mix, and we'll walk through exactly what it would cost. No pressure, no call centers.
Let's Work Together