How much does it cost to outsource medical credentialing per provider?

Outsourced medical credentialing costs about $200-$600 per provider, per payer for initial enrollment, plus roughly $66-$129 per provider, per month for ongoing maintenance (industry market ranges, 2026). Your total depends on how many payers each provider needs. For a figure matched to your provider and payer count, request a free estimate at 786-259-0231.

Is outsourcing credentialing cheaper than hiring in-house?

For most small and mid-sized practices, yes. In-house credentialing runs $75,000-$100,000 a year fully loaded, while outsourced credentialing for a 10-provider practice typically lands near $15,000-$25,000 a year. In-house can make sense at large provider counts with steady volume, but it carries turnover risk that outsourcing covers.

How much do credentialing companies charge per provider per month?

Ongoing maintenance from credentialing companies typically runs $66-$129 per provider, per month (industry market ranges, 2026). Maintenance covers CAQH re-attestation, expirable documents, and revalidation deadlines. Confirm whether a quote includes maintenance or only the initial enrollment before comparing prices.

How much does it cost to credential a physician with insurance?

Credentialing a physician with an insurance payer costs about $200-$600 for the initial enrollment per payer, per provider (industry market ranges, 2026). A physician joining several networks pays that fee for each payer, which is why package pricing across a set number of plans often lowers the per-plan rate.

What does a medical credentialing service actually cost and include?

A medical credentialing service costs about $200-$600 per provider, per payer up front and $66-$129 per provider, per month to maintain, and should include CAQH setup and re-attestation, payer applications, follow-up, and revalidation tracking (industry market ranges, 2026). If maintenance or a signed BAA isn't in the quote, the real cost is higher than it looks.

How long does medical credentialing take?

Credentialing commonly takes 60-120 days with payers, and Medicare often averages around 45 days depending on the practice type and administrator (industry market ranges, 2026). Qualigenix runs a 6-day average for its own onboarding step so applications are ready to move the moment they can.

Medical Credentialing Cost Per Provider

Medical Credentialing Cost Per Provider | Qualigenix