Medical Credentialing Pricing & Cost
Straight answer: credentialing cost depends on how many providers and payers you need, so we quote every engagement individually rather than publishing a one-size price. This page explains what the work typically costs across the industry, what drives the number, and how to get an exact quote for your practice.
How much does medical credentialing cost?
There's no single price — cost scales with the number of providers, the number of payers, and whether you need one-time enrollment or ongoing maintenance. Every PES engagement is quoted individually.
As a rough industry benchmark, credentialing services commonly run about $200–$500 to set up a provider with a payer, and roughly $50–$200 per provider per month for ongoing maintenance; full outsourced credentialing engagements are often quoted around $2,500–$5,000 (ranges reported by Medwave and credex). These are market figures to set expectations, not PES prices — your quote depends on your provider count and payer mix.
What goes into your quote.
Tell us these four things and we can turn around a clear, itemized quote.
Number of providers.
One physician versus a full roster changes the scope significantly.
Number and type of payers.
Medicare, Medicaid, and each commercial plan is a separate application with its own process.
Enrollment vs. maintenance.
A one-time enrollment is priced differently from ongoing upkeep (re-attestation, revalidation, expirable tracking).
Complexity.
New practices, facility credentialing, and payer contracting take more work than a straightforward panel add.
The real cost is a stalled application.
The most expensive credentialing outcome isn't the service fee — it's a provider who can't bill. Industry estimates put the lost revenue from a credentialing delay in the thousands of dollars per provider per day at the high end (commonly cited figures range up to about $7,500–$9,000 per provider per day), and a 120-day delay has been estimated at roughly $122,000 in lost billable revenue per provider (figures reported by Neolytix, medusarcm, and withassured). Much of that is gone for good, since retroactive billing is capped by timely-filing limits.
Whatever credentialing costs, a frozen file usually costs more. That's the case for getting it done right and on time.
Common pricing questions.
How much does provider credentialing cost?
It's quoted per engagement — there's no flat published price — because cost depends on your provider count and payer mix. For context, the industry commonly charges about $200–$500 to set up a provider and roughly $50–$200 per provider per month for maintenance (ranges reported by Medwave and credex). Send us your details and we'll quote it exactly.
Do you publish your prices?
No — every practice is different, so we quote per provider and per carrier rather than posting a rate that wouldn't fit your situation. You'll get a clear, itemized quote before you commit to anything.
Is there a long-term contract?
No long-term contract is required. Our pricing is transparent and quote-based, and you stay because the work is good.
How do I get an exact price?
Request a quote with your provider count and target payers, or call (800) 406-4796. We usually reply within one business day.
Get an exact quote for your practice
Tell us how many providers and which payers, and we'll send back an itemized quote — in-house, US-based, no long-term contract.
Provider Enrollment Services is a credentialing and payer-enrollment service; approval decisions and timelines are determined by the payers and CMS, not PES.