If you are running a chiropractic practice and want your practice to grow, then you need the best medical billing partner who knows how to handle the complexities of billing and submit claims successfully. So it all depends on the right choice of billing company. But if you don’t know the best chiropractic billing partner then how can you choose the right option for your practice? So let’s discuss the top 10 affordable Chiropractic Billing Companies.
Why Chiropractic Billing Is Different
You can’t say a specific medical billing company is a perfect company for a chiropractic practice. Some of the factors and specialty understanding help to rank them. Chiropractic is a different healthcare specialty that requires more than general medical billing so specialty knowledge affects cash flow directly. Chiropractic billing has unique challenges, including limited Medicare coverage, different rules for maintenance care, the correct use of the AT modifier for active treatment, and strict documentation requirements. Personal injury and workers’ compensation claims also follow different billing rules. A reliable billing partner can help you stay updated on payer policies, maintain accurate documentation, and reduce claim denials.
What Makes a Chiropractic Billing Company Affordable?
The cheapest percentage is not always the lowest cost. Billing companies commonly charge a percentage of collections, a flat monthly fee, a per-claim fee, or a hybrid. Most of the guides estimate chiropractic billing rates at 5%–9% of collections. But lower rates can exclude services such as coding reviews, appeals, and A/R follow-up that higher-priced plans include.
Before comparing quotes, ask each company about its fee structure, monthly minimums, setup costs, and extra charges for services like credentialing, eligibility checks, and old A/R recovery. Check the contract length and exit terms, and confirm whether the fee includes denial management, appeals, secondary billing, and reporting.
Quick Comparison: 10 Affordable Chiropractic Billing Companies
Rank | Company | Published pricing | Contract and set-up | Best for |
1 | M&M Claims Care | Percentage-based, customized to patient volume; optional flat monthly add-ons | No start-up or onboarding fees; no long-term contracts | Growing practices that want billing, credentialing and scheduling in one team |
2 | American Chiropractic Billing | 7% of net collections or $1 | Month-to-month; $0 set-up | Practices that want one published all-inclusive price |
3 | ChiroFusion | From 6% of net monthly collections | Rates scale down as collections grow; no onboarding cost stated | Practices that want a chiropractic-only, US-based team |
4 | eChiro Billing | 4.75% of collections, any practice size | Month-to-month; 30-day free trial; no start-up fee | Cost-focused practices of any size |
5 | Physician Services | 5%–10% of insurance collections plus $3.95 per no-pay claim | $450 one-time set-up; 30-day termination | Practices that want weekly calls and a dedicated billing manager |
6 | TABS Chiropractic Billing Specialists | Not published | Quote-based | Practices switching billers or opening a new office |
7 | Olympus Chiropractic Billing | Quote-based by practice size | No set-up fee; month-to-month; 30-day free trial | Practices that want to keep their current software |
8 | ChiroBill NC | Not published | Quote-based | Practices wanting a US-based chiropractic-focused team |
9 | MedSole RCM | Starting at 2.99% of net collections; credentialing $99 per payer | No set-up fees; no long-term contracts | Price-sensitive practices that accept a multi-specialty biller |
10 | Chiropractic Billing Partners | Hours-based estimate after intake | No contract; invoiced bi-weekly | Short-term or emergency billing coverage |
The Top 10 Affordable Chiropractic Billing Companies
M&M Claims Care: Best Overall for Growing Practices
Best for: Growing chiropractic practices that want billing, credentialing and front-office support from one team.
Pricing: Percentage-based and customized to patient volume, with optional flat monthly add-ons. M&M Claims Care states there are no hidden charges, no start-up or onboarding fees and no long-term contracts. Request a quote through its pricing page.
M&M Claims Care is a US medical billing company that supports chiropractic practices with its chiropractic billing workflow, revenue cycle management, insurance credentialing and patient scheduling. It also offers front office management and medical billing virtual assistant services.
Why it ranks first for growth
A growing practice rarely needs billing alone. It needs new providers enrolled with payers, fewer front-desk errors and reports that show where money is stuck. M&M Claims Care combines those services, scales pricing with your volume and does not charge to get started. Its month-to-month flexibility also reduces the risk of outgrowing a provider.
M&M Claims Care also offers a free billing audit and a discovery call to review your current billing before you commit.
American Chiropractic Billing: Best for Published All-Inclusive Pricing
Best for: Practices that want a single transparent price.
Pricing: 7% of net collections or whichever is greater. Month-to-month, no contract, no set-up fee.
American Chiropractic Billing publishes its pricing and includes coding, claim submission, denial management, appeals, A/R follow-up, patient statements, and a dedicated coordinator. The same rate applies to massage, physical therapy, acupuncture, and nurse practitioner visits. The company reports serving all 50 states since 2020 and offers a Business Associate Agreement (BAA). Invoices are issued on the first of each month and are due within 14 days.
ChiroFusion: Best for a Chiropractic-Only, US-Based Team
Best for: Practices that value chiropractic specialization and a US-based billing team. Pricing: Rates start from as low as 6% of net monthly collections, with pricing that scales down as collections grow.
ChiroFusion has provided billing services for chiropractors since 2010 and states that it serves 300+ chiropractors. Its services include charge entry, coding, payment posting, A/R follow-up, denial management, and insurance eligibility checks. It also offers a free coding review and states that insurers pay providers directly. The company also sells chiropractic EHR software but billing services are available separately.
eChiro Billing: Best Low Flat Percentage with a Free Trial
Best for: Cost-conscious practices of any size.
Pricing: 4.75% of collections regardless of practice size. No start-up fees, month-to-month, with a 30-day free trial.
eChiro Billing states that it posts charges and EOBs within 24 hours of scanning, processes primary and secondary claims daily, appeals denials, provides daily, weekly and monthly reports and works with Medicare and Medicaid claims. It works with your existing billing software and says it offers a free practice management system if you have none. It targets a 95% first-pass rate.
Physician Services: Best for Weekly Communication and PI/WC Claims
Best for: Practices that want a dedicated billing manager and regular check-ins.
Pricing: 5%–10% of insurance collections, set after reviewing your last six months of collections. $800 monthly minimum and a one-time $450 set-up fee. 30-day termination for either party.
Physician Services has over 30 years of experience in medical billing. Its services include frequent billing, EOB posting, daily claim follow-up, aging report reviews, appeals, and weekly calls to review codes, modifiers, and collections. The company handles commercial insurance, government plans, personal injury, workers’ compensation, and secondary claims.
TABS Chiropractic Billing Specialists: Best for Switching Billers or New Offices
Best for: Practices changing billing partners or launching a new location.
Pricing: Not published. Request a quote.
TABS states that it has billed for chiropractic care for over 25 years and has transitioned more than 100 offices into its network. It offers claim lifecycle management, reimbursement analysis and credentialing with dedicated pages for switching billing partners, starting a new practice and streamlining credentialing. It is listed as a Tebra Premier partner on its website.
Olympus Chiropractic Billing: Best for Keeping Your Current Software
Best for: Practices that do not want to change EHR or practice management systems. Pricing: Quote-based by practice size. No set-up fee, month-to-month, 30-day free trial.
Olympus works with any EHR, practice management system, or clearinghouse and supports personal injury and workers’ compensation claims. It does not charge fees on cash payments handled by your office. Extra costs include $4 per manual benefit verification or pre-authorization and $200 per provider per insurer for credentialing, or $1,000 for up to eight insurers. The company reports a 98% first-time claim pass rate and an integration time of two to five business days.
ChiroBill NC: Best for a US-Based, Chiropractic-Focused Team
Best for: Practices that want specialist billers without offshore handling.
Pricing: Not published. Request a quote.
ChiroBill NC states that its certified billers and coders are US-based with an average of eight years of chiropractic billing experience and that it is trusted by 150+ chiropractors. It offers medical billing, accounts receivable and full RCM services, and publishes educational articles on Medicare denials and common coding errors.
MedSole RCM: Lowest Published Starting Rate
Best for: Price-sensitive practices comfortable with a multi-specialty billing company. Pricing: Starting at 2.99% of net collections. Credentialing is $99 per payer. No set-up fees, no long-term contracts, and a 30-day free trial for qualifying practices.
MedSole RCM is a multi-specialty billing company that publishes a detailed chiropractic billing guide covering CMS rules, modifiers and denial prevention. Its stated scope includes eligibility, coding, claim submission, payment posting, denial management, A/R recovery, credentialing and workers’ compensation and personal injury claims.
Chiropractic Billing Partners: Best for Emergency or Short-Term Coverage
Best for: Practices dealing with a sudden billing gap, an audit, or a specific billing issue.
Pricing: Hourly, based on estimated weekly hours after the initial review. No contract or hidden fees, with invoices sent every two weeks.
Chiropractic Billing Partners describes itself as a short-term, emergency chiropractic billing company with 15 years of chiropractic experience. Its services include emergency rescue, extra help for a short period, audits and single-issue assistance. It signs a BAA before work begins and limits how many rescue requests it accepts.
Signs Your Growing Practice Is Ready to Outsource Billing
- Claims are denied or delayed as patient volume increases.
- A/R balances grow while staff manage front-desk and billing tasks.
- You are adding providers, locations, or payers and need credentialing support.
- Your main biller has left, or billing depends on one person.
- You lack clear reports on denials, A/R days and collection trends.
- You want to focus more on patient care and spend less time calling payers.
Questions to Ask Before Hiring a Chiropractic Billing Company
Before signing a contract, speak with the billing team and ask the following questions to make sure their services meet your practice’s needs.
About chiropractic expertise
- How much experience do you have with chiropractic billing?
- How do you check spinal manipulation codes and supporting documentation?
- How do you handle Medicare rules for active treatment and maintenance care?
- Can you manage claims for commercial insurance, Medicare, Medicaid and other relevant payers?
About service coverage
- Do you handle the full billing cycle or only claim submission?
- Are eligibility verification, payment posting, denial appeals and A/R follow-up included?
- Can you help with credentialing and provider enrollment if required?
- Will you work inside our existing EHR and practice-management system?
About costs and contracts
- What is the total recurring cost at our current claim volume?
- How is the percentage-based fee calculated?
- Are there setup fees, minimum monthly charges or additional service fees?
- What happens if we terminate the contract?
- Who handles outstanding claims during the transition?
About security and accountability
- Will you sign a business associate agreement?
- What access controls protect our patient information?
- How often will we receive performance reports?
- Who is our main contact, and how are urgent issues escalated?
- Can you provide references from comparable chiropractic practices?
Don’t hesitate to ask for written answers. A dependable provider should be comfortable explaining its process, responsibilities, and limitations.
Choose the best for your practice so your practice can perform the best and meet the goals you set.
Ready to evaluate your billing costs? Contact M&M Claims Care to discuss your current billing challenges, service requirements and a pricing plan according to your practice.
