Marlien / Pricing / What credentialing costs

What medical credentialing actually costs

Most credentialing companies will not give you a number until you are on a sales call. Here is what drives the cost, which costs are easy to miss, and what Marlien charges.

Why prices are hard to find

Credentialing is usually priced per provider and per payer, and the work differs a lot between a solo provider joining two plans and a group enrolling in Medicare, Medicaid, and several commercial plans. That is a fair reason to confirm details before quoting. It is also why many companies put pricing behind a form or a demo, which makes comparison hard and leaves out the recurring costs. Marlien publishes its prices; this page explains what sits behind them, so you can compare any company on the same terms.

What drives the cost

Providers and payers

Every provider-to-payer pairing is its own application and its own follow-up. More providers or more plans means more work.

Medicare and government fees

Individual practitioners and physician or practitioner organizations do not pay a Medicare enrollment application fee. Institutional providers, including laboratories, pay a federal fee set each year: $750 for 2026, on initial enrollment, revalidation, and a new practice location. That fee is paid to CMS, not to your credentialing company.

CAQH

Providers do not pay for a CAQH ProView profile. The work is building it, attaching current documents, attesting, and re-attesting every 120 days.

Commercial plans

Each plan is a separate application with its own requirements, and some networks are closed to new providers. The number and mix of plans is often the biggest driver.

The recurring cost people forget

CAQH re-attestation, payer recredentialing, Medicare and Medicaid revalidation, and expiring licenses, DEA registrations, and malpractice policies all come due on a cycle. A quote that covers only the first enrollment is not the full cost.

Doing it yourself

In-house credentialing costs staff time: hours on hold, applications returned for a fixable error, and a stalled enrollment that delays in-network billing.

What Marlien charges

These are the published prices on the Pricing page. Your written agreement confirms the exact services and price before work begins. Payer and government fees are separate.

ServicePrice
One provider, prepared for you to submit$950 per provider
One provider, submitted$1,550 per provider
One provider, to a written effective date$2,500 per provider
Each additional provider, to a written effective date$1,400 per provider
One payer, submitted$225 per provider per payer
One payer, to a written effective date$400 per provider per payer
CAQH profile audit$150 per provider
CAQH audit and rescue$275 per provider
New CAQH setup$350 per provider
Credentialing maintenance$129 per provider per month
Medical billing and RCM6% of Eligible Collections, $1,000 monthly minimum

See every service and what each includes

Questions to ask any credentialing company

A fair quote survives these. Marlien's answer follows each one.

  • Is payer follow-up through the decision included? Marlien submits within its commitment and follows up until the payer records a decision.
  • Is ongoing maintenance included, or a separate plan? Separate: Marlien's credentialing maintenance is $129 per provider per month.
  • Are payer and government fees in the price? No. They are listed separately, so you can see what goes to the payer or the government.
  • Can you guarantee approval or a date? No one can. Payers decide approval, participation, effective dates, and timing.
  • Will I get the price in writing before work starts? Yes. Nothing starts until you sign.

The honest limit

Payers and state Medicaid programs control approval, network acceptance, effective dates, and processing time. Marlien commits to what it controls.

How the commitment works

Start date: the later of our written confirmation that required documents are complete and the first date a payer allows filing.

Due date: 10 business days after the start date.

If we miss it: the engagement receives three additional months of credentialing maintenance at no charge. This applies once per engagement and is the sole remedy for a missed submission deadline.

What payers decide

Approval, network participation, processing time, and effective dates belong to the payer. Marlien does not guarantee them. The remedy covers Marlien's submission timing only.

Frequently asked questions

See the price before any work begins.

What do you need help with?

Tell us what you need, and Marlien will route your question to the right next step.