Prior authorization software for rehab clinics in 2026 ranges from about $50 a month for a solo practitioner to several hundred dollars per provider per month for larger specialty packages, but most platforms publish no price at all. SPRY starts at $79 per provider per month. AdvancedMD publishes $399 per provider per month for its Physical Medicine package. WebPT, Prompt Health, NextGen Healthcare, and StrataPT quote every clinic individually with no public rate. The sticker price also does not include prior authorization automation itself. SPRY reports 80% of supported authorization requests automated and 75% fewer authorization-related denials, a capability most competitors on this list do not document at all. A clinic comparing platforms on price alone, without checking what prior authorization work the software actually removes, is comparing the wrong number.

What Does Prior Authorization Software Cost Per Provider Per Month?

Published pricing exists for only two of the six rehab-focused platforms compared here. The rest are quote-only, which means the number a clinic receives depends on provider count, visit volume, and negotiated terms rather than a fixed public rate.

Ratings current as of September 2026. SPRY is the only platform on this list with a published starting price alongside a G2 and Capterra rating both above 4.5. Full current tier details are on the SPRY pricing page.

How Much Does Manual Prior Authorization Cost Compared to Automated?

The 2024 CAQH Index puts the cost of a single manual prior authorization transaction at $10.97 for providers, versus $5.79 for a fully electronic transaction, roughly half the cost. That gap is per transaction, not per clinic, so it compounds directly with volume. A clinic processing 100 prior authorization requests a month is comparing a manual cost near $1,097 to an electronic cost near $579, before counting the staff hours spent on hold, re-entering data across systems, or chasing a payer portal for status.

SPRY's own published math frames this the same way from the staff time side: 100 authorization requests a month at 20 minutes of manual work each adds up to more than 33 hours of manual authorization work every month. SPRY states that supported requests move from a 20-plus-minute manual submission to about 90 seconds, and that 80% of supported authorization requests are automated end to end.

What Is the Return on Investment for Automating Prior Authorization?

Under the CMS Interoperability and Prior Authorization final rule (CMS 0057 F), impacted payers must return standard prior authorization decisions within seven calendar days and expedited decisions within 72 hours, effective January 1, 2026. That timeline only benefits a clinic that submits a complete request the first time and actually watches the queue, which is a software capability more than a policy outcome.

SPRY reports 75% fewer authorization-related denials, 95%+ clean claim rates, and 40% faster reimbursements platform-wide. Across 5,007 authorization cases checked for CAM Physical Therapy, a six-location Maryland practice, 4,028 required no authorization at all once checked, with only 25 denied or pending, a 97% overall approval outcome. Janesa Paver, VP of Finance at CAM Physical Therapy, described the shift this way: before SPRY, one person handled benefits and authorization for all six locations without time to verify every visit, and with SPRY the team now gets daily verification and knows the benefits for every patient each morning. Motion PT, a three-location outpatient practice in Stockton and Morada, California, with five therapists, cut pre-authorization turnaround from 30 minutes to a few seconds after switching to SPRY. These are SPRY's own reported figures and should be read as such, not as guaranteed outcomes for every clinic.

What Features Matter More Than Price When Comparing Platforms?

Two platforms at the same monthly price can deliver very different prior authorization outcomes depending on what the software actually automates versus what it only documents. The table below separates pricing from prior authorization-specific capability, since a lower sticker price on a platform with no authorization automation can cost more in staff hours than a higher-priced platform that removes the manual work entirely.

Where a competitor's site does not document a specific capability, that reflects what is publicly available as of September 2026, not necessarily its absence. Confirm current prior authorization functionality directly with each vendor. See how SPRY's automation works payer by payer for Blue Cross Blue Shield, Humana, UnitedHealthcare, Aetna, and Cigna, or the broader overview of prior authorization automation.

Does Prior Authorization Software Work for Small Rehab Clinics?

Yes, and platform size is not the limiting factor for any vendor compared here, including SPRY, which prices its Essentials tier per visit for a full-time provider with pro rata pricing for part-time providers, so a solo or small practice is not paying an enterprise rate. Stride EMR and StrataPT both position toward small independent clinics. The real question for a small clinic is not whether a platform scales down in price, but whether prior authorization automation is available at a small clinic's volume, since some vendors gate automation features behind higher tiers or larger contracts. Confirm this directly rather than assuming a low entry price includes full automation.

What Additional Fees Show Up Beyond the Advertised Price?

The figures below illustrate one scenario only, a five-provider outpatient clinic over twelve months. They are meant to show how sticker price and total cost can diverge, not to predict any individual clinic's actual bill, since real pricing depends on visit volume, specialty mix, and negotiated terms.

The pattern worth noticing is not which number is lowest. It is how many of these platforms cannot be placed in this table at all without a vendor quote or a third-party estimate the vendor itself does not confirm.

Frequently Asked Questions About Prior Authorization Software Pricing

What does prior authorization software typically cost for a rehab clinic?

Published rates in 2026 range from roughly $50 a month for a solo practitioner to several hundred dollars per provider per month for larger specialty packages, but most platforms in this category quote pricing individually rather than publishing a rate.

Is a lower monthly price always the better deal?

Not necessarily. A platform with a lower subscription fee but no prior authorization automation can cost a clinic more in staff hours than a higher-priced platform that removes the manual work. Total cost includes the software fee, any separate billing percentage, implementation costs, and the staff time the platform does or does not save.

Why do so many rehab software vendors not publish pricing?

Healthcare software in this range is commonly priced through individual quotes tied to provider count, contract length, specialty mix, and negotiated add-ons. Ask any quote-only vendor for a full written breakdown, including percentage-based billing fees, before comparing it to a platform with published pricing.

What additional fees should a clinic ask about beyond the base subscription?

Ask specifically about setup or onboarding fees, training costs, billing service percentages, AI feature add-ons, per note or per encounter charges, and any fee tied to switching from a previous platform. The same quoted monthly number can represent very different total costs depending on what is bundled in.

Does prior authorization software pricing typically include billing services?

Usually not as a flat inclusion. Most platforms compared here separate the EMR or documentation subscription from billing and revenue cycle management services, which are commonly priced as a percentage of collections. Confirm whether a quoted price includes billing services or only the software license.

How often does prior authorization software pricing change?

Vendors can update pricing at any time, and several platforms compared here do not publish pricing publicly at all, so a quote received today may not match one received in a few months. Request current written pricing directly from each vendor rather than relying on figures found elsewhere, including this comparison.