Pricing
Every price on this page is what you actually pay. Flat monthly fee, scoped to your transaction volume and entity count before you commit — no hourly billing, no surprise invoices, and nothing you have to call us to find out.
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One tab per service line. These are the same figures the estimator uses — nothing here needs a call to find out.
Flat monthly plans. Your tier is set by accounts, entities and the reporting you need.
Essentials
Solo owners and early-stage businesses with straightforward activity.
$450/month
Growth
Established small businesses that need reporting they can act on.
$850/month
Scale
Multi-entity or multi-state companies with real complexity.
$1,650/month
Advisory+
Companies that need a finance function, not just accurate books.
$2,800+/month
Catch-up & clean-up (one-time)
Back months brought current before the monthly rhythm starts.
$1,500 minimum engagement · flat quote confirmed in writing before work starts
$375 per month of books behind
Free 30-minute consultation
Walk through your mix with Julius and get your exact fee confirmed in writing — no obligation either way.
Starting prices. Your exact fee is confirmed in writing after a 30-minute scoping call.
$450/month
Solo owners and early-stage businesses with straightforward activity.
$850/month
Established small businesses that need reporting they can act on.
$1,650/month
Multi-entity or multi-state companies with real complexity.
$2,800+/month
Companies that need a finance function, not just accurate books.
Add any of these to an accounting plan, or run them standalone.
Floor: $950/month. The floor is not an extra fee — you pay the percentage or $950, whichever is higher.
Included at every tier: eligibility checks, coding review, daily claim submission, denial appeals, patient statements, weekly AR report.
Free 90-day AR & denial audit before you sign — delivered in writing within 5 business days.
$375 per month of books behind
$1,500 minimum engagement · flat quote confirmed in writing before work starts
$85/month + $12 per employee
Includes every pay run, direct deposit, federal and all state filings, W-2s and 1099s at year-end. Multi-state included. No per-filing fees.
+$195/month
Federal and one state business return, quarterly estimated-tax calculations, and an annual planning call. Includes help responding to IRS and state notices.
$1,850–$3,200/month
Forecasting, scenario modeling, pricing analysis, fundraising and diligence support from a senior finance operator. If we also keep your books, this is priced lower — ask for the combined number.
Combine an accounting plan with two or more specialist services and we take 10% off the total monthly fee. One team, one invoice, one close calendar.
Cancel any plan with 30 days' notice. No setup fees. No exit fees. Your file and logins are handed back within 5 business days.
One 30-minute call, a written flat-rate proposal within two business days, and no pressure either way.
5.0 on Trustpilot · A+ BBB
“Working with Nexacc has been the most rewarding decision my company has ever made. Their professionalism, knowledge about the healthcare industry, and technology are a…”
Dushime InesRead all reviews →
Starting a company, or needing a lender-ready plan? Those are fixed-fee projects published in the Business Consultancy hub, separate from the monthly plans above.
Business Consultancy hub