Cost Calculator

How much is Availity's API actually costing you?

Drag the slider to your monthly verification volume. See what you're paying — and what you could save.

⚠️ Research-backed: Availity REST API pricing carries a documented 60% premium over their SOAP baseline. pVerify setup fees run $500–$2,000 before you run a single verification.

Monthly verification volume

1,000 verifications / mo
100 5k 10k 25k 50k
Estimated monthly cost
Availity REST API
Enterprise clearinghouse
—
/month
~$0.61/verification + implementation fees Enterprise contract req.
Availity SOAP API
Legacy clearinghouse
—
/month
~$0.38/verification SOAP-only, XML responses Outdated integration
pVerify
Verification platform
—
/month
Tiered plans $40–$900+ $500–$2k setup fee +overages above plan
VeriFi
Modern API
—
/month
$0.18/verification No setup · No minimum JSON · Auto-detect carrier
💰
Switch from Availity REST and save $440/month
$5,280 saved annually at this volume
$440
API Docs Transparent pricing · No contracts · Live in minutes
Pricing Plans

Simple, transparent pricing

Pay monthly. Cancel anytime. No setup fees, no contracts, no sales calls.

Starter
$149/mo
$0.149/verification effective
  • ✓ 1,000 verifications/month
  • ✓ REST API + JSON responses
  • ✓ Auto carrier detection
  • ✓ Instant API key issuance
  • ✓ Email support
MOST POPULAR
Growth
$499/mo
$0.10/verification effective
  • ✓ 5,000 verifications/month
  • ✓ REST API + JSON responses
  • ✓ Auto carrier detection
  • ✓ Instant API key issuance
  • ✓ Priority email support
  • ✓ 600+ payers supported
Scale
$1,999/mo
$0.08/verification effective
  • ✓ 25,000 verifications/month
  • ✓ REST API + JSON responses
  • ✓ Auto carrier detection
  • ✓ Instant API key issuance
  • ✓ Priority support + SLA
  • ✓ Volume discounts available

All plans include: HIPAA-compliant API, real Availity data, JSON responses, 24h activation. Cancel anytime from your dashboard.

Full feature comparison

Not just cost — see what you're actually getting for the money.

Feature Availity REST REST Availity SOAP pVerify VeriFi
Setup fee ✗ Enterprise contract ✗ Enterprise contract ~ $500–$2,000 ✓ None
Per-transaction pricing ~$0.61 ~$0.38 ~$0.20–$0.40 $0.18
REST / JSON responses ✓ Yes ✗ XML / SOAP only ✓ Yes ✓ Yes
Auto carrier detection ✗ Manual payer IDs ✗ Manual payer IDs ~ Partial ✓ Automatic
Real-time response ~ Variable latency ~ Variable latency ✓ Yes ✓ <3s typical
Monthly minimum ✗ Contract-based ✗ Contract-based ✗ $40–$900/mo ✓ None
Out-of-network estimates ✗ Raw data only ✗ Raw data only ✗ Raw data only ✓ Calculated
Transparent pricing ✗ "Contact sales" ✗ "Contact sales" ~ Published tiers ✓ Public pricing
Time to first verification ✗ Weeks ✗ Weeks ~ Days ✓ Minutes

Common questions

Why is Availity REST API more expensive than their SOAP API?
Availity charges a 60% premium for REST access over their legacy SOAP interface. REST offers cleaner integration — JSON responses, standard HTTP — but the pricing reflects Availity's leverage as a dominant clearinghouse, not actual infrastructure cost. You pay for convenience in their ecosystem.
What's included in pVerify's setup fee?
pVerify charges $500–$2,000 upfront depending on your plan tier. This covers onboarding, credentialing with payers, and account configuration. It's a real cost that's often not visible in their published plan pricing — the monthly rate looks lower until you see the setup invoice.
How accurate are these estimates?
These are estimates based on competitive research. Availity rates reflect publicly available data and broker reports. pVerify pricing is based on their published tier structure. Actual negotiated rates may vary. VeriFi pricing is exact — what you see is what you pay.
Does VeriFi have enterprise pricing for high volume?
Yes. At 10,000+ verifications/month, volume discounts apply automatically. Reach out after signing up and we'll apply them to your account. No contracts, no locked-in minimums.
Can I switch from Availity without downtime?
Yes. VeriFi's API is a drop-in replacement for most eligibility check workflows. You get an API key the moment you sign up, and our docs cover common migration patterns from Availity's data format.