How Much Does a Collaborating Physician Cost in Missouri? (2026)
By Chris Caulfield, RN, MSN, FNP-BC · Founder & CEO, NP Collaborator
In Missouri, a collaborating physician typically costs $499–$574 per month, with a median of $549/month — based on 20+ real contracts in Missouri. Total monthly fees including physician fees, platform fees, and physician malpractice insurance. Source: NP Collaborator Fair Price Report, Edition 1, 2026.
In Missouri, a collaborating physician typically costs between $499 and $574 per month, with a median of $549/month. That median is in line with the national median of $549/month. These figures come from our own analysis of 20+ real signed Missouri contracts in The Fair Price for Collaboration Report — the first all-in collaboration cost study funded by the NPs and PAs who pay these fees. You can see how every state compares on our collaborating physician cost by state page.
Why does Missouri price where it does?
Missouri sits at the national median ($499–$574). It's a restricted-practice state with collaborative practice agreements that require chart review every two weeks (10% of records, 20% for controlled substances) and cap collaboration at 6 full-time equivalents per physician. Those requirements create steady demand for physician time, but the state has a reasonable physician supply — which keeps Missouri right at the median rather than at the top.
Sources
Rules summarized for context; verify current requirements with the state board.
For the specific licensing and collaboration requirements in Missouri, see our Missouri collaborating physician requirements.
What moves your price within the Missouri band?
Within Missouri's Fair Price Band, you move toward the lower end with low patient volume, minimal controlled-substance prescribing, and when the physician has capacity under the 6 FTE limit. You move toward the upper end with high-volume practices requiring frequent chart review, substantial controlled-substance prescribing (triggering the 20% review threshold), or when the physician is near their 6 FTE collaboration cap.
Fair Price Band = 25th–75th percentile of real signed contracts.
Missouri vs national: how does the cost compare?
Missouri's median monthly cost is in line with the national median, and its Fair Price Band sits within the national range. Here is the side-by-side.
| Metric | Missouri | National |
|---|---|---|
| Fair Price Band (25th–75th percentile) | $499–$574/mo | $499–$599/mo |
| Median monthly cost | $549/mo | $549/mo |
| Sample size | 20+ actual contracts | 2,000+ actual contracts |
How Missouri compares to similar states
Looking at other states with similar collaborating physician costs can give you a better sense of regional pricing patterns. Here are states with the closest median fees to Missouri's $549/month.
How do you know your Missouri quote is fair?
- The quote sits above Missouri's 75th percentile of $574/month with no stated reason.
- Physician malpractice insurance is excluded from the monthly fee (or left unclear).
- There are no written chart-review terms — cadence, volume, or turnaround.
- A one-time match or onboarding fee is not disclosed up front.
- The all-in monthly cost isn't put in writing against Missouri's $499–$574/mo band.
Collaborating physician cost in Missouri: FAQs
How much does a collaborating physician cost in Missouri?
In Missouri, a collaborating physician typically costs $499–$574 per month, with a median of $549/month, based on 20+ real contracts in Missouri. Total monthly fees including physician fees, platform fees, and physician malpractice insurance.
What is a fair price for a collaborating physician in Missouri?
A fair Missouri quote falls within that state's Fair Price Band of $499–$574/month, centered on a median of $549/month. A quote above $574/month with no stated reason is worth questioning.
Is a collaborating physician more expensive in Missouri than the national average?
Missouri's median of $549/month is in line with the national median of $549/month. Nationally, most nurse practitioners pay $499–$599/month.
Does the Missouri collaborating physician cost include malpractice insurance?
In our data it does — the Missouri figures reflect the total monthly fees including physician fees, platform fees, and physician malpractice insurance. Confirm in writing whether any specific quote bundles physician malpractice coverage.
How many contracts is the Missouri Fair Price data based on?
The Missouri figures are based on 20+ real signed contracts analyzed for the NP Collaborator Fair Price Report, Edition 1, 2026. We band sample counts rather than publishing exact totals.
Collaborating physicians available in Missouri now
Live, transparent listings — malpractice included, no startup fees. Prices below reflect real Missouri collaboration agreements. See all Missouri collaborating physicians →
56+ verified physicians · Fees $449–$1,049/mo · malpractice included
Licensed to collaborate with Missouri nurse practitioners
Licensed to collaborate with Missouri nurse practitioners
Licensed to collaborate with Missouri nurse practitioners
Licensed to collaborate with Missouri nurse practitioners
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Last updated: August 18, 2026 · NP Collaborator Fair Price Report, Edition 1, 2026