Most comparison pages are written by the platform ranking itself #1. This one is written by a board-certified NP who built a platform because the existing options weren't good enough — and who is committed to showing you all-inclusive pricing upfront, because you deserve to know what you'll actually pay.
An honest note
Search for "best collaborating physician platforms" and you'll find ranking articles written by the companies doing the ranking. Zivian Health publishes a list where they are #1. Single Aim publishes pricing data that sounds affordable — until you read the fine print. Every list has a vested interest.
This page is different in one important way: we publish our pricing. Starting at $424/month, all-inclusive. That means physician pay, malpractice insurance, legal agreement, and platform access. One number. No surprises.
We'll give every platform a fair assessment — including their genuine strengths. But we'll also be clear about what "physician pay rates" actually mean versus what you'll actually pay when the invoice arrives. That distinction matters more than any feature comparison.
Side-by-side
Key factors every NP should evaluate before committing to a collaboration service.
| Platform | All-In Price | NP Chooses Physician | Malpractice Included | Compliance Tools | Pricing Transparency |
|---|---|---|---|---|---|
| ⭐ NP Collaborator | $424–$499/mo All-inclusive | ✓ True marketplace | ✓ Included | ✓ Built for solo NPs & small/mid practices | Published |
| Single Aim Health | Not published NP negotiates alone | ~ Marketplace, NP negotiates independently | ✗ Not included — purchased separately | ~ Not found — verify directly | Not disclosed |
| Zivian Health | Not published | ✗ Platform initially assigns 1–2 options | ✓ Included | ✓ Built for enterprise clients | Not disclosed |
| Collaborating Docs | Not published | ✗ Platform initially assigns | ✓ Included | ~ Not found — verify directly | Not disclosed |
| Guardian Medical Direction | Not published | ✗ Platform initially assigns | ✓ Included | ~ Protocols & oversight tools — verify scope | Not disclosed |
| Doctors for Providers | Not published | ✗ Platform initially assigns | ~ Included on most plans* | ~ Not found — verify directly | Not disclosed |
* Competitor pricing, malpractice inclusion, and compliance features based on publicly available information as of Q1 2026. Malpractice inclusion reflects physician/collaborator coverage as advertised by each platform; NPs should confirm whether NP-side malpractice is separately required. Doctors for Providers notes restrictions apply on malpractice inclusion — confirm with an account coordinator. Single Aim Health partners with CM&F Group for NP malpractice purchased separately. NP Collaborator's all-inclusive rate covers physician pay, physician malpractice, legal agreement, compliance tools, attestation tracking, and audit records.
Ownership structure shapes incentives. A VC-backed company answers to investors. A PE-backed company answers to a fund's return timeline. A physician-owned company may prioritize physician revenue. An NP-owned and operated company answers to NPs.
| Platform | Founded By | Ownership Structure | Who It Answers To |
|---|---|---|---|
| ⭐ NP Collaborator | Board-Certified Nurse Practitioner | NP-Owned & Operated | Nurse practitioners. Built by an NP, run by an NP, for NPs. |
| Zivian Health | Physician-Founded | Venture-Backed | Venture capital investors. Growth and scale are the mandate. |
| Collaborating Docs | Physician-Founded | Private Equity-Backed | PE fund return timelines. Cost efficiency and margin are priorities. |
| Guardian Medical Direction | Physician-Founded | Physician-Owned | Physician owners. NP cost efficiency may not be the primary focus. |
| Single Aim Health | Tech Entrepreneur (Stanford / ex-Facebook PM) | Private / Unknown | Product-market fit and growth. Clinical experience not in founding story. |
Decision framework
The right collaboration service depends on your practice type, state, specialty, and how much you value control over who your physician collaborator is.
Can you see the all-inclusive cost before signing up? "Physician pay" rates and "what you'll actually pay" are two very different numbers. If a platform doesn't publish all-in pricing, you're negotiating blind.
Some platforms assign you a physician. Others let you browse, evaluate, and select. If your collaborating physician oversees your license and your livelihood, having a say in who that is matters — a lot.
Malpractice coverage for the collaborating physician is typically $100–$300/month if purchased separately. Confirm whether it's included in the quoted rate or billed as an add-on. Always ask.
Not all platforms have physicians in every restricted state. High-complexity states like Georgia, Alabama, Tennessee, and South Carolina require in-person meetings and have proximity requirements. Verify availability before committing.
Do you need help tracking chart reviews, board filings, and documentation? Or are you comfortable managing this yourself? More compliance automation = higher cost but less administrative burden on you.
Certain specialties — psychiatry, med spa, addiction medicine, ketamine — command higher physician rates and require physicians with specific experience. Confirm your specialty is well-served before starting the process.
If you plan to expand into multiple states or add NP colleagues, does the platform support multi-state management? Some platforms are built for solo practitioners; others are enterprise tools. Know which you're buying.
Detailed platform reviews
Written by a board-certified NP who has used collaboration services, not a marketing team optimizing for clicks.
NP Collaborator is a true physician marketplace — meaning NPs browse physician profiles, read bios, review rates, and choose who they want to work with. Physicians compete for your collaboration, which naturally drives rates down. Our platform average has trended down since launch — not because we asked physicians to charge less, but because market transparency creates real competition.
The starting rate of $424/month and platform average of $499/month are all-inclusive figures: physician pay, malpractice insurance, legal collaboration agreement, and platform access are all covered. There are no hidden service fees added on top of the physician's rate — what you see is what you pay.
Unlike matching-only platforms that hand you a physician and disappear, NP Collaborator provides full ongoing service and support after your collaboration begins. Our dedicated compliance team continues to work for you throughout your collaboration — helping with attestation tracking, audit-ready documentation, compliance questions, and record-keeping designed for independent NPs and small-to-mid-size practices. If something changes with your physician, your state requirements, or your practice setup, our team is there. You're not on your own.
NP Collaborator was founded and is operated by a board-certified nurse practitioner — a co-founder of IntelyCare, a unicorn healthcare workforce platform, and an Ernst & Young Entrepreneur of the Year recipient. This is the only NP collaboration platform built and run by an NP. Not a tech investor. Not a physician group. Not a private equity firm. An NP who lived this problem firsthand.
Best for: Independent NPs, small-to-mid-size practices, and telehealth providers who want transparent pricing, genuine choice over their collaborating physician, ongoing compliance and service support, and malpractice coverage — without juggling multiple vendors or paying enterprise software prices.
Single Aim Health was founded by a tech entrepreneur — a Stanford-trained product designer and former Facebook product manager with a background in digital health. The platform is built by a technologist, not a clinician, which shapes its approach: Single Aim positions itself as an information and matchmaking tool that puts the burden of negotiation squarely on the NP.
Their model explicitly expects NPs to negotiate their own physician rates independently. They publish physician pay benchmarks (useful data, sourced from job boards and self-reports) as a reference, then connect you with a physician and leave the rate negotiation to you. There is no marketplace dynamic, no physician competition, and no platform leverage working on your behalf. You are negotiating alone against a physician who does this every day.
Single Aim does not appear to offer a dedicated compliance management platform. NPs who use Single Aim will likely need to handle chart review documentation, board filings, agreement renewals, and attestation records independently or through a separate tool. We were unable to confirm compliance features through publicly available information — NPs should verify directly.
Malpractice insurance is not included. Single Aim partners with CM&F Group to allow NPs to purchase malpractice coverage separately — meaning your total cost includes physician pay (at full market rates), any platform fees, and malpractice as a separate line item. It is not uncommon to be quoted $1,500 or more annually to add a collaborating physician to a practice's malpractice policy — a cost that disappears entirely with NP Collaborator's all-inclusive pricing.
Physician rates through Single Aim's network reflect prevailing market rates — $700–$850/month nationally for physician pay alone, with complex states running significantly higher — before adding any platform fees, malpractice, or legal costs on top. Their pricing model is not published.
Best for: NPs who are comfortable self-negotiating rates, self-managing compliance, and prefer to use published benchmark data to inform their own agreements.
Zivian Health is a well-funded platform with genuine strengths, particularly in compliance automation. Their rules engine tracks chart reviews, board filings, attestations, and state-specific documentation — which is genuinely useful for healthcare organizations managing large NP teams across multiple states.
On the physician-matching side, Zivian operates a managed model: they initially match you with one or two physicians from their vetted network, targeting a 7-day turnaround. Rather than browsing an open marketplace, you receive a curated recommendation. Whether that's a pro or a con depends on how much you value having active choice in who oversees your practice.
Zivian does not publish pricing. You must contact them for a quote. This makes it difficult to comparison shop without going through a sales process. For independent NPs, this creates friction. For enterprise healthcare organizations with a procurement team, it's standard.
Ownership: Zivian Health is venture-backed and physician-founded. As a VC-funded company, their pricing and product decisions are shaped by investor growth expectations. Their focus is on scaling enterprise healthcare organizations — which informs their feature set, pricing model, and customer focus.
Best for: Mid-size to large healthcare organizations that want enterprise-grade compliance software, are comfortable with a curated matching model, and have the procurement resources to navigate unpublished pricing.
Collaborating Docs is a physician-founded matching service that emphasizes fast turnaround times and a broad physician network. The company is private equity-backed, which typically signals a focus on scaling revenue and customer acquisition rather than deep product investment for individual NPs.
We were unable to confirm a dedicated compliance management platform through publicly available information. NPs should verify directly whether ongoing compliance tools — such as chart review tracking, board filing support, and attestation records — are available and at what additional cost. NPs who cannot confirm these features should plan to manage compliance workflows independently.
Best for: NPs who primarily need a physician match and already have established compliance workflows in place, or who are comfortable managing compliance separately.
Guardian Medical Direction is physician-owned and physician-founded, bringing genuine clinical perspective to their collaboration model. Their emphasis on liability coverage awareness and documentation compliance reflects a physician's understanding of the risks involved in NP collaboration — which can be both a strength and a limitation, depending on your needs.
Guardian does offer a compliance platform with protocols, documentation tools, oversight dashboards, and chart review tracking — which distinguishes them from pure matching services. Malpractice insurance for the collaborating physician/medical director is included. They also provide medical directorship arrangements and CPOM-structure support in addition to standard collaboration agreements.
Pricing is not published upfront. A one-time $750 setup fee is disclosed; monthly rates require direct contact. Platform assigns physicians rather than presenting an open marketplace.
Best for: NPs who value a physician-owned service with a liability-forward perspective, particularly those who may need a medical director rather than a standard collaborating physician.
Browse physicians in your state with transparent, all-inclusive pricing — no sales call required.
All-inclusive pricing from $424/mo · No upfront fees to browse
The pricing problem
Single Aim Health publishes the most cited data on collaborating physician rates: $700–$850/month, based on 435 pay data points. It's genuinely useful research. But it measures only one thing: what physicians earn. Not what you pay.
The NP Collaborator difference
Other platforms assign you a physician. We show you the market. NP Collaborator is a true marketplace where licensed physicians submit bids to work with you — you see their profiles, their rates, and their specialties before you choose.
Pricing context
The most commonly cited collaboration cost figures measure physician earnings — not NP total costs. Here's what that difference means for your budget.
Industry benchmarks — including data published by Single Aim Health from 435 physician pay data points — report that collaborating physicians nationally earn an average of $700–$850/month. In high-complexity states (Alabama, Tennessee, Georgia, South Carolina), that physician pay alone can exceed $1,000–$1,272/month. These are physician compensation figures only. They do not include platform or service fees ($99–$499/month extra on many platforms), malpractice insurance, or legal agreement costs. When you add those components, many platforms cost $1,000–$1,600+/month total for NPs in moderately complex states. NP Collaborator's all-inclusive average of $499/month covers everything.
Frequently asked questions
Answers to what NPs actually ask before choosing a platform.
NP Collaborator is the only platform where pricing is published upfront, physicians compete for your collaboration, and malpractice insurance is included — all starting at $424/month. Browse available physicians in your state today.
No upfront fees to browse. All-inclusive pricing from $424/mo. All 50 states.
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