Kareo Hidden Costs 2026
What they don't show you on the pricing page
Kareo pricing varies by team size and features, ranging from $150 to $799 per per provider/month in 2026. Your actual cost depends on the tier you choose, contract length, and negotiated discounts.
Use the interactive pricing calculator to estimate your exact cost based on team size and requirements.
- Free tier: No free tier available
- Billing: Monthly and annual (save 15-20%)
- Hidden costs: Add ~35% for implementation, support, and training
Example: True Cost for 25 Users
| License (25 × $349 × 12) | $104,700/yr |
| Implementation (one-time) | +$15,000–$50,000 |
| Premium Support (20%) | +$20,940/yr |
| Training (25 × $500) | +$12,500 |
| Admin (part-time) | +$15,000–$25,000/yr |
| Year 1 Total | $182,050–$227,520 |
Frequently Asked Questions
01 What hidden costs should I budget for with Kareo?
Beyond the license fee, budget for implementation ($5K-$100K+), training ($500-$2K per user), premium support (15-20% of license), and admin costs. Most companies see 40-60% higher total cost than the listed price.
02 Does Kareo charge for implementation?
Kareo doesn't include implementation in the license cost. Implementation is typically done by partners and costs range from $5,000 for basic setup to $100,000+ for enterprise deployments with customization.
03 How much does Kareo support cost?
Basic support is included, but premium support (faster response times, 24/7 availability) typically adds 15-20% to your annual contract. This can be thousands of dollars per year for larger deployments.
04 Are there storage costs with Kareo?
Most Kareo plans include limited storage. Once you exceed the included amount, you'll pay overage fees which can range from $50-$500+ per month depending on data volume.
05 What add-ons cost extra with Kareo?
Many features marketed as part of Kareo are actually add-ons: advanced reporting, API access, integrations, and specialized modules. Each can add $10-$100+ per user per month.
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