What is a typical revenue share for a telehealth platform?

It varies widely by platform and by what the share covers, and many offers pair a percentage of revenue with a markup on medication. Treat the two as one number by adding the medication margin to the share, both as a percentage of what patients pay. Get both in writing, along with exactly which revenue the percentage applies to.

Is a revenue share legal?

Between a brand and a software or services vendor, a revenue share is a business term. Inside a telehealth company's legal structure, percentage-based fees paid by the medical practice can raise fee-splitting problems in stricter states, which is why management fees are usually set as flat, fair-market-value amounts. Have health-care counsel review any fee calculated as a percentage of patient revenue.

What does Tessic Health charge?

A flat monthly platform fee of $1,000 on Launch, $2,000 on Grow, or $4,000 on Scale, after a one-time setup fee of $8,000, $15,000, or $25,000. Every plan adds $25 per completed consult, bills medication at wholesale with 0% markup, and takes no revenue share. Billing is month to month after setup. Full details are on the pricing page.

Can I finance the setup fee?

Yes. Tessic Health offers financing on the one-time setup fee for every program, so the cost can be spread across the first months of operation instead of paid up front. That removes the main reason founders accept a revenue share: avoiding a large cost before the first patient.

At what size does a flat fee pay off?

On the assumptions in this guide ($199 a month per patient, a 10% share, 0.4 consults per patient a month, and the $1,000 Launch fee), a flat fee costs about the same as the share at 100 active patients and less at every size after that. Counting the $8,000 setup fee in year one, the break-even point is about 170 patients.

Do consult fees grow like a revenue share?

They grow more slowly. A per-consult fee is charged only when a provider completes a visit, and stable subscription patients do not need a visit every month. In this guide's example, 1,000 patients generate about 400 consults a month. A revenue share grows with every dollar billed, including refills, price increases, and add-ons that involve no visit at all.

Should I pay my telehealth platform a flat fee or a revenue share?

For most brands that plan to grow, a flat fee costs less than a revenue share. A revenue share is a percentage of everything the clinic bills, paid to the platform, so the platform's take rises with every new patient while its own costs barely move. A flat fee stays the same as revenue grows. Revenue share can look cheaper at launch, when volume is small, but it crosses over early. At $199 a month per patient, a 10% share and a flat fee with $25 consults cost about the same at 100 active patients. At 1,000 patients, the 10% share comes to $238,800 a year, while the same clinic on Tessic Health's Launch program pays $12,000 in platform fees plus about $120,000 in consult fees. Percentage fees paid by a medical practice can also raise fee-splitting problems in some states. On Tessic Health, there is no revenue share on any plan: a flat monthly fee from $1,000, a one-time setup fee, $25 per completed consult, and medication at 0% markup.

Reviewed September 11, 2026 · 7 min read

In short

A revenue share grows with every patient; a flat fee does not.
At a 10% share, a flat fee plus $25 consults costs less from about 100 active patients.
At 1,000 patients, the share costs $238,800 a year against about $132,000 on Tessic Launch.
Percentage fees paid by a medical practice can raise fee-splitting problems in some states.
Tessic Health takes no revenue share on any plan.

On this page

How each fee model works
The crossover, worked out
Why a revenue share looks attractive
When a revenue share can make sense
The legal side of percentage fees
The two models side by side
Questions to ask about any fee model
The bottom line
Common questions

How each fee model works

A revenue share is a percentage of the clinic's revenue paid to the platform every month. If patients pay the brand $100,000 in a month and the share is 10 percent, the platform takes $10,000. The platform's take rises with every new patient, every price increase, and every upsell, whether or not its own work for the brand grew.

A flat fee is a fixed monthly amount for the platform, sometimes paired with a flat charge per unit of work, such as a fee per completed consult. The brand's cost grows only with the work actually done, and the fixed part stays the same whether the clinic bills $20,000 a month or $2 million.

Many platforms mix models and add a medication markup (a margin on each prescription fill) on top of a revenue share. When comparing offers, add every percentage together. The pharmacy side is covered in what 0% pharmacy markup means.

Start here

Do I need a medical license to start a telehealth company?

No. Licensed clinicians own the medical practice and the founder's company owns the business. Here is exactly who needs which license, and how the two companies fit together.

Read the guide

The crossover, worked out

A clinic charging $199 a month per patient, at four sizes. The revenue share column is 10 percent of revenue. The Tessic Health column is the Launch program's $1,000 monthly fee plus $25 for each completed consult.

Active patients	Monthly revenue at $199	10% revenue share, per year	On Tessic Health
100	$19,900	$23,880	$24,000 a year
500	$99,500	$119,400	$72,000 a year
1,000	$199,000	$238,800	$132,000 a year
5,000	$995,000	$1,194,000	$612,000 a year

Assumes 0.4 completed consults per patient per month (initial visits plus periodic follow-ups), as in Why zero markup matters, and the Launch fee of $12,000 a year. The one-time $8,000 setup fee is left out; counting it in year one moves the break-even point from about 100 to about 170 patients. Medication is excluded from both columns. The revenue share column counts only the share, and revenue-share platforms often charge consult fees and a medication markup on top.

The legal side of percentage fees

In a compliant telehealth company, the brand's business (the management services organization, or MSO) is paid by the medical practice (a professional corporation owned by a licensed physician, often called the friendly PC) for management services. Several strict states treat a management fee set as a percentage of the practice's revenue as fee splitting, which their laws restrict. A flat fee set at fair market value is the safer pattern. Do I need a medical license? explains how the two companies fit together, and The MSO and the friendly PC, in plain English covers the fee question in more depth.

A platform's revenue share usually sits in a different contract from the MSO's management fee, but the two questions travel together. Whenever a percentage of patient revenue flows to a party outside the medical practice, health-care counsel should confirm how it fits each state's rules.

The two models side by side

Question	Revenue share	Flat fee	On Tessic Health
What the platform takes	A percentage of everything the clinic bills	A fixed monthly amount, sometimes plus per-visit fees	$1,000, $2,000, or $4,000 a month, plus $25 per completed consult
Cost at launch	Low	Higher	A one-time setup fee from $8,000, with financing available
Cost as the clinic grows	Rises with every dollar of revenue	Rises only with the work done	The platform fee stays flat; consult fees track visits
Medication	Often combined with a markup	Varies by platform	Billed at wholesale, 0% markup
Contract term	Varies by platform	Varies by platform	Month to month after setup; cancel any time

Questions to ask about any fee model

Get every answer in writing. The six questions on the compare page cover the rest.

What percentage of revenue, if any, does the platform take, and on which revenue: program fees, medication, add-ons, or all of it?
Is there a markup on medication, and can we see the pharmacy invoice for a real fill?
What are the per-consult, per-order, and monthly minimum fees?
What do our total platform costs look like at ten times our current patient count?
What is the contract term, and what does it cost to leave? See what happens if you leave your platform.

The bottom line

If the plan is to grow, price the platform at the size the brand intends to reach. A flat fee lets a brand model its margin at 10,000 patients before it has 100, and a revenue share takes a bigger slice of that margin at every step. Tessic Health's full terms are on the pricing page, what it costs to start totals year one, and build vs buy covers the choice to run it all yourself.

COMMON QUESTIONS

What founders ask next.

What is a typical revenue share for a telehealth platform?: It varies widely by platform and by what the share covers, and many offers pair a percentage of revenue with a markup on medication. Treat the two as one number by adding the medication margin to the share, both as a percentage of what patients pay. Get both in writing, along with exactly which revenue the percentage applies to.
Is a revenue share legal?: Between a brand and a software or services vendor, a revenue share is a business term. Inside a telehealth company's legal structure, percentage-based fees paid by the medical practice can raise fee-splitting problems in stricter states, which is why management fees are usually set as flat, fair-market-value amounts. Have health-care counsel review any fee calculated as a percentage of patient revenue.
What does Tessic Health charge?: A flat monthly platform fee of $1,000 on Launch, $2,000 on Grow, or $4,000 on Scale, after a one-time setup fee of $8,000, $15,000, or $25,000. Every plan adds $25 per completed consult, bills medication at wholesale with 0% markup, and takes no revenue share. Billing is month to month after setup. Full details are on the pricing page.
Can I finance the setup fee?: Yes. Tessic Health offers financing on the one-time setup fee for every program, so the cost can be spread across the first months of operation instead of paid up front. That removes the main reason founders accept a revenue share: avoiding a large cost before the first patient.
At what size does a flat fee pay off?: On the assumptions in this guide ($199 a month per patient, a 10% share, 0.4 consults per patient a month, and the $1,000 Launch fee), a flat fee costs about the same as the share at 100 active patients and less at every size after that. Counting the $8,000 setup fee in year one, the break-even point is about 170 patients.
Do consult fees grow like a revenue share?: They grow more slowly. A per-consult fee is charged only when a provider completes a visit, and stable subscription patients do not need a visit every month. In this guide's example, 1,000 patients generate about 400 consults a month. A revenue share grows with every dollar billed, including refills, price increases, and add-ons that involve no visit at all.

KEEP READING

The next questions on the list.

All guides

Reviewed September 11, 2026. Tessic Health guides are general information for founders, not legal advice. Laws, agency guidance, and ad platform policies change; confirm the specifics for your business with health-care counsel. Tessic Health claims restate what tessichealth.com publishes on its pricing, platform, and security pages.