Change Healthcare (Optum) vs Tebra
Side-by-side from the Top 11 rankings of The 11 Best Revenue Cycle Management Software (2026) and The 11 Best Medical Billing Software (2026). Last verified July 12, 2026.
The short answer
Tebra ranks higher on Top 11 (#2 vs #6) for Practice administrators, CFOs, and billing leaders at hospitals, physician groups, and specialty practices / Medical practices managing billing and revenue cycle. Best all-in-one solution for small, independent medical practices.
At a glance
| Change Healthcare (Optum) | Tebra | |
|---|---|---|
| Top 11 rank | #6 / The 11 Best Revenue Cycle Management Software (2026) | #2 / The 11 Best Medical Billing Software (2026) |
| Score (out of 9.4) | 8.2 | 9 |
| Best for | Very large clearinghouse and payer reach | Small independent practices |
| Pricing | $$$ (custom, per-transaction) | $$$ ($300 to $700/mo/provider) |
| HQ | Nashville, USA | Newport Beach, CA, USA |
| Founded | 2007 | 2021 |
Change Healthcare (Optum)
One of the largest US clearinghouses, with a 2024 outage on its record.
www.optum.com/en/business/insights/change-healthcare.htmlSee full entry in The 11 Best Revenue Cycle Management Software (2026)
Tebra
Best all-in-one solution for small, independent medical practices.
www.tebra.comSee full entry in The 11 Best Medical Billing Software (2026)
Methodology and scoring weights live at /methodology. No vendor pays for placement — see about.