Software Comparison

Doctor Commission and Revenue-Share Models in Clinic Software, Explained (2026)

Anexshe Revedha·Cofounder & COO, CuraVerto·2 July 2026·8 min read
The 60-second version

Commission or flat fee? See what each costs.

Cheap at 100 appointments, different at 1,000.
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  • Cheap at low volumeEach commission model looks cheap at low volume and expensive at scale.
  • A flat fee has no slopeThe software bill is identical in a record month and a quiet one.
  • New versus repeat patientsA commission on a first visit can be fair. On repeat visits it is a silent tax.
  • Two meanings of commissionPlatform fees and what you owe your own doctors are different things.

Ask what exactly is commissioned, and price it at your real volume.

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₹24,999 a yearCuraVerto Pro tier, flat, unlimited doctors.
No commissionon consultations, and no per-doctor fee.
Want the detail? Read the full guide (8 min) ↓

Doctor commission and revenue-share models in clinic software mean the platform earns a percentage or a per-appointment fee from the clinic's consultations, instead of a fixed licence price. The main variants are booking-marketplace commissions, per-appointment fees, and revenue share on collections. Each looks cheap at low volume and expensive at scale.

What are the commission models in clinic software?

Three usage-linked models, and one flat licence fee as the reference point.

  1. STEP 1
    Marketplace commission
    A patient books through a marketplace app and the platform charges a commission. Check what happens on the second visit.
  2. STEP 2
    Per-appointment fee
    A fixed rupee amount per appointment. Predictable, but it still scales linearly with volume.
  3. STEP 3
    Revenue share
    A percentage of billed or collected revenue. It taxes fee increases as well as volume increases.
  4. STEP 4
    Flat licence fee
    A fixed price, independent of volume and doctor count. CuraVerto charges ₹9,999 to ₹49,999 per year, excluding GST.

What does each model cost at 1,000 appointments a month?

At 1,000 appointments a month and a ₹500 average fee, collections are ₹5,00,000 a month.

ModelIllustrative rateMonthly costAnnual cost
Marketplace commission on sourced bookings10% of fee on 300 marketplace bookings₹15,000₹1,80,000
Per-appointment fee₹20 per appointment, all 1,000₹20,000₹2,40,000
Revenue share on collections5% of ₹5,00,000 collected₹25,000₹3,00,000
Flat annual fee (CuraVerto Pro tier)₹24,999 per year, unlimited doctorsAbout ₹2,083₹24,999
Illustrative rates
The commission rates in the table are illustrative round numbers chosen to show the mechanics, not any specific vendor's current rate card.

At this volume, every usage-linked model costs a multiple of a flat licence, and the gap widens as the clinic grows. CuraVerto's Pro tier at ₹24,999 per year works out to roughly ₹2 per appointment. A revenue share also taxes your pricing decisions: if the clinic raises its consultation fee, the platform's take rises automatically.

When is a marketplace commission worth paying?

Sometimes: when the platform brings genuinely new patients the clinic would not have reached otherwise.

Worth paying
  • A commission on a first visit from a patient who would never have found the clinic otherwise is a marketing cost, and often a reasonable one
  • Judge it as any marketing spend: cost per genuinely new patient
Stops earning its keep
  • It starts charging for patients the clinic already has
  • A patient who rebooks through the app out of convenience is not an acquisition
  • The share of commissioned bookings that are repeats tends to grow every year on the platform

A practical middle path: use a marketplace deliberately for discovery, and move booking for existing patients onto a channel the clinic owns. CuraVerto's WhatsApp booking bot exists for this, with utility template messages metered at ₹0.15 per message.

Where does Practo Ray fit in this landscape?

Practo Ray's fee is a standard payment-processing charge, not a percentage of consultation revenue the way a marketplace commission works.

  • 1.8–2%
    Ray Payment Solution (RPS) fee on payments collected through it
  • ₹999 to ₹1,999
    published plans, per month

Clinics evaluating it should confirm the current payment-processing rate and any other charges directly with the vendor before signing.

The other commission problem: paying your own doctors

Doctor commission also means what a clinic owes its own associate and visiting doctors. The two are opposite sides of the same word.

Commission you owe your doctors
  • An internal payout problem, not a platform fee
  • A percentage or a fixed amount per visit for each doctor
  • CuraVerto includes a doctor commission engine that automates these payouts
Commission a platform charges you
  • A percentage or per-appointment fee on your patients
  • You may or may not want a platform that charges it

How to evaluate a commission-based platform: 4 questions

Four questions, asked of any platform, surface the true cost fastest.

  1. STEP 1
    What is commissioned?
    Only marketplace-sourced first visits, or every booking that flows through the system?
  2. STEP 2
    Repeat visits?
    Are repeat visits from my existing patients charged the same as new-patient bookings?
  3. STEP 3
    All-in annual cost?
    At my real volume, at both current and next year's appointment numbers.
  4. STEP 4
    Can I leave freely?
    Can I export my patient list and booking history freely if I leave?

For clinics that conclude a flat fee suits them better: CuraVerto charges a flat annual fee per tier, excluding GST, with no commission on consultations and no per-doctor fee.

Related reading

Frequently asked questions

What is a revenue share model in clinic software?
A revenue share model means the software or platform takes a percentage of the clinic's consultation collections instead of, or in addition to, a fixed licence fee. The entry cost looks low, but the charge scales directly with the clinic's own revenue: the more patients the clinic sees, the more it pays. Related variants include per-appointment booking fees and commissions on marketplace-sourced patients.
How much does a commission model cost a clinic at scale?
At 1,000 appointments a month with an average consultation fee of ₹500, monthly collections are ₹5,00,000. An illustrative 5 percent revenue share costs ₹25,000 a month, or ₹3,00,000 a year. An illustrative ₹20 per-appointment fee costs ₹20,000 a month, or ₹2,40,000 a year. CuraVerto's flat annual licence at ₹24,999 costs the same clinic roughly ₹2 per appointment over the year.
Does CuraVerto take a commission on consultations?
No. CuraVerto charges a flat annual fee per clinic tier, excluding GST, and takes no commission on consultations and no per-doctor fee. CuraVerto's Essential tier is ₹9,999 per year, Pro is ₹24,999 per year with unlimited doctors, and Plus is ₹49,999 per year with 3 branches included. The clinic's software cost stays the same whether it books 200 appointments a month or 2,000.
When is paying a marketplace commission actually worth it?
When the platform delivers genuinely new patients the clinic would not have reached otherwise. A commission on a first visit from a new patient is a customer-acquisition cost, and it can be a fair one. The model stops making sense when repeat visits from the clinic's own established patients are routed through the platform and charged the same commission, because the clinic is then paying to be introduced to people it already knows.
Does Practo Ray take a revenue share?
Practo Ray charges a 1.8–2% Ray Payment Solution fee on payments processed through it, a standard payment-processing charge, not a percentage of consultation revenue. Its published plans run ₹999–₹1,999/month. Clinics should confirm current commercial terms directly with the vendor before signing.

Frequently asked questions

See the flat-fee model side by side with Practo

CuraVerto charges a flat annual fee with no commission on consultations and no per-doctor fee. Compare the two models line by line, including what happens to your cost as appointment volume grows.

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