Part of our guide to Revenue Leakage
How to Price Veterinary Services Without Underpricing Your Expertise
Most independent practices set fees once, informally, and then adjust them reactively — a small annual bump to keep pace with inflation, rather than a deliberate pricing review grounded in cost and market data. The result, across the industry, tends to be systematic underpricing relative to the actual value and cost of care delivered.
Two starting frameworks
Cost-plus pricing starts from the actual cost to deliver a service — direct cost of drugs/supplies, allocated staff time, a share of fixed overhead — plus a target margin. Market-based pricingstarts from what comparable practices in the area charge and positions relative to that. Neither alone is sufficient: cost-plus without a market check can price a practice out of its area, and market-based without a cost check can leave a practice charging competitively for a service that's actually losing money once true cost is accounted for.
Why underpricing is the more common failure mode
Raising fees feels uncomfortable in a way that leaving them flat doesn't, which creates a systematic bias toward under-adjusting even as costs rise — drug costs, wages, and rent have all climbed steadily, and a fee schedule that hasn't kept pace is a slow, invisible margin leak that compounds every year it goes unaddressed. This connects directly to the margin compression many practices experience gradually without a single identifiable cause.
A practical review cadence
An annual, deliberate fee review — not a reactive one triggered by a specific cost spike — checked against both updated cost data and a current market scan of two or three comparable local practices, keeps pricing from drifting silently out of line with either input. Smaller, regular adjustments are also easier for clients to absorb than an infrequent large correction.
Pricing isn't just the fee schedule
A correctly-priced fee schedule still leaks revenue if services performed aren't consistently billed. Pricing strategy and charge-capture discipline are two separate problems that both need attention — fixing one without the other leaves real money on the table.
Seeing the impact of a pricing change
After any fee adjustment, tracking average transaction value and visit volume together weekly — not waiting for the next monthly P&L — shows quickly whether the change is landing as intended. VetPulse tracks both automatically in the weekly briefing.