5 PEOs · updated Oct 27, 2026
Healthcare practice PEO rankings, 2026
Ranked for physician, dental and specialty practices. Established certified PEOs outrank the newer healthcare specialist on verifiable facts.
RankPEOPriceCertificationMinimumTrust Score
5Stitch PEOStitch (Redesign Health-backed)Quote onlyCPEO: Not confirmedESAC: Not confirmedNot publishedE
Compare these PEOs
PEO admin fee, per employee per month
Bars span the low-to-high range; a dot is a single published price. Admin fees only: benefits, workers' comp and state taxes are extra. Click a row to compare.
Published by the PEOThird-party estimateQuote onlyNo public figure
Insperity~$150–$210
ExtensisHR~$40–$200
Engage PEO~$40–$160
TriNet~$80–$150
Stitch PEOQuote only—
$0$50$100$150$200$250
Rippling PEO adds a platform fee (about $35 plus $8 per user). Insperity reports an onboarding fee of about $500–$2,000.
Comparing 3
Trust Score
77 / 100
74 / 100
72 / 100
Price
~$150–$210/employee/mo% of payroll
~$40–$200/employee/moQuote (sold through brokers)
~$40–$160/employee/moQuote
Pricing
Estimate
Estimate
Estimate
Certification
CPEO: YesESAC: Yes
CPEO: YesESAC: Yes
CPEO: YesESAC: Yes
Minimum
5 employees
10 employees
Not published
Best fit
20–200 employees
10–250 employees
5–200 employees
Contract
Annual
Annual
Annual
Coverage
National, 90+ offices
New Jersey-based, expanding in TX and CA
All 50 states
Industries
Professional services, Healthcare practices, Tech and startups
Healthcare practices, Professional services
Healthcare practices, Professional services
Strengths
Dedicated HR specialists · Deep training content · HRScale (Workday) for the mid-market
93% client renewal rate (company-reported) · Long CPEO and ESAC history
HR consultants are licensed employment attorneys · CPEO and ESAC
Watch out for
Premium price · Price increase reported in January 2026
Pricing hard to see without a broker
Smaller footprint than the national PEOs
Details
Questions buyers ask
Why does Stitch PEO rank lower?
It is a newer company that hasn't published pricing or certification status. Its score will change as that information becomes verifiable.