HEALTHCARE PAYER ANALYTICS SOLUTION
Benchmark your payer contracts with access
to millions of fee schedules and billions of claims.
PayerPrice aggregates insurer machine-readable files to deliver real-time competitive price benchmarks.
We believe in healthcare markets shaped by data, not guesswork.
Today, many healthcare finance decisions are made in the dark.
Providers negotiate contracts without knowing what their peers are getting paid for identical services.
Revenue cycle teams struggle to verify if claims are being paid according to contracted rates.
Payers build networks without understanding the reimbursement landscape.
WHY PAYER CONTRACTING TEAMS LOVE PAYERPRICE:
PayerPrice gives analysts a full view of every provider's fee schedule and claims volume - so you can see exactly how rates compare across markets and geographies.
The most comprehensive
and accurate dataset.
We analyze every payer file, every month—
giving you the full dataset, not just a sample.
Benchmark rates in seconds
using our analytics tools.
Instantly search trillions of verified rates and
compare providers by market and specialty.
Leverage transparency data
to win higher rates.
Our clients secure an average increase of
15% in commercial payer revenue, up to 90%.
Our power tools for price transparency.
A toolbox built for contracting teams — search rates, spot outliers, monitor changes, and benchmark against the market in seconds.
Interactive Visualizations
Quickly spot outliers in provider rates.
Explore in-network rates using built-in bar charts, dot plots, and pivot tables. No setup needed — just slice the data and find answers faster.
Market Benchmarks
Verified contracted rate benchmarks.
Track the average, median, and max rates by code and location. Benchmarks are built from actual allowed amounts — not billed or paid claims. Perfect for IDR QPA.
FindMy Fee Schedule
Pull your fee schedule in seconds.
Skip the back-and-forth with payers. Download negotiated rates for thousands of codes instantly — no Availity logins or manual requests required.
Map Views
See how prices compare by ZIP or county.
Visualize reimbursement rates and provider density across geographies. Understand gaps in network adequacy and pricing coverage.
Rate Monitor
Know when payment provider rates change.
Ever wonder who's winning increases? Set alerts for the codes and providers you care about. Monitor increases, new providers, and shifts in your market.
Claim Volumes
See how other services are actually billed.
Dig into billions of claims to understand utilization trends behind pricing. Talk to our analytics team today for more information on supported use cases.
WHAT CHANGES WHEN YOU HAVE THE RIGHT DATA?
Payer contracting teams tell us the same thing: without visibility, every decision
feels like guesswork. Here's how things shift once you've got the full picture.
"I'm negotiating in the dark."
I know every competitor's fee schedule, to the penny.
"Payers have taken months to send me my own fee schedule!"
I can export my own fee schedule to Excel in minutes.
"I can't tell if my claims are being re-priced correctly."
PayerPrice APIs automatically verify our pre/post-payment amounts.
"FAIR Health benchmarks aren't granular enough."
I can see rates for every NPI and Tax ID, broken down by county and ZIP.
Get clarity on your market. We'll send you a sample so you can see how your rates compare.
Talk to a PayerPrice Data Expert.
We'll help you make sense of the Price Transparency Rule — and show you exactly how to use it to find gaps in the
market, benchmark against competitor rates, and pull your own fee schedules.
On the call, we will:
Walk through how we ingest payer-published files rates legally
Live demo the capabilities of our data platform
Create a sample report using your actual contracts
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What is price transparency?
In July 2022, the federal Price Transparency Rule took effect — requiring all commercial payers to publicly post
their contracted rates in machine-readable files (MRFs). PayerPrice sources its data directly from these insurer-
published MRFs.
Our platform is built on the most comprehensive, regulation-compliant pricing data available today.
While we're working toward a future of 100% upfront price certainty, we also recognize that payer-published data
can have occasional gaps. We continuously audit our pipelines to ensure the highest quality possible.
Healthcare Price Transparency Rule
cms.govConsumer Guide To Healthcare Prices
aha.orgGlossary of Healthcare Terms
healthcare.gov