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Payer price transparency data

CDPHP

CDPHP is a health insurer. They report 6 insurance plans covering 16K providers across 13K billing codes.

Source: public Transparency in Coverage filesRefreshed monthly, latest September 202619 monthly releases tracked

Monthly release

6

Plans

XX% vs prior month

16K

Providers (NPIs)

73

Tax IDs

13K

Billing codes

1.3M

Rate rows

September 2026 release

What's in CDPHP's data

A profile of the machine-readable files CDPHP publishes, after PayerPrice parses and normalizes them.

Billing code types

Distinct codes and rate rows by code system

CodesRows
  • CPT9.5K980K77%
  • HCPCS3.2K290K23%
  • CDT70280<0.1%
  • RC96140<0.1%
  • MS-DRG1414<0.1%

Billing class

Professional vs. institutional rate rows

  • Professional1.2M91%
  • Institutional110K8.5%

Negotiation arrangement

How each rate is expressed

  • Fee Schedule1.2M97%
  • Negotiated33K2.6%
  • Percentage3.5K0.3%
  • Per Diem1.4K0.1%

Plan identifiers

HIOS IDs mark individual and small-group plans; EINs mark employer plans

  • EIN6100%

Providers by type

Distinct NPIs by entity type

  • Individual (Type 1)15K96%
  • Organization (Type 2)6504.1%

Tax IDs by type

How provider groups are identified

  • EIN73100%

Top states

States with the most providers in network

  • New York10K
  • Vermont1.2K
  • Massachusetts1.1K
  • Florida380
  • Pennsylvania330
  • California270

Top specialties

Provider taxonomies with the most NPIs

  • Physician Assistant1.5K
  • Family Nurse Practitioner1.3K
  • Internal Medicine Physician1.1K
  • Family Medicine Physician1K
  • Emergency Medicine Physician820
  • Certified Registered Nurse Anesthetist530

These are the files. Want the rates inside them?

Look up CDPHP's negotiated rates by provider, TIN, billing code and plan.

Month-over-month history

Track how network size and rate volume change with each monthly release.

MonthPlansNPIsTax IDsBilling codesRate rows
September 2026616K7313K1.3M
August 2026316K7313K1.3M
July 2026616K7313K1.3M
June 2026————
May 2026————

Data quality scorecard

5/6Good

This payer scores 5/6 on data quality (Good). Areas that don't meet the threshold: hios plan.

Evaluated on the September 2026 release.

  • Professional & Institutional Rates

    Data includes both professional and institutional billing class rates

  • Valid Tax IDs

    More than 80% of Tax IDs are EIN or NPI (Organization) type

  • HIOS Plan

    Data does not include any HIOS-identified plans

  • Low Derived/Percentage Rates

    Less than 10% of negotiation entries are derived or percentage type

  • Standard Code Coverage

    Sufficient CPT and HCPCS code coverage with low proportion of LOCAL entries

  • Common Taxonomies

    NPIs in the dataset cover at least 50 distinct provider taxonomies

How the score works

Each monthly release is checked against six criteria. 5–6 passing criteria rate Good, 3–4 rate Acceptable, and 0–2 rate Poor.

Behavioral, RX, and other specialty networks may not pass all criteria but can still contain complete and usable data.

Access the data

CDPHP's negotiated rates, in the tools your team already uses

PayerPrice turns raw transparency files into one clean, normalized dataset across 180+ payers, refreshed every month. Pick how you want to work with it.

UI

Web app

Search CDPHP's rates by code, provider or market and export the results. No setup required.

Start free trial
API

REST API

Pull negotiated rates, providers and benchmarks into your own products and pipelines.

Explore the API
SQL

Snowflake & Databricks

Query the full normalized dataset with SQL or PySpark, shared directly into your warehouse.

See data sharing
AI

MCP server

Ask Claude, Cursor or your own agents questions like "What does CDPHP pay for CPT 99213 near me?"

Read the MCP docs
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Other79

Frequently asked questions

About CDPHP's price transparency data.

What price transparency data does CDPHP publish?

CDPHP's September 2026 Transparency in Coverage files list 6 plans, 16K providers (NPIs), 73 tax IDs and 13K billing codes, for 1.3M negotiated rate rows in total.

Which states does CDPHP's network cover?

CDPHP's files include providers in 51 states. The states with the most in-network providers are New York, Vermont, Massachusetts, Florida, Pennsylvania.

How often is CDPHP's data updated?

Payers must post updated machine-readable files every month. PayerPrice processes CDPHP's files monthly; the latest processed release is September 2026, and 19 monthly releases are available.

What is the Transparency in Coverage rule?

Since July 2022, the federal Transparency in Coverage rule has required most group health plans and health insurers to publish machine-readable files of their in-network negotiated rates and out-of-network allowed amounts, updated monthly. These files are the source for the data on this page.

How can I access CDPHP's negotiated rates?

Start a free PayerPrice trial to search CDPHP's rates in the web app, or book a demo to get the full dataset through the REST API, SQL in Snowflake or Databricks, or AI assistants through the PayerPrice MCP server.