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Health New England
Health New England is a health insurer. They report 150 insurance plans covering 17K providers across 7.4K billing codes.
Source: public Transparency in Coverage filesRefreshed monthly, latest August 202616 monthly releases tracked
Monthly release
150
Plans
XX% vs prior month
17K
Providers (NPIs)
XX% vs prior month
17K
Tax IDs
XX% vs prior month
7.4K
Billing codes
XX% vs prior month
110K
Rate rows
XX% vs prior month
August 2026 release
What's in Health New England's data
A profile of the machine-readable files Health New England publishes, after PayerPrice parses and normalizes them.
Billing code types
Distinct codes and rate rows by code system
CodesRows
- CPT4.8K100K90%
- HCPCS2.5K11K10%
- CDT3673<0.1%
Billing class
Professional vs. institutional rate rows
- Professional67K59%
- Institutional46K41%
Negotiation arrangement
How each rate is expressed
- Negotiated88K78%
- Fee Schedule25K22%
Plan identifiers
HIOS IDs mark individual and small-group plans; EINs mark employer plans
- HIOS ID14089%
- EIN1611%
Providers by type
Distinct NPIs by entity type
- Individual (Type 1)17K96%
- Organization (Type 2)6203.6%
Tax IDs by type
How provider groups are identified
- NPI (Individual)16K91%
- EIN1K5.9%
- NPI (Organization)5603.3%
Top states
States with the most providers in network
- Massachusetts9.2K
- Connecticut5.9K
- New York410
- Vermont220
- California170
- New Hampshire170
Top specialties
Provider taxonomies with the most NPIs
- Family Nurse Practitioner940
- Internal Medicine Physician910
- Physician Assistant870
- Clinical Social Worker800
- Diagnostic Radiology Physician790
- Chiropractor760
These are the files. Want the rates inside them?
Look up Health New England'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.
| Month | Plans | NPIs | Tax IDs | Billing codes | Rate rows |
|---|---|---|---|---|---|
| August 2026 | 150 | 17K | 17K | 7.4K | 110K |
| July 2026 | 230 | 17K | 17K | 7.4K | 120K |
| May 2026 | 150 | 16K | 16K | 7.4K | 110K |
| April 2026 | — | — | — | — | |
| March 2026 | — | — | — | — |
Data quality scorecard
4/6Acceptable
This payer scores 4/6 on data quality (Acceptable). Areas that don't meet the threshold: valid tax ids and standard code coverage.
Evaluated on the August 2026 release.
Professional & Institutional Rates
Data includes both professional and institutional billing class rates
Valid Tax IDs
Less than 80% of Tax IDs are EIN or NPI (Organization) type
HIOS Plan
Data includes at least one HIOS-identified plan
Low Derived/Percentage Rates
Less than 10% of negotiation entries are derived or percentage type
Standard Code Coverage
Insufficient CPT / HCPCS code coverage, or too many 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
Health New England'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.
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Pull negotiated rates, providers and benchmarks into your own products and pipelines.
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Query the full normalized dataset with SQL or PySpark, shared directly into your warehouse.
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Ask Claude, Cursor or your own agents questions like "What does Health New England pay for CPT 99213 near me?"
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Frequently asked questions
About Health New England's price transparency data.
What price transparency data does Health New England publish?
Health New England's August 2026 Transparency in Coverage files list 150 plans, 17K providers (NPIs), 17K tax IDs and 7.4K billing codes, for 110K negotiated rate rows in total.
Which states does Health New England's network cover?
Health New England's files include providers in 51 states. The states with the most in-network providers are Massachusetts, Connecticut, New York, Vermont, California.
How often is Health New England's data updated?
Payers must post updated machine-readable files every month. PayerPrice processes Health New England's files monthly; the latest processed release is August 2026, and 16 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 Health New England's negotiated rates?
Start a free PayerPrice trial to search Health New England'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.