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Payer price transparency data

Health Partners

Health Partners is a health insurer. They report 460 insurance plans covering 140K providers across 20K billing codes.

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

Monthly release

460

Plans

140K

Providers (NPIs)

XX% vs prior month

9.5K

Tax IDs

XX% vs prior month

20K

Billing codes

200M

Rate rows

September 2026 release

What's in Health Partners's data

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

Billing code types

Distinct codes and rate rows by code system

CodesRows
  • CPT12K150M75%
  • HCPCS6.4K49M25%
  • MS-DRG760290K0.1%
  • APC350120K<0.1%
  • RC945K<0.1%
  • CSTM-ALL12.7K<0.1%

Billing class

Professional vs. institutional rate rows

  • Professional190M97%
  • Institutional6.1M3.1%

Negotiation arrangement

How each rate is expressed

  • Negotiated200M100%
  • Percentage91K<0.1%
  • Per Diem10K<0.1%

Plan identifiers

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

  • HIOS ID36078%
  • EIN10022%

Providers by type

Distinct NPIs by entity type

  • Individual (Type 1)120K91%
  • Organization (Type 2)12K9.2%

Tax IDs by type

How provider groups are identified

  • EIN7.9K83%
  • NPI (Individual)1.5K16%
  • NPI (Organization)550.6%

Top states

States with the most providers in network

  • Minnesota61K
  • Wisconsin28K
  • Iowa13K
  • North Dakota6.4K
  • South Dakota6.3K
  • Nebraska2.3K

Top specialties

Provider taxonomies with the most NPIs

  • Physician Assistant7.2K
  • Physical Therapist7.1K
  • Family Medicine Physician7K
  • Clinical Social Worker6.7K
  • Family Nurse Practitioner5.8K
  • Nurse Practitioner5.6K

These are the files. Want the rates inside them?

Look up Health Partners'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 2026460140K9.5K20K200M
August 2026460130K8.7K20K200M
July 2026460130K12K20K200M
June 2026————
May 2026————

Data quality scorecard

6/6Good

This payer meets all 6 data quality criteria — their transparency files are comprehensive and well-structured.

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 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

    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

Health Partners'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 Health Partners'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 Health Partners pay for CPT 99213 near me?"

Read the MCP docs
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Frequently asked questions

About Health Partners's price transparency data.

What price transparency data does Health Partners publish?

Health Partners's September 2026 Transparency in Coverage files list 460 plans, 140K providers (NPIs), 9.5K tax IDs and 20K billing codes, for 200M negotiated rate rows in total.

Which states does Health Partners's network cover?

Health Partners's files include providers in 51 states. The states with the most in-network providers are Minnesota, Wisconsin, Iowa, North Dakota, South Dakota.

How often is Health Partners's data updated?

Payers must post updated machine-readable files every month. PayerPrice processes Health Partners'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 Health Partners's negotiated rates?

Start a free PayerPrice trial to search Health Partners'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.