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MVP Health Care
MVP Health Care is a health insurer. They report 660 insurance plans covering 90K providers across 31K billing codes.
Source: public Transparency in Coverage filesRefreshed monthly, latest September 202617 monthly releases tracked
Monthly release
660
Plans
XX% vs prior month
90K
Providers (NPIs)
XX% vs prior month
31K
Tax IDs
XX% vs prior month
31K
Billing codes
XX% vs prior month
110M
Rate rows
XX% vs prior month
September 2026 release
What's in MVP Health Care's data
A profile of the machine-readable files MVP Health Care publishes, after PayerPrice parses and normalizes them.
Billing code types
Distinct codes and rate rows by code system
CodesRows
- CPT15K93M88%
- HCPCS9.3K13M12%
- CDT910420K0.4%
- ICD5.2K20K<0.1%
- RC41015K<0.1%
- MS-DRG1401.4K<0.1%
- TOB236<0.1%
- CSTM-ALL133<0.1%
Billing class
Professional vs. institutional rate rows
- Professional100M98%
- Institutional2.6M2.4%
Negotiation arrangement
How each rate is expressed
- Fee Schedule80M76%
- Negotiated23M22%
- Percentage2.6M2.5%
- Per Diem180K0.2%
Plan identifiers
HIOS IDs mark individual and small-group plans; EINs mark employer plans
- HIOS ID32048%
- EIN34052%
Providers by type
Distinct NPIs by entity type
- Individual (Type 1)88K98%
- Organization (Type 2)1.9K2.2%
Tax IDs by type
How provider groups are identified
- EIN17K55%
- NPI (Individual)14K45%
- NPI (Organization)8<0.1%
Top states
States with the most providers in network
- New York71K
- New Jersey7.4K
- Pennsylvania2.2K
- Connecticut1.4K
- Florida1.2K
- California890
Top specialties
Provider taxonomies with the most NPIs
- Physician Assistant6.1K
- Internal Medicine Physician5.8K
- Family Nurse Practitioner4.1K
- Clinical Social Worker3.8K
- Family Medicine Physician3K
- Pediatrics Physician2.9K
These are the files. Want the rates inside them?
Look up MVP Health Care'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 |
|---|---|---|---|---|---|
| September 2026 | 660 | 90K | 31K | 31K | 110M |
| August 2026 | 380 | 5.4K | 3.2K | 21K | 99M |
| July 2026 | 660 | 90K | 31K | 31K | 110M |
| 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: valid tax ids.
Evaluated on the September 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
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
MVP Health Care'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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MCP server
Ask Claude, Cursor or your own agents questions like "What does MVP Health Care pay for CPT 99213 near me?"
Read the MCP docsBrowse all payers
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Cigna Healthcare1
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Frequently asked questions
About MVP Health Care's price transparency data.
What price transparency data does MVP Health Care publish?
MVP Health Care's September 2026 Transparency in Coverage files list 660 plans, 90K providers (NPIs), 31K tax IDs and 31K billing codes, for 110M negotiated rate rows in total.
Which states does MVP Health Care's network cover?
MVP Health Care's files include providers in 51 states. The states with the most in-network providers are New York, New Jersey, Pennsylvania, Connecticut, Florida.
How often is MVP Health Care's data updated?
Payers must post updated machine-readable files every month. PayerPrice processes MVP Health Care's files monthly; the latest processed release is September 2026, and 17 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 MVP Health Care's negotiated rates?
Start a free PayerPrice trial to search MVP Health Care'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.