PayerPrice
Data Platform
Who We Serve
Use Cases
More
Check Local Rates

Payer price transparency data

Quartz

Quartz is a health insurer. They report 6.1K insurance plans covering 2M providers across 180K billing codes.

Source: public Transparency in Coverage filesRefreshed monthly, latest July 202616 monthly releases tracked

Monthly release

6.1K

Plans

XX% vs prior month

2M

Providers (NPIs)

XX% vs prior month

540K

Tax IDs

180K

Billing codes

XX% vs prior month

1.5B

Rate rows

XX% vs prior month

July 2026 release

What's in Quartz's data

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

Billing code types

Distinct codes and rate rows by code system

CodesRows
  • CPT17K830M54%
  • HCPCS12K340M22%
  • LOCAL99K330M21%
  • CDT96029M1.9%
  • NDC32K3M0.2%
  • MS-DRG8001.2M<0.1%
  • RC810920K<0.1%
  • APC680130K<0.1%
  • CSTM-ALL189K<0.1%
  • ICD18K50K<0.1%
  • APR-DRG3406.1K<0.1%

Billing class

Professional vs. institutional rate rows

  • Institutional690M45%
  • Both450M29%
  • Professional400M26%

Negotiation arrangement

How each rate is expressed

  • Derived650M42%
  • Percentage420M27%
  • Fee Schedule380M25%
  • Negotiated86M5.6%
  • Per Diem12M0.8%

Plan identifiers

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

  • HIOS ID1101.8%
  • EIN6K98%

Providers by type

Distinct NPIs by entity type

  • Individual (Type 1)1.8M91%
  • Organization (Type 2)180K9.0%

Tax IDs by type

How provider groups are identified

  • EIN400K73%
  • NPI (Individual)150K27%
  • NPI (Organization)8800.2%

Top states

States with the most providers in network

  • California160K
  • Texas150K
  • Florida130K
  • New York130K
  • Pennsylvania99K
  • Illinois82K

Top specialties

Provider taxonomies with the most NPIs

  • Family Nurse Practitioner130K
  • Physician Assistant100K
  • Family Medicine Physician100K
  • Internal Medicine Physician95K
  • Clinical Social Worker86K
  • Certified Registered Nurse Anesthetist58K

These are the files. Want the rates inside them?

Look up Quartz'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
July 20266.1K2M540K180K1.5B
June 20263.6K1.9M550K180K1.7B
May 2026————
April 2026————
March 2026————

Data quality scorecard

3/6Acceptable

This payer scores 3/6 on data quality (Acceptable). 3 criteria did not meet the threshold.

Evaluated on the July 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

    10% or more 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

Quartz'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 Quartz'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 Quartz pay for CPT 99213 near me?"

Read the MCP docs
Aetna Group4
Blue Cross Blue Shield (BCBS)47
Centene Group7
Cigna Healthcare1
Dean Health Plan Group2
United Healthcare1
Other79

Frequently asked questions

About Quartz's price transparency data.

What price transparency data does Quartz publish?

Quartz's July 2026 Transparency in Coverage files list 6.1K plans, 2M providers (NPIs), 540K tax IDs and 180K billing codes, for 1.5B negotiated rate rows in total.

Which states does Quartz's network cover?

Quartz's files include providers in 51 states. The states with the most in-network providers are California, Texas, Florida, New York, Pennsylvania.

How often is Quartz's data updated?

Payers must post updated machine-readable files every month. PayerPrice processes Quartz's files monthly; the latest processed release is July 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 Quartz's negotiated rates?

Start a free PayerPrice trial to search Quartz'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.