PayerPrice turns complex payer data into negotiation-ready insights
Built for teams in contracting, finance, and revenue integrity who need fast, accurate market data to close better deals and catch underpayments.
PAYERPRICE OVERVIEW
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Power tools that turn transparency data into leverage.
Whether you're in payer contracting, finance, or business development, PayerPrice gives you the precision, speed, and clarity to secure better deals, spot underpaid contracts, and act faster on strategy.
Trillions of available rates
Access the industry's largest database of negotiated payer rates – covering every market, payer, and provider nationwide.
Compare rates by region
Break down reimbursement by code, geography, payer, and specialty to identify negotiation opportunities.
Download fee schedules
Get complete payer fee schedules in minutes, no payer portals required. Search by NPI, Tax ID, or specialty.
Spot market outliers
Use built-in charts and tables to flag unusually high or low contract rates—no complex modeling required.
Compare to Medicare
Convert negotiated rates to Medicare benchmarks and see how your contracts stack up as a percentage of Medicare.
Visualize rate trends
See rates across the market using dot plots, maps, and histograms for fast pattern recognition.
Track rates over time
Get alerted when a negotiated rate changes in the market to time outreach more effectively.
Connect via API
Automate claim validation and revenue integrity workflows with structured rate data delivered straight to your tools.
Integrated claims data
See how services are actually billed with volume and utilization data. Model the impact of renegotiation on revenue.
Payer Contracting & Benchmarking
Compare reimbursement rates across payers, providers, and markets to negotiate stronger reimbursement, faster.
New Market Expansion & Business Development
Understand reimbursement before entering a new market. Use payer data to support expansion, de novo builds, and diligence.
RCM, Payment Integrity, & Contract Compliance
Pull up-to-date fee schedules in seconds. Automate payment integrity and contract management at scale.
Why top contracting teams choose PayerPrice
"We've built our entire payer strategy on PayerPrice"
"Our top-line rates increased 15%"
"I know my clients' competitors' prices to the penny."
Is it legal to share payer rates?
Yes. Insurers and hospitals are required by law to publish their negotiated rates. PayerPrice simply downloads and structures these files so contracting teams can use them effectively.
How accurate is the data?
Our data comes directly from insurers' own files. While reporting isn’t perfect, over 98% of rate audits have matched to the penny.
Does it include Medicaid and Medicare?
No. The Transparency in Coverage rule only applies to commercial health plans and hospitals—it excludes Medicaid and Medicare.
Get the data you need for better contracts
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