Start a trial

Billions of negotiated rates. 185+ commercial plans. Instant insights.

In-Network Analysis

PayerPrice has all the in-network contracts between payers and providers, down to the NPI level. Whether you're building a payer directory, creating a new insurance plan in a new geography, or trying to understand which provider is in-network with which payers, PayerPrice can serve those queries with clean insights at a fraction of the cost of messy claims databases.

Practice Acquisition

Whether you have a target in mind, or are searching for opportunities, PayerPrice allows you to quickly surface M&A opportunities by searching and filtering by specialty, geography, and procedure code to find under-monetized practices.

Revenue Cycle Auditing

With PayerPrice as your data partner, it's easy to compare claim payments at the line level against now-published contracted rates between the plan network and rendering provider. We can deliver Machine Readable File (MRF) data for the plans you administer, or you can send us a spreadsheet and we'll do the rest.

What the health is price transparency?

The Price Transparency Rule is a federal law that went into effect July 2022. This law requires all commercial payers to make their prices publicly available via a machine-readable file (MRF). In summary, regulation requires insurance companies to make the costs of healthcare public.

Our data is sourced from the machine-readable files posted by the insurers themselves as a part of compliance with the government’s Price Transparency Rule. While PayerPrice is working towards a future where providers and payers collaborate on our platform to create 100% upfront price certainty, it’s important to note the limitations and errors that are sometimes found in this data.

cms.govHealthcare Price Transparency Rule
aha.orgConsumer Guide To Healthcare Prices
healthcare.govGlossary of Healthcare Terms

Unlock price transparency data