Resource Hub
Free healthcare pricing tools
Explore real price transparency data, look up Medicare reimbursement, translate EDI files, and start payer negotiations with practical tools built for contracting and revenue cycle teams.
Featured tool
Price Transparency Data Explorer
Explore real negotiated rates by state, payer, specialty, and procedure code — then see where the federal price transparency data comes from and how contracting teams use it.
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Choose the job you need to finish
Quick utilities for reimbursement lookup, file translation, and payer outreach.
Tool
Medicare Fee Schedule Lookup
Instantly look up Medicare reimbursement rates by code, locality, and modifier — updated with the latest CMS data.
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Tool
EDI 835/837 to CSV Converter
Instantly convert 835 (remittance) and 837 (claim) EDI files to readable CSV — no special software needed.
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Template
Payer Negotiation Letter Template
Use a ready-to-send letter structure for opening payer negotiations with rate data, context, and a clear commercial ask.
Get the templatePayer Contract Guides
Negotiation guides by payer
Deep-dive pages for each major commercial payer — negotiated CPT rates, plan directories, MRF breakdowns, and a step-by-step negotiation playbook.
Blue Cross Blue Shield
110M members · ~55% of top-4
Federation of 34 independent licensees. Rates vary widely by state and plan — the most complex payer to benchmark.
View guideUnitedHealthcare
45M members · ~23% of top-4
Largest single commercial payer. National MRF with rates split by plan family, state, and employer group.
View guideCigna Healthcare
16M members · ~8% of top-4
Strong in employer-sponsored and Medicare Advantage. OAP network rates are the most negotiated in many markets.
View guideAetna
25M members · ~13% of top-4
Part of CVS Health, with partner networks via First Health and Meritain. Rates differ sharply by network.
View guideThe data behind the tools
See the negotiated rates your payers are paying everyone else
PayerPrice structures commercial payer and hospital machine-readable files into data contracting teams can benchmark, negotiate, and forecast from in minutes.