Healthcare Price Transparency Data, Natively in Your Cloud
Harness petabytes of machine-readable files directly in Snowflake, AWS, or Databricks. No ETL, no delays. Just instant access to the most comprehensive payer data available.
Available on Your Preferred Cloud Platform
The End of Data Wrangling
The scale of price transparency data is immense, often measured in petabytes. Traditional methods of downloading, storing, and processing this data are slow, expensive, and require significant engineering overhead. These challenges create a barrier to entry, preventing timely and effective analysis.
Eliminate ETL
Stop building and maintaining fragile data pipelines. Access data the moment it's published.
Reduce Infrastructure Costs
Leverage the power of your existing cloud data platform without needing massive storage servers.
Unprecedented Scale and Detail
Our platform provides direct, queryable access to a continuously growing dataset from over 500 payers, including UnitedHealthcare, Elevance (Anthem), Aetna, Cigna, and Humana. Analyze billions of negotiated rates, cash prices, and provider details to unlock powerful market insights.
Powering Critical Use Cases
From strategic planning to compliance, direct access to price transparency data can transform how your organization operates.
Market & Competitive Analysis
Benchmark your rates against competitors in any geography. Identify market leaders, uncover pricing strategies, and discover opportunities for growth.
Network Design & Optimization
Evaluate network adequacy and model the financial impact of adding or removing providers. Negotiate better contracts with data-driven insights.
Compliance & Transparency
Ensure your organization is compliant with federal price transparency regulations by leveraging the most accurate and up-to-date data available.
Data Dictionary
This section provides an interactive overview of our standardized data schema. The data is structured to be intuitive and easily joinable, allowing you to quickly perform complex analyses. Click through the tabs to explore the primary tables and their columns.
Contains the negotiated prices for covered items and services between the plan/issuer and in-network providers.
| Column | Data Type | Description |
|---|---|---|
| negotiated_rates | JSON | An array of rates for a given code and provider set. |
| negotiated_type | STRING | The type of rate (e.g., 'negotiated', 'fee schedule'). |
| billing_code_type | STRING | Code type (e.g. 'CPT', 'HCPCS', 'DRG', 'MS-DRG'). |
| billing_code | STRING | The specific service code. |
| provider_references | ARRAY | A list of IDs that map to the Provider References table. |
A list of in-network providers, including identifying information like NPI and TIN.
| Column | Data Type | Description |
|---|---|---|
| provider_group_id | INTEGER | Unique identifier for the provider group. |
| npi_numbers | ARRAY | An array of National Provider Identifiers (NPIs) in the group. |
| tin | JSON | The Tax Identification Number (TIN) details for the provider. |
General information about the health plan associated with the rate sheet.
| Column | Data Type | Description |
|---|---|---|
| plan_name | STRING | The name of the insurance plan. |
| plan_id_type | STRING | The type of plan ID, e.g., 'HIOS'. |
| plan_id | STRING | The plan's unique identifier. |
| plan_market_type | STRING | The market for the plan, e.g., 'group' or 'individual'. |
Ready to unlock healthcare data?
Get started with PayerPrice on your preferred cloud platform and transform your data strategy today.