PayerPriceCheck Rates

See what payers reimburse providers for any service.

PayerPrice benchmarks payer contracts using verified rates from every commercial insurer, across all providers and services nationwide.

NJAetnaEmergency MedicineProfessional

Benchmark result

In New Jersey, your Aetna 99284 rate trails the median rate by $44 per claim.

75th percentile$221
New Jersey median rate$186
Your rate$142

Gap: +$44 per claim

Negotiation opportunity

1,200 annual claims at Aetna NJ median rate

+$52,800 / year

Buy and BillAcadiaBold Steps Behavioral HealthApolloMDPsychiatric Alternatives & Wellness CenterEDPMAHealthcare Leaders Association of New Jersey

Used by top contracting teams to win competitive rates in less time

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What is Price Transparency?

In 2021, hospitals and insurers were required to publish their standard charges and negotiated rates.

Now, trillions of prices are available, but are buried in massive, messy files.

95%

Commercial coverage

covering over 170M lives

10,000+

Reported insurance plans

across all 50 states

3.5M+

Healthcare providers

and organizations included

All codes

CPT, HCPCS, MS-DRG

and more…

PayerPrice transforms trillions of messy rates into clean, usable data - so you can negotiate, audit, and acquire with confidence.

PAYERPRICE OVERVIEW

See how fast benchmarking can be

Walk through a real example of how PayerPrice surfaces comparable rates - by code, region, or provider - in seconds.

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Negotiate better contracts with power tools for price transparency

From pulling unfavorable fee schedules to comparing rates across specialists, negotiate your contracts with full visibility of how your contracts compare to the market.

Nationwide Coverage

Access rates from over 10,000 health plans and 5.5M+ providers in the U.S. - for any billing code or service.

Explore the Dataset

Drag-and-drop Analytics

Visualize rates in dot plots, maps, pivots, and more - no SQL code required. Download full fee schedules in seconds.

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Search by Payer, Provider, or Code

Look up any CPT, HCPCS, Revenue Code, or MS-DRG rate by NPI, Tax ID, or region.

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For payer strategy and revenue cycle leaders

See how your rates compare to the market

Get a free sample of your fee schedule - and find out if you're being underpaid.