Finance teams need to know what the market is getting paid.
You can't forecast, renegotiate, or strategize without knowing the market. PayerPrice shows you exactly what payers are reimbursing across regions, specialties, and codes.
No guesswork. Just the data you need for better financial planning.
THE CHALLENGE
Premiums are up 50%, but reimbursement hasn't changed.
If you don't know how your reimbursement compares, you're negotiating blind. Payers count on you not knowing what's fair.
THE SOLUTION
See exactly how your rates compare
Identify what other providers are getting paid—down to the Tax ID or NPI.
Compare your rates to competitors at the 50th, 75th, and 90th percentiles
Identify codes with the largest spread and prioritize what you renegotiate
Segment by line of business, region, or group
Go from "We think this rate is fair" to "We see you're willing to pay this rate." Use clear benchmarks and targeted insights to support every proposal.
Unlimited Reporting
Find any rate—by code, NPI, Tax ID, state, or specialty—in seconds. Skip the portal requests and get straight to the numbers that matter.
Instant Benchmarking
See if you're being underpaid—and by how much. Use percentiles to compare against competitors and justify stronger rates. Surface new insights in minutes.
Compare to Medicare
Make rates easy to compare across payers, providers, and plans. Use Medicare normalization as a baseline to justify increases with clean, consistent logic.
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.
Used by top contracting teams to win competitive rates in less time.
"We can now build pro formas based on attainable market rates. That clarity has helped our business development team pursue new markets confidently, knowing the financials are solid."
"To succeed in healthcare, you need to understand how the system works. Legislation has made more data available. PayerPrice makes this data usable, and has become an invaluable resource to us and our clients."
"PayerPrice has transformed the way my clients approach reimbursement. Having real-time insight into payer behavior has allowed us to identify trends faster, negotiate more effectively, and make smarter revenue decisions."
