Payerprice
Transparent Healthcare Pricing
Subscription210 impressions#1271 of its week
PayerPrice provides searchable, benchmarked reimbursement rates from commercial insurers for healthcare providers.
- for
- Revenue cycle, contracting and business development teams in healthcare organizations.
- pricing
- contact sales
Key features
- Nationwide coverage — Access rates from over 10,000 health plans and 5.5M+ providers for any CPT, HCPCS, or DRG code.
- Drag-and-drop analytics — Create visual rate comparisons with dot plots, maps and pivots without writing SQL.
- Code and provider search — Lookup rates by payer, NPI, Tax ID, specialty or billing code instantly.
- Audit-ready data — All rates are parsed, up-to-date and never interpolated, providing verifiable numbers for contracts.
- Export to Excel — Download full fee schedules or visualizations to Excel in seconds for presentations.
- API access — Integrate clean, structured rate data directly into revenue-cycle or analytics tools.
Use cases
- Benchmark reimbursement rates across payers and regions to negotiate stronger contracts.
- Identify under-paid services and build data-backed cases for rate increases.
- Support new market expansion by evaluating payer reimbursement before entering a region.
- Automate out-of-network repricing and qualified payment amount calculations.
- Streamline payment-integrity and contract-compliance workflows with up-to-date fee schedules.
Payerprice FAQ
Is it legal to share payer-negotiated rates?+
Yes. Insurers and hospitals must publish these rates, and PayerPrice simply structures the publicly available files.
How accurate is the data?+
The data comes directly from insurers' files and over 98% of rate audits have matched to the penny.
Does the dataset include Medicaid or Medicare rates?+
No. The Transparency in Coverage rule only covers commercial health plans and hospitals.
How is the data collected and kept current?+
PayerPrice downloads every payer and hospital file monthly, parses trillions of rows and normalizes them into a queryable dataset.
What pricing model does PayerPrice use?+
Pricing is provided on request; interested parties should contact sales for details.
Summarized by DevHunt from payerprice.com · Oct 8, 2026. Details may change; check the official site.
