Understand every contracted rate in your market.
Built with the depth and detail healthcare pricing requires.
Price transparency is here.
Trusted by innovators across the healthcare ecosystem
From national coverage to individual rates
Every payer. Every provider.
Every negotiated rate.
Drill from market-level views into the exact dollar amount negotiated between any payer and provider — for any billing code, any plan.
Comprehensive Coverage
Leverage the Only Unified Healthcare Price Transparency Solution
Payer & hospital price transparency
Benchmark each reimbursement in your market by comparing every payer-provider contracted rate.
Full historical data for trending
Track reimbursement trends across your entire market & access all historical contract rates instantly.
Carveouts & non-standard codes
Account for the nuances of carveouts and non-standard codes to capture the full picture of healthcare cost transparency.
All-payer claims & remits
Unlock deeper benchmarking with claim volumes & amounts. Identify ghost rates with real-world claims.
Medicare fee schedules
Benchmark negotiated rates against Medicare fee schedules directly within your analysis.
HCO affiliations
Leverage healthcare organization ownership and affiliations to create accurate cohorts.
The next era of healthcare contract negotiations is here.
See it in actionUnderstand every reimbursement
Benchmark & identify revenue opportunities with precision
Rate Explorer™
Power your pricing strategy & change the dynamic of payer negotiations with instant answers.
- All payer-provider negotiated rates, with claims
- Access every health plan with historical rates
- Self-service platform with instant data access
Power your solutions instantly
Integrate healthcare price transparency data to build & scale faster
Payerset Data Lake™
Directly integrate the most complete price transparency data in your products & solutions.
- Direct integration (API) or data share
- Enriched NPI to TIN mapping
- Full employer to health plan coverage
Why Payerset
See What Makes Payerset's Healthcare Price Transparency Solutions Different
All the details for every plan
We ingest every Machine Readable File (MRF) published by payers for every plan as well as every compliant hospital.
Historical depth & refresh cadence
Full historical data for every payer MRF, hospital MRF, & claims is accessible for trending and benchmarking.
360° view with claims & remits
Negotiated-rate data is linked to all-payer claims, surfacing what was actually paid, not just contracted.
Data enrichment
We map NPI to TIN, HCO affiliations, and standardize various file and schema formats for easy analysis.
Self-service & direct integration
A true, no-code self-service solution & enterprise-grade APIs & data sharing for solution partners.
Industry alignment & partnerships
We collaborate closely with CMS & trusted ecosystem partners to keep ahead & advise on standards & enforcement.
See the Payerset difference in action.
Request your data sampleHear from our customers
Improve your bottom line
Trillions of rows of data mean nothing if they aren't curated to remove the noise from phantom rates, duplication, and irrelevant billing codes. We've done the work for you, so you can focus on optimizing your bottom line.
92.8%
Rate disparity across major payers - Psychiatric Diagnostic Evaluations
$182.16
Rate disparity across reimbursements - 45-min therapy session
$27.14
Rate disparity across reimbursements - Level 3 Est. Patient Office Visits
"Our payer negotiations were approaching and we were in the dark, but with Payerset we were able to see the range of negotiated rates at our payers for Behavioral Health organizations like us. Payerset empowered us to develop the right strategy and gave us the confidence to get competitive rates for our high utilization services."
Holistic women's mental health therapy, counseling, and medication management.
- Shama Rathi, MD, Co-Founder
hellolunajoy.com
From the blog
Latest Insights
A Practical Look at Reimbursement Benchmarking with Price Transparency Data
Part two of our series on benchmarking with price transparency data. A real-world example of how single-code comparisons can mislead, and what a comprehensive approach actually looks like.
March 16, 2026
How to Analyze Price Transparency Data for Reimbursement Benchmarking
A framework for using price transparency data to benchmark reimbursement between hospitals, built from hundreds of customer interactions with managed care professionals.
March 10, 2026
Transparency in Coverage (TiC) Schema 2.0 Is Live - Updates
February 2nd, 2026 marked the first enforcement deadline for TiC Schema 2.0. Here's what we're seeing on the ground with payer compliance and the new data fields.
February 5, 2026
CMS Proposes Major Updates to Transparency in Coverage (TiC) Rules
CMS is proposing significant updates to TiC requirements including network-based file structures, annual utilization files, quarterly reporting, and enhanced out-of-network data.
February 3, 2026
Start Leveraging Price Transparency Data Today
Request your demo & learn how healthcare price transparency can transform your pricing strategy & contract negotiations.
- All payer-provider negotiated rates with claims
- Access every health plan with historical rates
- Self-service platform or direct data integration
Contact our team
Common Questions