Rate Explorer™

Price Transparency Tools for the Next Era of Negotiations

Analyze every negotiated rate with self-service tools to fuel smarter pricing strategies & flip the negotiation dynamic.

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Use Cases

Power your strategy across the board

Rate Benchmarking

Compare your reimbursement rates against peers and competitors across payers, services, and geographies to understand exactly where you stand.

Contract Negotiations

Walk into every payer conversation armed with market data. Know what competitors are paid so you can negotiate from a position of strength, not guesswork.

Market Access

See which payers and plans are active in any market. Understand coverage landscapes and identify the partnerships that will drive volume.

Pricing Strategy

Model rate scenarios and optimize your fee schedules with real market data. Set prices that maximize revenue without leaving money on the table.

The healthcare price transparency solution built for clarity & speed

01

Explore Every Rate With Ease

Analyze any combination of payers, providers, & services without writing a single line of code.

  • Intuitive, no-code interface for teams leveraging healthcare cost transparency
  • Access historical rates to benchmark rate changes over time
  • Enriched metadata for apples-to-apples comparisons
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02

Use Claims to Reveal the Full Story

Layer in all-payer claims data with volumes, billed amounts, & remits directly alongside negotiated rates.

  • Seamlessly integrate claims directly into your rate analysis
  • Compare billed vs. paid amounts side-by-side
  • Identify changes over time with historical trending
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03

Move From Analysis to Action

Empower managed care directors & finance teams with the detail needed for trusted negotiations and pricing decisions.

  • Flexible templates for common analysis like contract benchmarking & trending
  • Instantly identify pricing outliers with dynamic filters and data slices
  • Automatically surface recommended actions & insights
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From the blog

Latest Insights

A Practical Look at Reimbursement Benchmarking with Price Transparency Data
Industry Insights 7 min read

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
Industry Insights 8 min read

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
Industry Insights 3 min read

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
Industry Insights 10 min read

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

View all insights

Start Leveraging Price Transparency Data Today

Request your demo & learn how Rate Explorer™ can transform your pricing strategy & contract negotiations.

  • All payer-provider negotiated rates with claims
  • Access every health plan with historical rates
  • Self-service platform — no IT lift required

Contact our team

Frequently Asked Questions

How often is Rate Explorer™ data refreshed?
The data is refreshed quarterly and is automatically made available directly to customers in the self-service Rate Explorer™ portal.
Can I analyze rates directly by billing code?
Yes! You can choose any combination of payers, providers, and billing codes for any plan and instantly compare rates. You do not have to pre-select a plan or other subsets of the data.
Do you normalize disparate payer rate formats?
Yes. Payerset's ingestion pipeline parses and standardizes every payer MRF, handling different schemas and formats, standardizing fields, and enriching with additional data like Healthcare Organization (HCO) affiliations to increase usability before the data appears in Rate Explorer™.
What are some of the ongoing challenges with machine readable files (MRFs)?

Here are a few of the common challenges within price transparency data. Payerset takes care of each of these (and more!) as part of our standard parsing and enrichment processes:

  • • Sheer volume — up to 300 TB of new data each month
  • • Inconsistent schemas — payers change field names without notice
  • • Ghost or 'zombie' rates — rates for services a provider doesn't actually perform
  • • Naming and coding variation — inconsistent parent groupings, plan aliases, missing billing codes
  • • Update cadence and hosting quirks — links move or lag, some payers omit metadata