Payerset for
Academic Research
Free access to all payer-sourced price transparency data through our Rate Explorer portal for academic research.
Mission to Democratization
At Payerset, our mission is to democratize price transparency in healthcare. However, continually parsing, cleaning, and serving trillions of rows of data is extremely costly. When the Transparency in Coverage (TiC) law was passed, this was not the intent.
Through diligent work with our partners, policymakers, and the publication of our payer compliance audit, we are working to make the data more accessible. For this reason, we are also democratizing this data for research, ensuring it can be used for the benefit of all.
Research Criteria
- This program is intended for independent researchers with grants focused on improving the U.S. healthcare system.
- Payerset will determine the duration of access.
- Data accessed through Payerset's Rate Explorer must be used solely for non-commercial academic research.
- Selling any data, derivative products, insights, consulting, or information derived from this data is strictly prohibited.
- Payerset must be cited as the source in all research publications.
Apply for Access
Help democratize price transparency data TODAY. Please submit your information below for review. Upon interview & approval, you will receive free access to our self-service Rate Explorer portal under our research terms & conditions.
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Frequently Asked Questions
What is price transparency in healthcare?
Price transparency in healthcare involves publicly posting the negotiated reimbursement rates between healthcare providers and insurance carriers. This is done by hospitals and payers, respectively. Historically, these rates were confidential. However, the Federal Hospital Price Transparency (2021) and Transparency in Coverage (2022) laws now require that these negotiated rates be made openly available online.
What is payer price transparency data?
Payer price transparency data refers to the information that health insurance companies (payers) are required to disclose about the prices they have negotiated with healthcare providers for various medical services. This data includes detailed records of rates for medical procedures, services, and items, as negotiated between payers and providers.
How often is the data refreshed?
Payerset refreshes its data quarterly. Every three months, Payerset updates and audits its entire data set to incorporate the latest changes in payer data structures, negotiated rates, and any new regulatory requirements.