Solutions — Employers

Manage healthcare spend like the rest of your business

See the negotiated rates behind your plan — and your competitors’ — across every payer and network.

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  • Every self-funded employer plan
  • Every payer, every network
  • Independent of your TPA
What employers pay CPT 73721 · MRI knee
Your plan Anthem PPO
$2,140
Peer employer Cigna Open Access
$1,680
Peer employer UHC Choice Plus
$1,315
Peer employer Aetna · narrow network
$612
Same scan, same market. Your network choice is a 3.5× decision.

The challenge

What gets in the way

01

After payroll, nothing costs you more

And it’s the only major line item you buy without seeing prices. You know it to the dollar in total, and not at all in detail — one renewal number, with no way to see what sits underneath it.

02

The increases keep coming, and the usual levers are spent

Large employers are bracing for the steepest cost increases in more than a decade. Shifting more to employees and trimming plan design buys you a year — the price of the care itself is where the real money sits.

03

You can’t manage a price you’ve never seen

Which network, which TPA, where to steer, whether to contract direct — every lever that actually moves cost is a pricing decision. Your vendor holds those prices, and has little reason to hand them over.

How Payerset helps

Turn transparency data into leverage

Every self-funded employer plan, not just yours

Payerset carries the negotiated rates behind self-funded employer plans across every payer and every network — so you can see your own plan, and what the companies you compete with are paying for the same care.

Explore Data Lake

The most complete, detailed rate data available

Every payer’s files, parsed and standardized, ghost rates filtered out, and enriched with all-payer claims — so you’re looking at real prices for care that’s actually delivered, not published noise.

Explore Data Lake

Find the money inside your own network

See what the same procedure costs across the facilities your members already use, so steerage, centers of excellence, and navigation programs are built on price gaps you can prove and size.

Explore Rate Explorer

Price the alternative before you commit

Weigh a new TPA, a narrower network, or a direct contract against what every other employer in your market actually pays — and walk into the decision knowing what fair looks like.

Explore Rate Explorer

Employer → plan coverage

Every employer plan, mapped to its rates

Payerset connects self-funded employers to the health plans covering them — so you can pull up your own plan’s rates, or a peer employer’s, and see exactly what each one pays.

See it in action
Employer → Plan Coverage
Employers
Acme Corp
NovaTech Inc
Summit Health
Health Plans
Anthem Blue PPO HIOS 12345VA001
Aetna Choice POS HIOS 67890CA003
UHC Navigate HMO HIOS 24680TX002

The platform

Explore the full Payerset platform

One dataset, two ways to work with it — self-service analysis or delivered straight into your own environment.

Rate Explorer™

Analyze every negotiated rate by payer, provider, and code — self-service, no data lift.

Explore

Data Lake™

Enriched, normalized rate and claims data delivered to your environment via API or data share.

Explore

Explore other solutions

Built for the way you work

Providers

Benchmark your rates and negotiate with the whole market.

Med Device

Track reimbursement by procedure and site of care.

Common questions

Frequently Asked Questions

We’re self-insured but our TPA won’t share rate detail. Can Payerset help?
Yes. Payerset is built entirely from the payers’ own published machine-readable files, so it is independent of your TPA. You can see the negotiated rates behind your network without waiting on a data request that may never come.
Can we see what other employers pay for the same care?
Yes — this is the part most benefits and finance leaders don’t realize is possible. Payerset carries self-funded employer plans across every payer and network, so you can compare your plan against peer employers in your market for the same procedures at the same facilities.
Are these the rates actually paid, or just published rates?
The transparency files publish negotiated rates, and a large share of what payers post is for services a provider never performs. Payerset filters those ghost rates out and links the remaining rates to all-payer claims, so what you see reflects prices for care that is actually delivered.
How do we use this to evaluate a new network, TPA, or direct contract?
Compare what each payer and network pays for the procedures that drive your spend, in the markets where your members live. You can size the difference between your current arrangement and the alternative before you go to market — and price a direct contract against what the rest of the market pays.
Do we need a data team to use this?
No. Rate Explorer™ is a no-code, self-service platform your benefits team can use directly. If your analysts want the raw data, Data Lake™ delivers it straight to your environment.

See what your plan actually pays

Request your demo & see how Payerset gives employers the market data to act with confidence.

  • All payer-provider negotiated rates with claims
  • Every health plan with full historical rates
  • Self-service platform or direct data integration

Contact our team