Solutions — Providers

Price transparency for the next era of negotiations

Q: How can we benchmark our rates against comparable health systems?

Rate Explorer ™ lets you compare your negotiated rates to peers and competitors across payers, services, and geographies. You build the cohort — by market, ownership, or affiliation — and see exactly where your rates land.

Payers have always held the data — and the leverage. Now managed care and finance teams benchmark against peer systems on the most complete negotiated-rate data available, and negotiate as equals.

Request your demo today

Every payer, full rate history
Enriched with all-payer claims
Peer cohorts by ownership & market

Peer A $38,400

Peer B $34,900

Peer C $31,600

Your system $27,800

Peer D $25,300

Your rate sits 16% below the peer median — leverage for the next renewal.

The challenge

What gets in the way

01

They see the whole market. You see your own contracts.

Payers benchmark you against every system they contract with. You’ve never had the same view of what your peers are actually paid.

02

Leverage follows information

Every renewal, the side with more data sets the terms. For decades, that side hasn’t been you.

03

The data is public now — but raw MRFs are unusable

Terabytes of files, inconsistent schemas, and ghost rates for services no provider performs. Open doesn’t mean usable.

How Payerset helps

Turn transparency data into leverage

The most complete, detailed rate data available

Every payer’s MRF, parsed and standardized, ghost rates filtered out, and enriched with claims and HCO ownership and affiliations — the whole market, made usable.

Explore Data Lake

Benchmark against the peers you choose

Build the exact cohort you compete with — by market, ownership, or affiliation — and compare your rates across payers, services, and geographies.

Explore Rate Explorer

Negotiate from the whole market

Walk into every renewal knowing what each payer pays comparable systems for the same codes, and turn the conversation from guesswork into evidence.

Explore Rate Explorer

Rate benchmarking

See where your rates land against your peers

Compare negotiated rates across payers and peers for the same billing codes, so every negotiation starts from evidence — not anecdotes.

See it in action

Payer Code Description Rate

Anthem 99213 Office Visit, Est. $142.00

Aetna 99213 Office Visit, Est. $128.50

UHC 27447 Knee Replacement $24,180

Cigna 27447 Knee Replacement $22,650

Kaiser 70553 MRI Brain w/ contrast $1,840

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

Med Device

Track reimbursement by procedure and site of care.

Employers

Independent rate data for the plans you pay for.

Common questions

Frequently Asked Questions

How can we benchmark our rates against comparable health systems?

Rate Explorer^™ lets you compare your negotiated rates to peers and competitors across payers, services, and geographies. You build the cohort — by market, ownership, or affiliation — and see exactly where your rates land.

Do you filter out ghost rates and non-performed services?

Yes. Payerset links negotiated rates to all-payer claims so you can distinguish real, performed services from ghost or “zombie” rates that would otherwise skew a benchmark.

Does Payerset account for ownership and affiliations?

Yes. We enrich the data with healthcare organization (HCO) ownership and affiliations and NPI-to-TIN mapping, so you can build accurate peer cohorts instead of comparing against unrelated facilities.

Is historical data available for trending?

Yes. Full historical data is available for every payer MRF so you can track how rates move over time and see the trajectory of a payer’s contracting before a renewal.

Negotiate from a position of strength

Request your demo & see how Payerset gives providers 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