For Payers
Market Intelligence
Get a complete market overview with billions of prices for millions of NPIs and every major payer. Easily slice through the data with our state-by-state extracts ready-made for business intelligence dashboards.
- Full Coverage, No Limits.
- We include all rates and codes for every payer. There is never a limit on how much you can download or query.
- CMS Benchmark Rates.
- We include CMS Medicare reimbursement rates where applicable so you can quickly convert to percent of Medicare.
- Hospital Price Transparency.
- Through our partnership with Health Cost Labs, we offer hospital self-reported reimbursement rates for comparison.
- NPI Practice and Location.
- We augment the rates data set with NPI practice location and human-friendly name so you can search by hospital/practice name, not just NPI.
- Reasonable Prices.
- We want this data out in the world and in use. We strive to keep our prices low to support everyone in their efforts to make use of this data.
- Analysis Support.
- We have data scientists on staff who know this data intimately. We can provide custom reports and analysis without taking your analysts away from their other work.
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Payer List
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We are constantly adding new payers to the data set. If there is a payer you would like to see, please reach out and request it.
- United Health
- NPIs
- 2m
- CPT & HCPCS
- 18k
- DRGs
- 1k
- NDCs
- 57k
- Aetna
- NPIs
- 1m
- CPT & HCPCS
- 19k
- DRGs
- 888
- NDCs
- 0
- AmeriHealth New Jersey
- NPIs
- 224k
- CPT & HCPCS
- 10k
- DRGs
- 685
- NDCs
- 0
- AmeriHealth Pennsylvania
- NPIs
- 41k
- CPT & HCPCS
- 7k
- DRGs
- 623
- NDCs
- 0
- Ambetter (Centene)
- NPIs
- 852k
- CPT & HCPCS
- 9k
- DRGs
- 680
- NDCs
- 0
- Asuris Northwest Health
- NPIs
- 173k
- CPT & HCPCS
- 69k
- DRGs
- 767
- NDCs
- 0
- Avera
- NPIs
- 10k
- CPT & HCPCS
- 2k
- DRGs
- 0
- NDCs
- 0
- AvMed
- NPIs
- 127k
- CPT & HCPCS
- 65k
- DRGs
- 764
- NDCs
- 0
- BlueCross BlueShield of Alabama
- NPIs
- 1m
- CPT & HCPCS
- 91k
- DRGs
- 7k
- NDCs
- 199k
- BlueCross BlueShield of Arizona
- NPIs
- 2m
- CPT & HCPCS
- 93k
- DRGs
- 7k
- NDCs
- 204k
- Florida Blue
- NPIs
- 121k
- CPT & HCPCS
- 18k
- DRGs
- 780
- NDCs
- 187k
- BlueCross BlueShield of Idaho
- NPIs
- 2m
- CPT & HCPCS
- 94k
- DRGs
- 7k
- NDCs
- 204k
- BlueCross BlueShield of Illinois
- NPIs
- 2m
- CPT & HCPCS
- 93k
- DRGs
- 7k
- NDCs
- 204k
- BlueCross BlueShield of Kansas City
- NPIs
- 2m
- CPT & HCPCS
- 94k
- DRGs
- 7k
- NDCs
- 204k
- BlueCross BlueShield of Louisiana
- NPIs
- 2m
- CPT & HCPCS
- 94k
- DRGs
- 7k
- NDCs
- 204k
- BlueCross BlueShield of Massacchusetts
- NPIs
- 2m
- CPT & HCPCS
- 93k
- DRGs
- 7k
- NDCs
- 204k
- BlueCross BlueShield of Michigan
- NPIs
- 2m
- CPT & HCPCS
- 102k
- DRGs
- 7k
- NDCs
- 204k
- BlueCross BlueShield of Minnesota
- NPIs
- 2m
- CPT & HCPCS
- 93k
- DRGs
- 7k
- NDCs
- 204k
- BlueCross BlueShield of Mississippi
- NPIs
- 1m
- CPT & HCPCS
- 59k
- DRGs
- 5k
- NDCs
- 30
- BlueCross BlueShield of Montana
- NPIs
- 2m
- CPT & HCPCS
- 94k
- DRGs
- 7k
- NDCs
- 204k
- BlueCross BlueShield of North Carolina
- NPIs
- 2m
- CPT & HCPCS
- 93k
- DRGs
- 7k
- NDCs
- 204k
- Horizon BlueCross BlueShield of New Jersey
- NPIs
- 2m
- CPT & HCPCS
- 95k
- DRGs
- 7k
- NDCs
- 204k
- BlueCross BlueShield of New Mexico
- NPIs
- 2m
- CPT & HCPCS
- 93k
- DRGs
- 7k
- NDCs
- 204k
- BlueCross BlueShield of Oklahoma
- NPIs
- 2m
- CPT & HCPCS
- 93k
- DRGs
- 7k
- NDCs
- 204k
- BlueCross BlueShield of Rhode Island
- NPIs
- 2m
- CPT & HCPCS
- 93k
- DRGs
- 7k
- NDCs
- 204k
- BlueCross BlueShield Tennessee
- NPIs
- 2m
- CPT & HCPCS
- 93k
- DRGs
- 7k
- NDCs
- 204k
- BlueCross BlueShield of Texas
- NPIs
- 2m
- CPT & HCPCS
- 93k
- DRGs
- 7k
- NDCs
- 204k
- BlueCross BlueShield of Vermont
- NPIs
- 2m
- CPT & HCPCS
- 93k
- DRGs
- 7k
- NDCs
- 204k
- Blue California
- NPIs
- 2m
- CPT & HCPCS
- 93k
- DRGs
- 7k
- NDCs
- 204k
- Capital Blue Cross
- NPIs
- 2m
- CPT & HCPCS
- 93k
- DRGs
- 7k
- NDCs
- 204k
- CareFirst
- NPIs
- 2m
- CPT & HCPCS
- 93k
- DRGs
- 7k
- NDCs
- 204k
- Cigna
- NPIs
- 279k
- CPT & HCPCS
- 36k
- DRGs
- 807
- NDCs
- 0
- Excellus BlueCross BlueShield
- NPIs
- 383k
- CPT & HCPCS
- 23k
- DRGs
- 1k
- NDCs
- 0
- Fallon Health
- NPIs
- 84k
- CPT & HCPCS
- 19k
- DRGs
- 773
- NDCs
- 0
- Health Net (Centene)
- NPIs
- 2k
- CPT & HCPCS
- 366
- DRGs
- 0
- NDCs
- 0
- Community Health Options
- NPIs
- 26k
- CPT & HCPCS
- 2k
- DRGs
- 0
- NDCs
- 0
- Highmark Blue Cross Blue Shield Delaware
- NPIs
- 2m
- CPT & HCPCS
- 93k
- DRGs
- 7k
- NDCs
- 204k
- Blue Cross Blue Shield of North Dakota
- NPIs
- 2m
- CPT & HCPCS
- 94k
- DRGs
- 7k
- NDCs
- 204k
- Highmark Blue Cross Blue Shield Western New York
- NPIs
- 2m
- CPT & HCPCS
- 93k
- DRGs
- 7k
- NDCs
- 204k
- Highmark Blue Cross Blue Shield Pennsylvania
- NPIs
- 2m
- CPT & HCPCS
- 93k
- DRGs
- 7k
- NDCs
- 204k
- Highmark Blue Cross Blue Shield West Virginia
- NPIs
- 2m
- CPT & HCPCS
- 94k
- DRGs
- 7k
- NDCs
- 204k
- Blue Cross Blue Shield of Wyoming
- NPIs
- 2m
- CPT & HCPCS
- 94k
- DRGs
- 7k
- NDCs
- 204k
- Independence Blue Cross
- NPIs
- 2m
- CPT & HCPCS
- 93k
- DRGs
- 7k
- NDCs
- 204k
- Kaiser Permanente Mid-Atlantic
- NPIs
- 186k
- CPT & HCPCS
- 22k
- DRGs
- 0
- NDCs
- 81k
- Kaiser Permanente California
- NPIs
- 379k
- CPT & HCPCS
- 23k
- DRGs
- 0
- NDCs
- 81k
- Kaiser Permanente Colorado
- NPIs
- 445k
- CPT & HCPCS
- 23k
- DRGs
- 0
- NDCs
- 146
- Kaiser Permanente Georgia
- NPIs
- 111k
- CPT & HCPCS
- 23k
- DRGs
- 0
- NDCs
- 81k
- Kaiser Permanente Hawaii
- NPIs
- 76k
- CPT & HCPCS
- 23k
- DRGs
- 0
- NDCs
- 81k
- Kaiser Permanente Northwest
- NPIs
- 158k
- CPT & HCPCS
- 50k
- DRGs
- 0
- NDCs
- 81k
- Kaiser Permanente Washington
- NPIs
- 25k
- CPT & HCPCS
- 30k
- DRGs
- 794
- NDCs
- 0
- MHN (Centene)
- NPIs
- 6k
- CPT & HCPCS
- 8k
- DRGs
- 0
- NDCs
- 0
- Molina Healthcare California
- NPIs
- 43k
- CPT & HCPCS
- 18k
- DRGs
- 0
- NDCs
- 0
- Molina Healthcare Florida
- NPIs
- 50k
- CPT & HCPCS
- 18k
- DRGs
- 0
- NDCs
- 0
- Molina Healthcare Idaho
- NPIs
- 15k
- CPT & HCPCS
- 18k
- DRGs
- 0
- NDCs
- 0
- Molina Healthcare Illinois
- NPIs
- 24k
- CPT & HCPCS
- 19k
- DRGs
- 0
- NDCs
- 0
- Molina Healthcare Kentucky
- NPIs
- 28k
- CPT & HCPCS
- 18k
- DRGs
- 0
- NDCs
- 0
- Molina Healthcare Michigan
- NPIs
- 41k
- CPT & HCPCS
- 29k
- DRGs
- 0
- NDCs
- 0
- Molina Healthcare Mississippi
- NPIs
- 22k
- CPT & HCPCS
- 16k
- DRGs
- 0
- NDCs
- 0
- Molina Healthcare New Mexico
- NPIs
- 30k
- CPT & HCPCS
- 18k
- DRGs
- 0
- NDCs
- 0
- Molina Healthcare Ohio
- NPIs
- 40k
- CPT & HCPCS
- 17k
- DRGs
- 0
- NDCs
- 0
- Molina Healthcare South Carolina
- NPIs
- 20k
- CPT & HCPCS
- 20k
- DRGs
- 0
- NDCs
- 0
- Molina Healthcare Utah
- NPIs
- 22k
- CPT & HCPCS
- 18k
- DRGs
- 0
- NDCs
- 0
- Molina Healthcare Washington
- NPIs
- 54k
- CPT & HCPCS
- 19k
- DRGs
- 0
- NDCs
- 0
- Molina Healthcare Wisconsin
- NPIs
- 22k
- CPT & HCPCS
- 17k
- DRGs
- 0
- NDCs
- 0
- MVP Health Care
- NPIs
- 22k
- CPT & HCPCS
- 18k
- DRGs
- 0
- NDCs
- 0
- PreferredOne
- NPIs
- 133k
- CPT & HCPCS
- 18k
- DRGs
- 768
- NDCs
- 0
- Premera Blue Cross of Washington
- NPIs
- 291k
- CPT & HCPCS
- 21k
- DRGs
- 3k
- NDCs
- 86k
- Priority Health
- NPIs
- 88k
- CPT & HCPCS
- 32k
- DRGs
- 889
- NDCs
- 0
- Qualchoice (Centene)
- NPIs
- 13k
- CPT & HCPCS
- 5k
- DRGs
- 459
- NDCs
- 0
- Regence BlueShield of Idaho
- NPIs
- 2m
- CPT & HCPCS
- 89k
- DRGs
- 7k
- NDCs
- 204k
- Regence BlueShield of Oregon
- NPIs
- 2m
- CPT & HCPCS
- 94k
- DRGs
- 7k
- NDCs
- 199k
- Regence BlueShield of Utah
- NPIs
- 2m
- CPT & HCPCS
- 93k
- DRGs
- 7k
- NDCs
- 204k
- Regence BlueShield of Washington
- NPIs
- 2m
- CPT & HCPCS
- 93k
- DRGs
- 7k
- NDCs
- 204k
- University Health Alliance
- NPIs
- 11k
- CPT & HCPCS
- 9k
- DRGs
- 0
- NDCs
- 7k
- Wellcare (Centene)
- NPIs
- 51k
- CPT & HCPCS
- 65k
- DRGs
- 764
- NDCs
- 0
- Wellmark
- NPIs
- 182k
- CPT & HCPCS
- 20k
- DRGs
- 2k
- NDCs
- 0
- Western Health Advantage
- NPIs
- 3k
- CPT & HCPCS
- 6k
- DRGs
- 462
- NDCs
- 0