Payer rate intelligence
What commercial payers actually pay each provider, by payer, service and market, set against Medicare and against the provider’s own market.
Available now
- Where a target’s rates sit against its market
- Which payer contracts look under- or over-market
- How the payers in a market compare with each other
What a team receives
A short read-out per target: where it sits with each payer, how far from the market, and where to look first.
Rate tear sheet
Provider group A · Orthopaedics · Metro area X
Illustrative · synthetic data
| Payer | Rate vs. market median (% of Medicare) | Target | Median | Percentile |
|---|---|---|---|---|
| Payer 1 | 118% | 124% | 44th | |
| Payer 2 | 96% | 122% | 21th | |
| Payer 3 | 141% | 131% | 63th | |
| Payer 4 | 104% | 119% | 29th | |
| Payer 5 | 127% | 126% | 52th |
- Below the market median with three of five payers.
- Largest gap: Payer 2, about 21% under its market median.
- Review first: Payer 2 and Payer 4.
In development
The next signals follow the same form: answers, not files.
- Rate change over time
- Ownership & networks
- Site-of-care shifts
