PayerPrice

JSON twin: https://www.healthaidb.com/software/payerprice.json

Company Name

PayerPrice

Product URL

https://payerprice.com/product-overview

Company URL

https://payerprice.com

Categories

• administrative Operations
• clinical Care
• diagnostic Support
• patient Facing
• Administrative
• Clinical
• Diagnostic

Summary

PayerPrice is a healthcare data platform that provides comprehensive, up-to-date payer rate information to assist healthcare organizations in negotiating better contracts and ensuring revenue integrity.

Description

PayerPrice aggregates and structures payer data from over 10,000 insurance plans and 3.5 million healthcare providers across all 50 states, offering detailed insights into negotiated rates for various medical codes and services. The platform enables users to benchmark rates, download fee schedules, identify market outliers, and integrate data via API, facilitating informed decision-making in payer contracting, finance, and revenue cycle management.

Api Available

yes

Certifications

• FDA 510(k)
• CE/MDR
• ONC
• ISO 27001

Company Founding

2020

Company Offices

• United States

Compliance

• HIPAA
• HITECH
• SOC 2
• ISO 27001

Customers

• National Emergency Medicine Group
• Residential Treatment Center in FL
• Healthcare Consulting Firm

Data Residency

US-only

Data Standards

• FHIR
• HL7 v2
• DICOM
• SNOMED
• ICD-10

Deployment Model

• SaaS

Features

• Access to the industry's largest database of negotiated payer rates covering every market, payer, and provider nationwide.
• Compare reimbursement rates by code, geography, payer, and specialty to identify negotiation opportunities.
• Download complete payer fee schedules in minutes without requiring access to payer portals, searchable by NPI, Tax ID, or specialty.
• Spot market outliers using built-in charts and tables to flag unusually high or low contract rates without complex modeling.
• Convert negotiated rates to Medicare benchmarks to see how contracts compare as a percentage of Medicare.
• Visualize rate trends across the market using dot plots, maps, and histograms for fast pattern recognition.
• Track rates over time and receive alerts when a negotiated rate changes in the market to time outreach more effectively.
• Automate claim validation and revenue integrity workflows with structured rate data delivered straight to your tools via API.
• Integrated claims data to see how services are actually billed with volume and utilization data, modeling the impact of renegotiation on revenue.

Id

SW1995

Integration Partners

• Definitive Healthcare
• TrialHub
• IQVIA
• Swoop
• Alpha Sophia
• Model N for Life Science
• RepSignal
• Zymewire
• Salestrip SFA
• inVision

Integrations

• Epic
• Cerner
• PACS
• Billing Systems
• FHIR
• HL7 v2
• DICOM
• SNOMED
• ICD-10

Languages Supported

• English

Last Updated

2025-10-11

License

commercial

Market Segment

• enterprise
• smb

Optional Modules

• In-Network Analysis
• Practice Acquisition
• Revenue Cycle Auditing

Os Platforms

• Web

Pricing Details

Contact vendor for pricing information.

Pricing Model

subscription

Privacy Features

• BAA available
• Consent Management
• Anonymization
• Data Minimization

Product Code

SW1995

Product Name

PayerPrice

Ratings

• 0.0 (0) - Capterra
• 4.0 (40) - G2
• 4.4 (25) - G2
• 4.3 (14) - G2
• 3.6 (13) - G2
• 5.0 (9) - G2
• 4.2 (6) - G2
• 4.6 (4) - G2
• 4.4 (4) - G2
• 4.9 (4) - G2

Regions Available

• United States

Related Urls

• https://elion.health/products/payerprice

Release Year

2020

Security Features

• Encryption
• RBAC
• SSO/SAML
• Audit Logs
• 2FA
• DLP

Specialties

• Radiology
• Cardiology
• Orthopedics
• Neurology
• Dermatology
• Pediatrics
• Oncology
• Psychiatry
• Obstetrics
• Gynecology
• Anesthesiology
• Emergency Medicine
• Internal Medicine
• Family Medicine
• Surgery
• Urology
• Gastroenterology
• Pulmonology
• Endocrinology
• Rheumatology

Support Channels

• email
• phone
• chat
• ticketing
• community
• 24x7

System Requirements

Target Users

• clinicians
• nurses
• patients
• admins
• payers

Training Options

• documentation
• webinars
• live_online
• onsite
• certification

Type

product

User Reviews

• We've built our entire payer strategy on PayerPrice.
• Our top-line rates increased 15%.
• I know my clients' competitors' prices to the penny.

Version

1.0

Alternatives

See related products

Canonical JSON

{
  "product_name": "PayerPrice",
  "company_name": "PayerPrice",
  "product_url": "https://payerprice.com/product-overview",
  "company_url": "https://payerprice.com",
  "related_urls": [
    "https://elion.health/products/payerprice"
  ],
  "product_code": "SW1995",
  "summary": "PayerPrice is a healthcare data platform that provides comprehensive, up-to-date payer rate information to assist healthcare organizations in negotiating better contracts and ensuring revenue integrity.",
  "description": "PayerPrice aggregates and structures payer data from over 10,000 insurance plans and 3.5 million healthcare providers across all 50 states, offering detailed insights into negotiated rates for various medical codes and services. The platform enables users to benchmark rates, download fee schedules, identify market outliers, and integrate data via API, facilitating informed decision-making in payer contracting, finance, and revenue cycle management.",
  "categories": [
    "administrative Operations",
    "clinical Care",
    "diagnostic Support",
    "patient Facing",
    "Administrative",
    "Clinical",
    "Diagnostic",
    "Patient-facing"
  ],
  "market_segment": [
    "enterprise",
    "smb"
  ],
  "target_users": [
    "clinicians",
    "nurses",
    "patients",
    "admins",
    "payers"
  ],
  "specialties": [
    "Radiology",
    "Cardiology",
    "Orthopedics",
    "Neurology",
    "Dermatology",
    "Pediatrics",
    "Oncology",
    "Psychiatry",
    "Obstetrics",
    "Gynecology",
    "Anesthesiology",
    "Emergency Medicine",
    "Internal Medicine",
    "Family Medicine",
    "Surgery",
    "Urology",
    "Gastroenterology",
    "Pulmonology",
    "Endocrinology",
    "Rheumatology"
  ],
  "regions_available": [
    "United States"
  ],
  "languages_supported": [
    "English"
  ],
  "pricing_model": "subscription",
  "pricing_details": "Contact vendor for pricing information.",
  "license": "commercial",
  "company_offices": [
    "United States"
  ],
  "company_founding": "2020",
  "deployment_model": [
    "SaaS"
  ],
  "os_platforms": [
    "Web"
  ],
  "features": [
    "Access to the industry's largest database of negotiated payer rates covering every market, payer, and provider nationwide.",
    "Compare reimbursement rates by code, geography, payer, and specialty to identify negotiation opportunities.",
    "Download complete payer fee schedules in minutes without requiring access to payer portals, searchable by NPI, Tax ID, or specialty.",
    "Spot market outliers using built-in charts and tables to flag unusually high or low contract rates without complex modeling.",
    "Convert negotiated rates to Medicare benchmarks to see how contracts compare as a percentage of Medicare.",
    "Visualize rate trends across the market using dot plots, maps, and histograms for fast pattern recognition.",
    "Track rates over time and receive alerts when a negotiated rate changes in the market to time outreach more effectively.",
    "Automate claim validation and revenue integrity workflows with structured rate data delivered straight to your tools via API.",
    "Integrated claims data to see how services are actually billed with volume and utilization data, modeling the impact of renegotiation on revenue."
  ],
  "optional_modules": [
    "In-Network Analysis",
    "Practice Acquisition",
    "Revenue Cycle Auditing"
  ],
  "integrations": [
    "Epic",
    "Cerner",
    "PACS",
    "Billing Systems",
    "FHIR",
    "HL7 v2",
    "DICOM",
    "SNOMED",
    "ICD-10"
  ],
  "data_standards": [
    "FHIR",
    "HL7 v2",
    "DICOM",
    "SNOMED",
    "ICD-10"
  ],
  "api_available": "yes",
  "system_requirements": "",
  "compliance": [
    "HIPAA",
    "HITECH",
    "SOC 2",
    "ISO 27001"
  ],
  "certifications": [
    "FDA 510(k)",
    "CE/MDR",
    "ONC",
    "ISO 27001"
  ],
  "security_features": [
    "Encryption",
    "RBAC",
    "SSO/SAML",
    "Audit Logs",
    "2FA",
    "DLP"
  ],
  "privacy_features": [
    "BAA available",
    "Consent Management",
    "Anonymization",
    "Data Minimization"
  ],
  "data_residency": "US-only",
  "customers": [
    "National Emergency Medicine Group",
    "Residential Treatment Center in FL",
    "Healthcare Consulting Firm"
  ],
  "user_reviews": [
    "We've built our entire payer strategy on PayerPrice.",
    "Our top-line rates increased 15%.",
    "I know my clients' competitors' prices to the penny."
  ],
  "ratings": [
    "0.0 (0) - Capterra",
    "4.0 (40) - G2",
    "4.4 (25) - G2",
    "4.3 (14) - G2",
    "3.6 (13) - G2",
    "5.0 (9) - G2",
    "4.2 (6) - G2",
    "4.6 (4) - G2",
    "4.4 (4) - G2",
    "4.9 (4) - G2"
  ],
  "support_channels": [
    "email",
    "phone",
    "chat",
    "ticketing",
    "community",
    "24x7"
  ],
  "training_options": [
    "documentation",
    "webinars",
    "live_online",
    "onsite",
    "certification"
  ],
  "release_year": "2020",
  "integration_partners": [
    "Definitive Healthcare",
    "TrialHub",
    "IQVIA",
    "Swoop",
    "Alpha Sophia",
    "Model N for Life Science",
    "RepSignal",
    "Zymewire",
    "Salestrip SFA",
    "inVision"
  ],
  "id": "SW1995",
  "slug": "payerprice",
  "type": "product",
  "version": "1.0",
  "last_updated": "2025-10-11",
  "links_json": {
    "self": "https://www.healthaidb.com/software/payerprice.json"
  }
}