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

Summary

PayerPrice is a subscription data platform that aggregates and normalizes commercial payer negotiated rates to enable benchmarking, contract negotiation, and revenue integrity for provider organizations.

Description

PayerPrice ingests insurer-published negotiated rate files across all 50 U.S. states, cleans and Medicare-normalizes rates, and exposes them via dashboards, exports, and APIs for use cases including contract benchmarking, market expansion analysis, payment integrity, and claim validation. The platform provides fee schedules by NPI/Tax ID, code-level benchmarking, trend tracking, alerts for rate changes, and integrated claims/volume data to model financial impact.

Api Available

yes

Certifications

Company Founding

2023

Company Offices

Compliance

Customers

Data Residency

Data Standards

Deployment Model

Features

Id

P1256

Integration Partners

Integrations

Languages Supported

Last Updated

2025-09-07

License

commercial proprietary

Links

Market Segment

Optional Modules

Os Platforms

Pricing Details

Free trial available; pricing tiers not public — contact vendor for enterprise quote

Pricing Model

subscription

Privacy Features

Ratings

Regions Available

Release Year

2023

Security Features

Specialties

Support Channels

System Requirements

Target Users

Training Options

Type

product

User Reviews

Version

1.0

Canonical JSON

{
  "company_name": "PayerPrice",
  "company_url": "https://payerprice.com",
  "company_offices": [
    "United States"
  ],
  "company_founding": "2023",
  "product_url": "https://payerprice.com/product-overview",
  "categories": [
    "price transparency data",
    "data vendor",
    "analytics",
    "administrative",
    "revenue cycle integrity",
    "contract benchmarking"
  ],
  "market_segment": [
    "enterprise",
    "smb",
    "provider"
  ],
  "links": [
    "https://payerprice.com/",
    "https://payerprice.com/product-overview",
    "https://payerprice.com/about-us",
    "https://payerprice.com/what-is-price-transparency",
    "https://elion.health/products/payerprice",
    "https://www.capterra.com/p/10026810/PayerPrice/",
    "https://www.g2.com/products/payerprice",
    "https://www.linkedin.com/company/payerprice/",
    "https://payerprice.com/privacy-policy",
    "https://status.payerprice.com/"
  ],
  "summary": "PayerPrice is a subscription data platform that aggregates and normalizes commercial payer negotiated rates to enable benchmarking, contract negotiation, and revenue integrity for provider organizations.",
  "description": "PayerPrice ingests insurer-published negotiated rate files across all 50 U.S. states, cleans and Medicare-normalizes rates, and exposes them via dashboards, exports, and APIs for use cases including contract benchmarking, market expansion analysis, payment integrity, and claim validation. The platform provides fee schedules by NPI/Tax ID, code-level benchmarking, trend tracking, alerts for rate changes, and integrated claims/volume data to model financial impact.",
  "target_users": [
    "contracting specialists",
    "provider finance teams",
    "revenue cycle managers",
    "financial analysts",
    "executives",
    "healthcare consultants",
    "business development teams"
  ],
  "specialties": [
    "all specialties",
    "primary care",
    "surgery",
    "radiology",
    "cardiology",
    "orthopedics",
    "oncology",
    "psychiatry",
    "emergency medicine",
    "anesthesiology"
  ],
  "regions_available": [
    "United States"
  ],
  "languages_supported": [
    "English"
  ],
  "pricing_model": "subscription",
  "pricing_details": "Free trial available; pricing tiers not public — contact vendor for enterprise quote",
  "license": "commercial proprietary",
  "deployment_model": [
    "SaaS"
  ],
  "os_platforms": [
    "Web"
  ],
  "features": [
    "Aggregated negotiated payer rates covering commercial plans nationwide",
    "Searchable fee schedules by NPI, Tax ID, specialty",
    "Rate benchmarking by code, geography, payer, and specialty",
    "Downloadable complete payer fee schedules",
    "API access for structured rate data",
    "Integrated claims data (volume and utilization) for modeling impact",
    "Spot market outliers with charts and tables",
    "Convert negotiated rates to Medicare benchmarks (QPA comparisons)",
    "Visualizations: dot plots, maps, histograms, trend charts",
    "Alerts for rate changes over time",
    "Trillions of available rates in the database",
    "Provider-to-provider comparison by code and market",
    "Automated claim validation and revenue integrity workflows",
    "Support for contract benchmarking and negotiation",
    "Market expansion / business development insights",
    "Payment integrity and contract compliance tools",
    "Exportable reports and data exports",
    "Free data search (procedures, specialties, hospitals, Medicare) on website",
    "Monthly ingestion/analysis of payer files",
    "Coverage of CPT, HCPCS, MS-DRG and other code sets"
  ],
  "optional_modules": [],
  "integrations": [],
  "data_standards": [],
  "api_available": "yes",
  "system_requirements": "",
  "compliance": [
    "SOC 2"
  ],
  "certifications": [
    "SOC 2"
  ],
  "security_features": [],
  "privacy_features": [],
  "data_residency": "",
  "customers": [],
  "user_reviews": [],
  "ratings": [],
  "support_channels": [
    "email",
    "ticketing",
    "community"
  ],
  "training_options": [
    "documentation",
    "webinars",
    "live_online"
  ],
  "release_year": "2023",
  "integration_partners": [],
  "id": "P1256",
  "slug": "payerprice",
  "type": "product",
  "version": "1.0",
  "last_updated": "2025-09-07",
  "links_json": {
    "self": "https://www.healthaidb.com/software/payerprice.json"
  }
}