Payer Benchmarking

See how your reimbursement compares across payers, competitors, and markets so you can identify gaps, set realistic targets, and walk into negotiations with confidence.

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Peer Benchmarks Report showing rates from 10 payers across 4 providers and 3 codes, with specific dollar amounts and payer counts for code 70496 highlighted.Peer Benchmarks Report showing 10 payers across 4 providers with selected code 70496 highlighted in green and corresponding provider payment amounts.

See how your rates compare

Understand where you’re above, at, or below market for the same CPT codes across payers and competitorsIdentify revenue gaps quickly.

Spot underperforming payer relationships

Quantify where dollars are being left on the table.

Set smarter negotiation targets

Use real market data to define what’s achievable before entering renewal discussions.

How it Works

Collect and standardize the data

We ingest payer transparency files at scale and clean, map, and normalize the data so it’s consistent and reliable across payers and markets.

Make rates searchable and comparable

You can easily look up reimbursement by CPT code, payer, region, or competitor set to compare rates side by side in familiar formats.

Benchmark and act on your position

See where your rates sit relative to market, identify gaps, and use that insight to guide negotiations, planning, and growth decisions.

Close the gap between your rates and your revenue potential

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Payer Benchmark Recovery FAQs

What is payer benchmarking?

Payer benchmarking compares your reimbursement rates to others in your market using payer-published data. It shows where your rates stand by CPT code, payer, and geography so you can make informed contract and strategy decisions.

How is this different from transparency data?

Transparency data is raw, inconsistent, and difficult to use. Payer Benchmarking cleans, standardizes, and structures that data so it can be compared and acted on.

What can we actually do with this data?

Teams use it to prepare for negotiations, identify underperforming contracts, set targets, and improve financial planning.

How accurate and current is the data?

Data is continuously ingested and standardized from payer transparency files to reflect current market conditions as closely as possible.

Who uses payer benchmarking?

Contracting, finance, and strategy teams use it to evaluate payer performance, guide negotiations, and support growth decisions.