Compare published payer rates in your market.
Search by billing code, payer, provider, and location. Inspect the records behind your comparison and export your findings.
Negotiated · Professional · No modifier reported
| Billing entity | Rate comparison | Published rate |
|---|---|---|
| Example group A | $92.00 | |
| Example group B | $118.00 | |
| Example group C | $146.00 |
3 billing entities
Fictional figures shown to illustrate the product.
Payer coverage
Processing totals for the current publication set from Blue Cross Blue Shield licensees, UnitedHealthcare, Cigna Healthcare, and Aetna.
- Rate files loaded
- 9,864
- Rate records
- 342.7M
- Compressed source files
- 7.59 TB6.91 TiB
- Publication set
- September 2026
A rate record is one in-network rate object in a payer's published file. File-level outcomes—loaded, empty, unavailable, and omitted—are published for each group. Shared source content can appear in multiple files; these totals are not counts of unique rates.
See processing coverage by payerCheck the details behind each rate.
Published rates include plan, network, provider, and service information. Use those fields to choose comparable rates.
Available fields
- Published negotiated rate and rate type
- Payer, reporting entity, plan, and network context
- Provider identifiers, taxonomy, and geography
- Distribution statistics for the selected data
Published rates do not prove
- What a payer actually paid on a claim
- That a remittance violated your contract
- That every rate is comparable without review
- That bonuses or other contract terms are included
Questions about the data
Need a different answer? Email info@omnirate.health.
What data does OmniRate use?
OmniRate organizes in-network negotiated rates that health plans and issuers publish in Transparency in Coverage machine-readable files. These are payer-published rates, not paid claims or remittance data.
Which payers and codes are covered?
Coverage includes in-network rates from files published by Blue Cross Blue Shield licensees, UnitedHealthcare, Cigna Healthcare, and Aetna. The payer coverage pages show available publication months, file counts, and rate-record totals for each snapshot. The rate explorer provides billing-code search, filtering, and export options for the available data.
Can I export a benchmark?
Users with access to the full rate explorer can export filtered rate results to CSV or Excel. Those files can support reimbursement analysis, client work, and diligence, but teams should still validate contract terms and provider context.
Does a below-market published rate prove underpayment?
No. A published negotiated rate can signal a contract opportunity, but it does not prove what was paid on a claim or whether a remittance violated a contract. Claims and contract terms require separate validation.