Choose comparable records
Filter by billing code, payer, and location. Check provider type, billing class, service setting, and modifiers before comparing rates.
Rate benchmarking
Compare payer-published negotiated rates by billing code, payer, provider, and location. Review distributions and export results for contract review.
Filter by location.
Filter rates by state, city, ZIP code, or a radius around a point on the map.
Review rates in a table or chart.
View published rates and their distribution in the same workspace. Filter the results, compare providers, and export the rows.
Video uses sample data.
Tour the workspaceCompare like-for-like rates
Review the distribution
Compare the median and percentiles for the selected records. Check the spread and number of records alongside any single rate.
Export and validate
Export the filtered results to CSV or Excel. Review contract terms and claims separately when using the comparison in a negotiation.
Questions about rate benchmarking
What data is used for a benchmark?
OmniRate organizes in-network negotiated rates from payer-published Transparency in Coverage files. The payer coverage pages show the available publication months and processing totals.
Why compare percentiles as well as an average?
Percentiles show how rates are distributed across the selected records. A median and percentile range help describe the spread that a single average can hide.
Can I export a comparison?
Users with access to the full rate explorer can export filtered results to CSV or Excel. Export options depend on the selected plan.
Can a published rate verify what was paid on a claim?
No. Published negotiated rates do not show paid claims. Check claims, remittances, and contract terms separately.