We help medical practices leverage price transparency healthcare data to renegotiate payor contracts, drive growth, and improve patient care.
Providers care for patients.
Payorology cares for providers.
Why this matters
Payors have known what they’re paying everyone.
Until recently, you didn’t.
For decades, payor rate data was invisible — which meant negotiations were asymmetric by design. Payors came to the table knowing what every comparable practice in your market was being paid. Practices came armed with little more than last year’s contract and a general sense that they deserved more.
The Transparency in Coverage rule changed the information landscape. Payors are now required by law to publish their negotiated rates — every CPT® code, every provider, updated monthly. The data is out there.
The question is whether you can actually use it.
Why this matters
Your payor has known what it’s paying everyone.
Until recently, you didn’t.
For decades, payor rate data was invisible — which meant negotiations were asymmetric by design. Payors came to the table knowing what every comparable practice in your market was being paid. Practices came armed with little more than last year’s contract and a general sense that they deserved more.
The Transparency in Coverage rule changed the information landscape. Payors are now required by law to publish their negotiated rates — every CPT® code, every provider, updated monthly. The data is out there.
The question is whether you can actually use it.
How we work
More than a portal.
Your price transparency department.
Payorology builds clients a curated, specialty-specific portal customized to their needs. What makes it different from every other portal on the market is what’s been done to the data before you see it — and who’s available when you have a question.
Every rate in your portal has been vetted and verified against what you’re actually being paid, to the penny. We don’t feed you raw machine-readable file data and let you sort out what’s reliable. Before we show you a single benchmark, we confirm our data against your actual remittances. That verification step is the reason our clients trust what they see.
And when the data raises questions — because price transparency data is messy, complex, and not self-interpreting — we answer them. Which codes are truly comparable? What does that rate spread mean for your negotiation? What should you actually ask for, and how should you frame it? We’re not a software subscription you figure out on your own. We’re the team that tells you what it all means.
Our clients don’t think of us as a software vendor. They describe us as their price transparency department — an expert capability that happens to sit outside their org chart.
What surrounds the portal matters.
Generic data access and a curated, expert-supported specialty-specific portal are not the same offering. It’s not about the data, it’s about the insights.
| Capability | Self-Serve Platform | Payorology |
|---|---|---|
| Access to raw payor rate data | ✔ | ✔ |
| Data vetted and verified against client’s actual rates | ✖ | ✔ |
| Specialty-specific analytics | ✖ | ✔ |
| Expert team to interpret and contextualize data | ✖ | ✔ |
| Support for live negotiation strategy | ✖ | ✔ |
| Custom research for M&A, expansion, partnerships | ✖ | ✔ |
| Functions as an extension of your team | ✖ | ✔ |
What surrounds the portal matters.
Generic data access and a curated, expert-supported specialty-specific portal are not the same offering. It’s not about the data, it’s about the insights.
| Capability | Self-Serve Platform | Payorology |
|---|---|---|
| Access to raw payor rate data | ✔ | ✔ |
| Data vetted and verified against client’s actual rates | ✖ | ✔ |
| Specialty-specific analytics | ✖ | ✔ |
| Expert team to interpret and contextualize data | ✖ | ✔ |
| Support for live negotiation strategy | ✖ | ✔ |
| Custom research for M&A, expansion, partnerships | ✖ | ✔ |
| Functions as an extension of your team | ✖ | ✔ |
How practices use us
The data is more versatile than most practices realize.
Rate benchmarking is the most common starting point — but it’s rarely the only use. Here’s how large groups and PE-backed platforms apply payor rate intelligence across their organizations.
How practices use us
The data is more versatile than most practices realize.
Rate benchmarking is the most common starting point — but it’s rarely the only use. Here’s how large groups and PE-backed platforms apply payor rate intelligence across their organizations.
Get started
Let’s start with your own rates.
Before we show you what comparable practices are being paid, we verify your rates against what you’re actually receiving — to the penny. That first step is free, and it shows you exactly what our data quality looks like.
If the numbers tell a story worth acting on, we’ll tell you what we see and where the opportunity is. No pressure.