Turn Reimbursement Data into a Strategic Advantage in Payor Contracting

Successful payor contracting starts with real data — not estimates or outdated surveys. With Payorology, practices can now access the current reimbursement rates payors have agreed to with their peers in the same community, for every CPT® code, down to the penny.

This level of visibility gives you an edge in payor contract negotiations. With monthly updated data pulled directly from payors, you can see exactly what insurers are reimbursing for every service, across every practice in your market. No more guesswork. No more relying on anecdotal benchmarks.

Whether you’re preparing for payor contracting negotiations, exploring partnerships, or assessing your market position, price transparency healthcare data gives you the clarity to act with confidence. By comparing rates CPT® code by CPT® code, you can identify opportunities, strengthen your negotiating position, and ensure your reimbursement rates are aligned with market reality.

Payorology transforms raw medical price transparency data into clean, actionable insights—so you spend less time decoding data and more time using it to drive smarter payor contracting decisions.

Example Rates

Below is an example of facility rates for Ophthalmology ASCs for CPT® 66984. These are identified as facility rates based on service codes, NPIs, and additional data provided in the files. The differences in payor reimbursements can be dramatic — and understanding them is key to effective payor contracting.

Payor Contracting Insights

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