What's on your mind?

Payor contract renegotiation may be the most common use of transparent CPT® code reimbursement rates data, but it’s just the beginning.  Medical practices also use the data to guide M&A, location expansion, recruiting, network decisions, and other growth initiatives.

Choose the Right Partner
with Confidence

When choosing between a health system or physician group, CPT code reimbursement rates matter. Until now, contract terms kept those rates hidden — making decisions a leap of faith. With price transparency healthcare data, you can evaluate real rates from similar partnerships to set expectations and choose the right path.

Enter New Markets
with Eyes Wide Open

When entering a new market, Payorology provides a detailed view of payor preferences and negotiated reimbursement rates — whether per diem, fee schedule, or percentage-based.  You'll see how peers are reimbursed for each CPT® code, helping you understand rate tiers and set informed expectations.

Payor Data Drives M&A Success

Leverage reimbursement rates data to uncover M&A opportunities in key markets and build strategies for success.  High-performing practices can strengthen your portfolio and boost ROI, while underperformers may gain value through improved reimbursement strategies under experienced management.

Black Box Analysis is now Transparent

Before investing time in a Black Box analysis, understand the other party’s reimbursement rates by CPT® code.  Even before engaging, know their contracts.  Equip your Business and Corporate Development teams with the data they need to move fast and make confident decisions.

When multiple billing entities are in play, conduct your Black Box analysis with the best option, based on the CPT® codes that matter most.  Using reimbursement data in advance is like having the answers before the test even begins.

Should you go in-network?

When considering joining a new payor network or returning after leaving, gain clarity on the reimbursement rates your peer practices have successfully negotiated, ensuring you aren’t limited to the payor's base reimbursement rates.  This insight enables you to assess whether an existing rate aligns with your practice’s business goals before discussions begin, and to recognize when it’s best to walk away.

Use Data to Recruit Smarter

Leverage payor data to show providers how your CPT® code reimbursement rates compare to those of other practices highlighting the immediate compensation boost they could gain by billing under your contracts.  Reach out to high-quality providers at low-rate practices and demonstrate how joining your team can unlock their full earning potential without compromising care standards.