Payor rate benchmarking by medical specialty
Rate dynamics, negotiation leverage points, and the CPT codes that matter most — broken down for the specialties where Payorology works.
Payor rate variation is not random. It follows patterns that are specific to each specialty — the codes that drive the most revenue, the modifiers that change effective visit economics, and the markets where rate gaps between comparable practices are widest. These guides translate the general benchmarking framework into the specific terms that matter for each specialty.
Example Specialties
PHYSICAL THERAPY & OCCUPATIONAL THERAPY
Payorology works with several of the top PT and OT groups in the United States.
PT and OT reimbursement is concentrated in a small set of high-volume visit codes where even modest rate differences compound dramatically across thousands of annual visits. MPPR treatment, evaluation code rates, and effective visit rate comparisons are the core analytics for this specialty.
ENT & ALLERGY
Payorology works some of the largest ENT and allergy practices in the United States
The revenue mix — E&M codes, in-office procedural codes, surgical codes, and immunotherapy — creates multiple distinct negotiation leverage points that most practices have never isolated or benchmarked individually.
Data for all medical specialties
Payorology works across virtually all commercial specialties.