What Payers Actually Pay

Every insurer is now federally required to publish the rates it pays providers. Almost nobody reads those files, because they are enormous. We read them. Here is what the major payers pay independent practices for the codes you bill most, straight from their own disclosures.

From payers' own files
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From the source

The numbers come from each payer's Transparency in Coverage machine-readable files, the same disclosures the federal government requires them to publish. Not estimates, not surveys.

Compared to Medicare

Every rate is shown next to the Medicare office rate for that code and state, so you can see the real premium or discount, not just a dollar figure with no anchor.

Then checked against yours

Type in what a payer pays you and see where you land in their published range. Below the median usually means there is room to renegotiate.

Check Your Rate

Pick a payer, code, and state, then enter what you are paid.

Rate Reality Check

See where your contracted rate falls against what this payer actually publishes.

$160.66 (25th)$160.66 (median)$240.99 (75th)

Based on 89 published rates. Medicare pays about $82.23 here.

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Aggregated from UnitedHealthcare's own federal Transparency in Coverage machine-readable files (reporting period July 2026). Office place-of-service professional rates. Ranges, not a guarantee of your rate.