Contract Rates Inc reveals actual insurance contract rates by taxonomy, county and payor. Finally, put knowledge behind every negotiation—no more guessing.
Why are insurance companies fighting in court to prevent this? Find out below
Stop letting insurance companies exploit your practice.
See Sample Data DemoCourt documents prove insurance companies are terrified of provider rate transparency (Case #24CV54577 Nov 15, 2024)
"Public disclosure of the confidential reimbursement rate information would hinder Aetna's future ability to negotiate better prices effectively when providers know which cards are in Aetna's hand and strategies it has used in the past to secure competitive rates from providers."John Wagner, AETNA's Chief Network Officer Overseeing a nine state region, Declaration in support of AETNA Motion to Intervene 11/15/2024
"Kaiser derives economic value from the fact that those trade secrets are not generally known to the public, and it has taken reasonable efforts to maintain the information's confidentiality."
"Plaintiff will suffer irreparable injury, including the irreparable loss of its competitive business advantage, if the trade secrets contained in its 2022, 2023, 2024 NQTL reporting are made public."
"Apart from the harm disclosure of its trade secrets could cause Kaiser, the Court should consider potential anticompetitive consequences and harm that could result from the widespread dissemination of all payors' data."MOTION FOR TEMPORARY RESTRAINING ORDER. Kaiser Foundation Health Plan of the Northwest's Legal Team, Hart Wagner, LLP
They confess their strategy: keep rates secret to protect their 'competitive business advantage' and negotiating power.
"United employs significant security procedures to safeguard the secrecy of its Pricing Information. United does not share its Pricing Information with the public."
"Aetna takes reasonable and substantial steps to protect the confidentially of its pricing information. The confidential, trade secret information that is subject of this action--information related to Aetna's negotiated provider reimbursement rates and fee schedules--was directly derived from Aetna's provider agreements which contain confidentiality provisions prohibiting disclosure of contracting rates and fee schedules to third parties."
"Plaintiffs will suffer irreparable injury if the Pricing Information (provider reimbursement and fee schedules) is made public." "Plaintiffs derive economic value from the fact that these trade secrets and confidential information are not generally known to the public. The disclosure of these trade secrets and confidential information would dilute the economic value of Plaintiff's confidential business and market strategies"Plaintiff's [UHC, AETNA, CIGNA] Complaint and Motion for TRO and Preliminary Injuction, Attorney's for Plaintiffs
Their sworn testimony reveals the game: keep rates secret so providers can't negotiate effectively and insurance companies maintain all the leverage.
"Allowing health care providers to learn what their rival providers are being reimbursed would lead to higher provider rates by reducing incentives for providers to offer discounts any larger than their competitors. Disclosure of this detailed confidential information would easily enable network providers to demand reimbursement on the high end of the rate structure or threaten to leave the network."John Wagner, AETNA's Chief Network Officer Overseeing a nine state region, Declaration in support of AETNA Motion to Intervene 11/15/2024
"Disclosure of the Pricing Information would result in a loss of leverage for future contract negotiations with providers and give rise to potential network disruption and market distortion."Kirk Rosin Chief Behavioral Health Network Officer Cigna Healthcare; Declaration In Support Of Joinder of Motion for TRO filing on 11/15/2024 @ 2:53 PM
"Confidentiality of rates is key to maintaining any semblance of leverage in a contract negotiation. Publication or disclosure of the rates risks providers demanding reimbursement at or above the median contracted rates without accounting for any other factors that may warrant or justify reimbursement at a higher level and may negatively impact Cigna Healthcare's ability to contract with providers to participate in its network. Providers may be more unwilling than they would without the disclosure of these reimbursement rates..."Glenn Zuercher Supervising Counsel Evernorth Health Services (CIGNA); Correspondence to Oregon DCBS July 12, 2024
"Disclosure of United's Pricing Information or that of its competitors' [AETNA, CIGNA] rate information would disclose to providers the rates paid to others and allow them to demand the highest rate, impacting healthcare affordability and driving up consumer costs. Disclosure of this detailed confidential information would easily allow all network providers to demand reimbursement on the high end of the rate structure or threaten to leave the network, and so is even more likely to cause anti-competitive disruptions in marketplace."Michele Causley VP Operations UHC; Declaration In Support Of TRO filing on 11/15/2024 @ 2:53 PM
"Disclosure of Plaintiffs' [UHC,AETNA,CIGNA] Pricing Information would also harm the public interest as it would disclose to providers the rates paid to others and allow them to demand the highest rate, impacting affordability and driving up consumer costs."Plaintiff's [UHC, AETNA, CIGNA] Complaint and Motion for TRO and Preliminary Injuction, Attorney's for Plaintiffs
Insurance companies are swearing under oath that rate transparency allows providers to 'demand the highest rates' and 'threaten to leave networks.' They just explained exactly why transparency works: it gives providers leverage and destroys insurance companies' negotiating advantage.
While insurance companies fight transparency in court, your practice gets instant answers without the enterprise $10,000+ price tag, IT staff, extensive training or complex dashboards
Pick your medical specialties and geographic markets for rate intelligence.
Real contract rates from practices just like yours. Instantly see if you're underpaid, by how much, and exactly where you rank in your market.
End the information imbalance. Walk into negotiations knowing exactly what fair market rates look like.
24/7 Payor Intelligence: Your Competitive Edge Never Sleeps
The only service that monitors payor patterns, contract cycles, payor-parity compensation and rate evolution over time
Exclusive Power:
We build historical databases from monthly TIC updates.
See payor patterns no practice has ever had access to before.
The only service that shows you exactly which practices are getting paid what
We're the only company that connects TIC rate data to actual practice names. While others show anonymous rates, aggregate data and sparse names, see real rates from real competitors in your market.
Purchase access to see any practice's current rates across all payors. Always shows the most recent data on file. 1 year access.
Stop guessing who's getting better rates. See exactly what your direct competitors are earning and benchmark accordingly.
No feature restrictions or premium tier games. Power Packages differ only by how many counties and specialties you need covered. Broader coverage costs more to process and deliver. Simple, fair, honest.
Insurance companies know exactly what they pay every provider in your market. They use this intelligence to lowball offers and maintain negotiating advantage.
Meanwhile, practices negotiate with zero market data, hoping their "best offer" is actually fair.
We built Contract Rates Inc to end this imbalance.
Built to give practices the same rate data insurers use against them
Priced for real-world practice finances, not vendor wishful thinking
Designed for practices of every size that deserve actionable contract rate intelligence tools
After two decades in health system finance committees, IPA contract negotiations, and provider partnership meetings, we know the game is rigged. Insurance companies arrive with complete market intelligence while practices guess at fair rates.
We didn't build this to get rich. We built it because every practice deserves to negotiate from the same position of strength that insurers have always enjoyed.