Contract Rates Inc gives medical practices the rate intelligence they have always used against you. Walk into every negotiation knowing exactly what each insurer pays your competitors — by name.
Why are insurance companies fighting in court to prevent this? Find out below
Stop letting insurance companies exploit your practice.
Under oath, in state court, insurance companies revealed exactly why rate transparency terrifies them — and exactly why it empowers you.
What they admitted under oath
Insurance companies went to court to keep their contracted rates secret. Their sworn testimony reveals the strategy plainly: rate secrecy is the foundation of their negotiating leverage. When providers do not know what the market pays, insurers maintain complete control of every contract conversation.
"...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 Chief Network Officer — Nine State Region
Declaration in Support of Motion to Intervene, 11/15/2024
"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
What their testimony means for you
Read their testimony carefully — insurers are not arguing that transparency is wrong. They are arguing that it destroys their negotiating advantage and lets providers demand the highest rates. They just explained, under oath, exactly why you need this data.
"...enable network providers to demand reimbursement on the high end of the rate structure or threaten to leave the network."
John Wagner, AETNA Chief Network Officer — Nine State Region
Declaration in Support of Motion to Intervene, 11/15/2024
"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
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.
You negotiated the rate. Are they actually paying it?
Simply upload your Electronic Remittance Advice file. The verifier matches every service line against your exact contracted rate and RVU year automatically. No manual setup. No spreadsheets. Included with every Power Package.
Insurers know your ERA files go straight into your billing system — unaudited. Every CPT code is now checked individually against your contracted rate. CO-59 multi-procedure reductions flagged separately for contract verification.
Insurer underpayment. CO-59 reduction verification. And — critically — services where your own billed amount falls below your contracted rate. Found money. No negotiation required. Compliant insurers have nothing to fear. Others have nowhere to hide.
Included with every package — no extra charge
We're the only service connecting TIC rate data to actual practice names — including every location a practice operates in your market. One selection shows you the complete rate picture across every payor, every location.
Select the competitors you actually care about from a named list built from your county and taxonomy selections. Your portal always shows their current rates across every payor — updated monthly with every TIC release.
Stop guessing who's getting better rates. See exactly what your direct competitors earn from every payor — by name, updated monthly. Every tier, same access. Because intelligence shouldn't depend on your budget.
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.