Ask the question
Describe the market question in plain language, or filter payer-published rates yourself by billing code, payer context, provider, and geography.
Describe the market question in plain language. OmniRate finds the payer-published negotiated rates behind it, shows the rows and the distribution, and lets you export what you found.
Ask about a market, then narrow the answer from statewide coverage to a city, ZIP, or a precise radius around any point on the map.
Every answer is inspectable
Nothing is a black box. Every response lands in the same workspace as the underlying rate rows and its distribution, so you can read the summary and audit what produced it in the same view.
Tour the workspaceCoverage you can audit
OmniRate loads the in-network rate files that Blue Cross Blue Shield licensees, UnitedHealthcare, Cigna Healthcare, and Aetna publish on their monthly cycle, and publishes the processing numbers for each group.
A rate record is one in-network rate object in a payer's published file. File-level outcomes—loaded, empty, unavailable—are published for each group.
See processing coverage by payerOne research workflow
A rate lookup is only useful when the comparison holds together. Asking a question is the fast way in; the filtering, distribution, and underlying rows stay in the same workflow so the answer stays checkable.
Describe the market question in plain language, or filter payer-published rates yourself by billing code, payer context, provider, and geography.
Check the plan, network, provider entity, billing class, setting, and modifiers before treating two published rates as comparable.
Review distributions and percentiles, then export the filtered results to CSV or Excel for strategy, client work, negotiation preparation, or diligence.
Evidence before adjectives
Payer transparency data is powerful, but only when its boundaries stay visible. Whether you asked the copilot or built the filters yourself, every answer carries the same context fields—and the same limits.
Built for multiple buyers
Providers, consultants, and investment teams use the same payer-published data for reimbursement, market analysis, and diligence.
Reimbursement
Benchmark rates, prepare for contract reviews, and give finance and contracting teams clear market context.
Explore rate benchmarkingClient analysis
Run repeatable payer, provider, and market comparisons across clients without maintaining a raw-file data pipeline.
Explore provider researchDiligence
Pressure-test reimbursement and market assumptions, compare targets or portfolio companies, and flag questions for deeper diligence.
Explore diligence researchChoose your first step
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OmniRate organizes in-network negotiated rates that health plans and issuers publish in Transparency in Coverage machine-readable files. These are payer-published rates, not paid claims or remittance data.
Coverage currently spans the in-network rates loaded from files published by Blue Cross Blue Shield licensees, UnitedHealthcare, Cigna Healthcare, and Aetna, refreshed monthly and typically running one to two months behind the payers' latest files. File counts, rate-record totals, and the publication month for each group are published on the payer coverage pages. The public directory is a focused preview; the full rate explorer covers the complete loaded set with billing-code search, filtering, and export options.
Users with access to the full rate explorer can export filtered rate results to CSV or Excel. Those files can support reimbursement analysis, client work, and diligence, but teams should still validate contract terms and provider context.
No. A published negotiated rate can signal a contract opportunity, but it does not prove what was paid on a claim or whether a remittance violated a contract. Claims and contract terms require separate validation.
Start with evidence
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