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OmniRate

Product

Explore the platform and its workflows.

Product DemoTour the full workspace with sample data.How It WorksSee how a market question becomes evidence.AI Copilot PreviewTry a guided payer-rate analysis workflow.

Use Cases

See how teams put payer-rate intelligence to work.

Who it's forSee who buys OmniRate and when it is the right fit.Payer Rate BenchmarkingCompare reimbursement across payers and markets.Provider ResearchResearch organizations, clinicians, and networks.Investment DiligencePressure-test reimbursement and market assumptions.

Payers

Processing coverage for the major carrier groups.

UnitedHealthcareFiles, sizes, and rate records loaded from UHC.BCBS MembersOne aggregate across every Blue licensee index.AetnaFiles, sizes, and rate records loaded from Aetna.CignaFiles, sizes, and rate records loaded from Cigna.
Pricing

Resources

Learn about the data, its sources, and its uses.

BlogGuides and analysis for healthcare pricing.MRF Source DirectoryFind payer machine-readable file sources.About Price TransparencyUnderstand the public payer-rate landscape.About Machine Readable FilesLearn what MRFs contain and how they work.
Account
OmniRate
Product DemoTour the full workspace with sample data.How It WorksSee how a market question becomes evidence.AI Copilot PreviewTry a guided payer-rate analysis workflow.
Who it's forSee who buys OmniRate and when it is the right fit.Payer Rate BenchmarkingCompare reimbursement across payers and markets.Provider ResearchResearch organizations, clinicians, and networks.Investment DiligencePressure-test reimbursement and market assumptions.
UnitedHealthcareFiles, sizes, and rate records loaded from UHC.BCBS MembersOne aggregate across every Blue licensee index.AetnaFiles, sizes, and rate records loaded from Aetna.CignaFiles, sizes, and rate records loaded from Cigna.
Pricing
BlogGuides and analysis for healthcare pricing.MRF Source DirectoryFind payer machine-readable file sources.About Price TransparencyUnderstand the public payer-rate landscape.About Machine Readable FilesLearn what MRFs contain and how they work.
Account
$371.46$1,249.00$89.95$527.33$2,105.50$156.78$3,450.00$700.00$42.50$1,875.25

Ask about any negotiated rate. Get evidence you can check.

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.

Tour the productSee plans and pricing
The copilot, with illustrative sample data
Ask in plain language
Full code explorer
Distributions and percentiles
CSV and Excel exports

Narrow it bystatecityZIPradius

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

The answer opens as rows you can check.

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 workspace

Coverage you can audit

National payer coverage, counted file by file.

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.

Rate files loaded
11,523
Rate records
412.3M
Published data processed
165.4 TB150.4 TiB
Publication set
July 2026

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 payer

One research workflow

Move from market question to reviewable evidence.

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.

01

Ask the question

Describe the market question in plain language, or filter payer-published rates yourself by billing code, payer context, provider, and geography.

02

Validate the comparison

Check the plan, network, provider entity, billing class, setting, and modifiers before treating two published rates as comparable.

03

Take the evidence with you

Review distributions and percentiles, then export the filtered results to CSV or Excel for strategy, client work, negotiation preparation, or diligence.

See the payer rate benchmarking workflow

Evidence before adjectives

Know what the number is—and what it is not.

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.

What you can inspect

  • Published negotiated rate and rate type
  • Payer, reporting entity, plan, and network context
  • Provider identifiers, taxonomy, and geography
  • Distribution statistics for the selected data

What it does not prove

  • What a payer actually paid on a claim
  • That a remittance violated your contract
  • That every rate is comparable without review
  • That bonuses or other contract terms are included
RATE CONTEXTComparison checklist
6 field groups
RateNegotiated amount and type
CodeBilling code, version, modifiers
PayerPayer group, publisher, reporting entity
PlanPlan, issuer, sponsor, market, network
ProviderNPI, TIN, taxonomy, organization
SettingBilling class, service code, geography

Use the available fields to narrow the peer set before drawing a market or reimbursement conclusion.

Built for multiple buyers

One rate-intelligence platform. Different decisions.

Providers, consultants, and investment teams use the same payer-published data for reimbursement, market analysis, and diligence.

Reimbursement

Provider organizations

Benchmark rates, prepare for contract reviews, and give finance and contracting teams clear market context.

Explore rate benchmarking

Client analysis

Consultants and advisors

Run repeatable payer, provider, and market comparisons across clients without maintaining a raw-file data pipeline.

Explore provider research

Diligence

PE and investment teams

Pressure-test reimbursement and market assumptions, compare targets or portfolio companies, and flag questions for deeper diligence.

Explore diligence research

Choose your first step

Pick a plan and start querying.

Choose a plan and pay by card. Access opens as soon as payment clears.

01

Start a subscription

Pick a plan and pay by card. No demo call, no sales cycle, no annual contract required.

See plans and pricing

Clear boundaries

Answers to common rate-data questions.

Need a different answer? Email info@omnirate.health.

01What data does OmniRate use?

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.

02Which payers and codes are covered?

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.

03Can I export a benchmark?

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.

04Does a below-market published rate prove underpayment?

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

Start with the market question you need to answer.

Pick a plan and pay by card. Access opens as soon as payment clears.

Tour the productSee plans and pricing

OmniRate

Payer-published rate intelligence for reimbursement, market analysis, provider research, and diligence.

Omni is independent and not affiliated with, endorsed by, or sponsored by any payer. All trademarks are the property of their respective owners.

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