About

Insurers publish every price. We make them readable.

PayerSight turns the rate files US insurers are required to publish into a plain answer: what a clinic is paid for a code, by each insurer, next to Medicare.

Why we built it

Public data that almost nobody can use.

In the US, what a clinic is paid for the same service depends on the insurer, the network and the clinic's own contract. A routine office visit can pay about $30 at one clinic and over $200 at another.

Since 2022, insurers have had to publish every rate they negotiate. In practice the files run to terabytes per insurer each month. The platforms that clean them cost tens of thousands of dollars a year and are built for contracting and finance teams.

Everyone else was left guessing: the sales rep preparing for a clinic meeting, the practice owner wondering whether a contract is fair, the consultant sizing a market. We built a pipeline that reads hundreds of insurer networks every month and answers their question in seconds.

What we hold to

A credible number, explained in plain language.

Plain language

Typical rate and range, insurer names people recognise, and every figure as a multiple of Medicare.

Show the basis

Every number carries its sample size, its comparison and the date of the insurer file it came from.

Say what we don't know

Small samples are flagged and missing insurers are named. We call it a reference, never a quote.

Priced for people

A seat a sales manager or practice owner can buy on a card, without a procurement process.

How the numbers are made

From raw insurer files to one line per insurer.

This runs every month, when insurers publish new files. Full methodology →

01
Read every networkAbout 400 insurer networks, billions of price rows, every dollar rate kept with its code, part and setting.
02
Merge and localiseIdentical price lists published under different network names become one fee schedule, about 315 in total. Each is shown only in the states where it operates.
03
Match to clinics and cliniciansContracts are linked to the national provider registry for names, locations and specialties. Medicare billing data tells us which specialties really perform each code.
04
Summarise and compareTypical rate per clinician and per contract, the middle 80% range, and the multiple of the 2026 Medicare fee schedule for the same state.