Payerset

What is healthcare price transparency?

Federal price transparency rules require health plans and hospitals to publish their negotiated rates as machine-readable files (MRFs). This data reveals the actual rates payers and providers have agreed to for every covered service — giving employers, health systems, consultants, and health tech companies the information they need to benchmark rates, negotiate better contracts, and build smarter products.

Who uses Payerset?

Payerset serves a wide range of healthcare organizations — from health systems and physician groups benchmarking their own rates, to health tech companies and analytics firms building transparency-powered products, to benefits consultants and TPAs advising self-insured employers. If you work with negotiated rate data, Payerset has a solution for you.

How is Payerset different from building an in-house solution?

Processing raw MRFs requires ingesting hundreds of terabytes of new data every month, normalizing inconsistent schemas, resolving ghost rates, and enriching with provider and billing code data. Building and maintaining that pipeline is a multi-year engineering investment. Payerset does all of this for you — so your team can focus on analysis and product development, not data plumbing.

What products does Payerset offer?

Payerset offers two core products. Rate Explorer™ is a self-service web platform for instantly comparing payer-provider negotiated rates across any combination of payers, providers, and billing codes — no IT work required. Data Lake™ delivers the same enriched, normalized data directly to your data environment (cloud storage, data warehouse, or Snowflake Marketplace) for teams that need to build on top of the data programmatically.

How often is the data updated?

Data is refreshed quarterly across both Rate Explorer™ and Data Lake™. Updates are automatically made available to customers as they are published, and full historical data remains accessible so you can track rate trends over time.