Frequently Asked Questions

Choose based on the decision you need to make:

• Free Rate Opportunity Screen: an initial assessment of whether a full benchmark may be worthwhile.
• Competitor Rate Snapshot: a $150 focused comparison with named local competitors.
• Contract Rate Benchmark Report: broader market and peer analysis for an existing practice preparing to renegotiate.
• New Practice Market-Entry Report: specialty and geographic analysis for an opening, expansion, or relocation.
• Report Pack: repeat or higher-volume reports for RCM and contracting firms serving multiple practices.
• Power-user access: optional access for organizations with recurring, in-house analytical needs.

Compare all options.

A Competitor Rate Snapshot is a focused, competitor-specific product: it compares one baseline practice with selected named local competitors for a limited set of payers and billing codes. It is useful when you want a quick directional view.

A full report provides broader specialty and geographic peer analysis, rate distributions, market context, and recommended ranges. Choose the Contract Rate Benchmark Report for payer renegotiation or the Market-Entry Report for an opening, expansion, or relocation.

The standard Snapshot includes one baseline client or practice, one geographic market, up to three named competitor organizations, up to five CPT/HCPCS codes, and up to two payers. We deliver the results as an Excel workbook, typically within three business days.

The Snapshot is a focused comparison, not a full negotiation report. View or purchase the Snapshot.

The Contract Rate Benchmark Report is designed for an existing practice preparing for payer renegotiation. It includes an executive summary and methodology, comparable peer practices, specialty density, peer-rate distributions for selected CPT/HCPCS codes, and recommended rate ranges.

You may request one payer or all insurers in your market and select 10, 20, or 30 billing codes. Review the report and request form.

The Market-Entry Report supports a new opening, expansion, or relocation. It examines comparable peer practices, regional specialty density, payer-rate distributions, and recommended rate ranges so you can evaluate a market before committing.

Unlike the Snapshot, it is a broad specialty and geographic assessment rather than a comparison limited to named competitors. Review the Market-Entry Report.

• Free Rate Opportunity Screen: free.
• Competitor Rate Snapshot: $150.
• Contract Rate Benchmark Report: $595 for one payer or $1,395 for all insurers in your market.
• New Practice Market-Entry Report: $495 for one payer or $1,195 for all insurers in your market.
• Report Packs and custom work: priced according to scope.

Optional expanded billing-code scope may add to the base report price. See the current Pricing page and request forms for details.

Competitor Rate Snapshots and standard full reports are typically delivered within three business days after we have the required information and payment. We often deliver faster.

If your request requires clarification, custom scope, or replacement comparables, we will confirm timing with you before proceeding.

Purchase the Competitor Rate Snapshot directly and provide your practice, payer, competitor, geographic, and billing-code details at checkout.

For a full report, complete the Contract Rate Benchmark or Market-Entry request form. We will review the request and send an invoice. For multiple clients, use the Report Pack request form.

Yes. We apply the full $150 Snapshot purchase price as a credit toward either a Contract Rate Benchmark Report or a New Practice Market-Entry Report.

Enter the Snapshot order number in the full-report request form so we can apply the credit to your invoice.

Named competitors are not always identifiable in insurer-published data. If a selected organization is not in-network or cannot support a useful comparison, we may substitute a comparable organization with a similar taxonomy, size, and regional presence.

If the available payer data cannot support a useful analysis, we will contact you to rescope the request or offer a refund.

Reveon works from insurer-published Transparency in Coverage data. Availability varies by payer, plan, organization identifier, geography, and billing code. Some requested competitors or rates may not be identifiable, and published files may contain incomplete, duplicative, or difficult-to-interpret records.

We organize the available data, explain relevant limitations, and contact you when an alternate scope would produce a more useful result.

Our reports use machine-readable files published by health insurers under the federal Transparency in Coverage requirements. Reveon processes those large public files and combines the available negotiated-rate records with market, specialty, payer, and peer analysis.

Learn more about Transparency in Coverage.

Reports use the insurer-published files available when the analysis is performed. Insurers update their machine-readable files, typically monthly, and the exact effective dates and coverage vary by payer and plan.

Your report reflects the best usable data available for the requested scope at that time; it should not be treated as a permanent statement of future rates.

No. Published negotiated rates are benchmarking inputs, not guarantees of payment. Actual reimbursement can be affected by your contract, network status, plan design, modifiers, place of service, coding, bundling, medical-necessity rules, and claim adjudication.

Use the report as market evidence and negotiation support, then validate contract-specific conclusions with the appropriate operational, legal, or reimbursement professionals.

Yes. The standard Snapshot covers up to three named competitors, five codes, and two payers. If you need more, contact us with the requested scope and we can propose a custom product.

Full-report request forms also offer expanded 20- and 30-code options. Report Packs are usually more suitable for recurring work across multiple clients.

Report Packs are intended for RCM companies and contract-negotiation firms supporting multiple practices. They may include discounted multi-report purchasing, co-branding or white-label options, and workflow-specific customization.

If you only need one focused client analysis, start with the $150 Snapshot. For ongoing or higher-volume work, request a Report Pack consultation.

For a Snapshot, we first review the submitted practice, payer, competitor, and billing-code details against the available data. If data-validity or availability issues prevent a useful analysis, we will offer alternatives, including a full refund.

For changes or cancellations involving full reports, custom work, or Report Packs, contact us promptly. What is available will depend on whether analysis has begun and on the agreed scope. See the current Terms of Service for governing terms.

No. Do not submit protected health information such as patient names, dates of birth, medical-record numbers, or claim-level patient details.

We generally need organization and practice information, geography, payer and plan details, named competitors, and CPT/HCPCS codes—not patient information.

No subscription is required to purchase a Snapshot, full report, or Report Pack. These done-for-you products are the best fit for most practices and professional partners.

Power-user access may be appropriate for organizations with recurring data needs and an in-house team capable of performing its own analysis. Access scope, users, payer coverage, and credential rules are set by agreement; login credentials should not be shared. Contact us to discuss fit.