Contract Rate Benchmark Report
Preparing to renegotiate a payer contract? Compare your reimbursement with relevant practices in your region. Reveon Health researches local peers and delivers a done-for-you report with rate comparisons and market reference ranges for your selected billing codes.
Pricing: $595 for one payer or $1,395 for all insurers in your market. Reports are typically delivered within 3 business days.
Already purchased a $150 Competitor Rate Snapshot? We will apply the full $150 purchase price as a credit toward this report. Learn about the Snapshot.
How do I benchmark payer contracts in my region?
Start with the payer, billing codes and geographic market relevant to your practice. Then compare rates for practices with a similar specialty and provider-group profile. A statewide average can provide context, but it may not describe the peers you compete with locally.
Reveon does this research for you using publicly available negotiated-rate data. The full report explains the comparison group, shows rate distributions for selected CPT/HCPCS codes, and provides reference ranges to support your payer discussions.
What makes a useful local comparison?
- Specialty: compare providers whose clinical services are relevant to yours.
- Geography: examine practices near your ZIP code and within the market being evaluated.
- Practice and group size: consider both the practice's size and its provider-group context.
- Payer and billing code: evaluate the selected payer and CPT/HCPCS codes rather than treating all rates as interchangeable.
The strength of a comparison depends on the available data and the quality of the peer match. Benchmark findings support a negotiation; they do not guarantee a payer increase.
Snapshot or Full Benchmark Report?
Choose the level of analysis that matches the decision you need to make.
| Compare | Competitor Rate Snapshot | Contract Rate Benchmark Report |
|---|---|---|
| Best for | A quick, focused look at named local competitors | Preparing a data-supported payer renegotiation |
| Market view | Competitor-specific | Broad specialty and geographic peer assessment |
| Scope | 1 baseline practice, up to 3 named competitors, 5 CPT/HCPCS codes, and 2 payers | 1 payer or all insurers, regional comp research, and 10–30 selected CPT/HCPCS codes |
| Deliverable | Excel workbook | Negotiation-Ready report with comp research, rate distributions, and recommended ranges |
| Price | $150 | $595 for one payer or $1,395 for all insurers |
| Turnaround | Within 3 business days | Within 3 business days |
Upgrade without losing your investment: the full $150 Snapshot purchase price is credited toward a Contract Rate Benchmark Report.
What's Included in the Full Report?
Your Negotiation-Ready report gives you analysis you can take directly to a payer, including:
- Executive summary and methodology
- Comparable peer practices in your region
- Regional density for your specialty
- Peer rates and distributions for each selected CPT/HCPCS code
- Recommended rate ranges for fair reimbursement
Opening a practice or entering a new market? Our New Practice Market-Entry Report starts at $495 and focuses on planning for that market.
Not ready for the full report? The free Rate Opportunity Screen checks data availability and fit for a full benchmark report. It is not a full report or a document for payer submission.
Thank you for your interest. We'll review your request and send you an invoice. Upon payment, expected turnaround is 3 business days!