The Centers for Medicare & Medicaid Services have implemented the Transparency in Coverage rule to increase price transparency in the health insurance market. This rule mandates that health plans and insurers disclose detailed pricing information, enabling consumers and providers to make informed decisions about their healthcare.

For physicians and other healthcare providers, this means you can now access comprehensive data on how payment rates compare across different insurance plans by CPT code, fostering greater transparency and enabling more strategic decision-making in your practice.

HMSA

HMAA

UHA

The data presented on this website is taken directly from the publicly available Transparency in Coverage machine-readable files provided by the insurance company. Any missing or incomplete data is a result of the information provided in these files by the insurance company. We strive to ensure the accuracy and completeness of the data, but we cannot be held responsible for any discrepancies or omissions originating from the source files.