API Pricing
Keeper Health publishes flat, predictable pricing for programmatic access to healthcare price transparency data. Other vendors in this category typically require a sales engagement to obtain a quote and contract at six- or seven-figure annual rates. Our pricing is listed below in full.
Plan
| Component | Price |
|---|---|
| Annual API subscription | $12,000 / year |
| Per-result usage fee | $5 per (billed entity × payer) |
There are no per-seat fees, per-request fees, premium tiers, or payer surcharges. The same rate applies regardless of which payers, plans, or specialties you query.
What counts as a billed entity
A billed entity is a tax-paying organization identified by its EIN (Employer Identification Number, also referred to as a Tax ID or TIN). A single billed entity frequently covers many providers — for example, a hospital system may employ hundreds of physicians who all bill under the same EIN.
Usage is charged once per (billed entity, payer) pair, regardless of how many of the following are included in the query:
- NPIs that roll up to that EIN
- Billing codes (CPT / HCPCS)
- Plans within the payer (PPO, HMO, Choice Plus, etc.)
- Modifiers, fee schedules, or service groups
Worked example
A search is submitted for 50 NPIs, 20 billing codes, and 3 fee schedules across 2 payers (Cigna and UnitedHealthcare). The 50 NPIs map to 12 distinct EINs in the result set.
- Distinct billed entities returned: 12
- Payers in the request: 2
- Billable combinations: 12 × 2 = 24
- Usage charge: 24 × $5 = $120
The charge reflects the 24 (billed entity, payer) combinations actually returned by the search — not the 50 NPIs submitted, and not the 60 (NPI × code) combinations queried. If a payer has no contracted rate for a given EIN, that combination is not billed.
Why pricing is published
Programmatic access to negotiated-rate data — the data that hospitals and insurers are required to publish under the Transparency in Coverage rule — is, in our view, more useful to the market when its pricing is public. Keeper Health publishes its rates so that organizations can evaluate, budget for, and procure this data without a multi-week sales process.
The API is intended for organizations including:
- Provider groups evaluating payer contracts
- Self-insured employers auditing carrier network rates
- Academic and policy researchers studying price variation
- Health-technology companies building on top of negotiated-rate data
- Journalists and analysts investigating healthcare pricing
A reduced rate is available for academic and nonprofit research. Please contact us for details.
How billing works
- The annual subscription is invoiced up front and grants an API key valid for 12 months.
- Usage fees are metered against the (billed entity, payer) pairs returned by completed searches and invoiced monthly in arrears.
- Idempotent retries carrying the same
Idempotency-Keyare not double-billed. See Create Search. - Failed jobs are not billed. Charges accrue only against successfully delivered results.
- Catalog endpoints — List Payers and List Plans — are not metered.
Each billed entity returned by a search is recorded against the organization's monthly usage and is available for review in the account dashboard.
How we compare
| Vendor | Annual API access | Per-record fee | Pricing public? |
|---|---|---|---|
| Keeper Health | $12,000 | $5 / (entity × payer) | Yes |
| Typical TiC data vendor | $150,000 – $1,000,000+ | Custom / undisclosed | No |
| Direct-from-payer ingestion | $0 license; substantial engineering investment to ingest | N/A | N/A |
We are not currently aware of another vendor in the healthcare price transparency space publishing a flat, per-result rate at this level. If you have identified one, we would welcome the reference.
Frequently asked questions
Does the annual fee include usage credits?
No. The $12,000 annual fee covers API access, support, and the infrastructure required to keep the underlying data current. Usage is metered separately so that lighter users do not subsidize heavier users.
Are volume discounts available?
Yes. Organizations consistently pulling more than 100 (entity × payer) combinations per month are eligible for custom pricing. Please contact us to discuss.
What is the minimum commitment?
The minimum term is 12 months. Trial keys with a limited usage cap may be issued for evaluation purposes; please contact company@keeperhealth.com.
Are NPIs or billing codes billed individually?
No. Any number of NPIs and billing codes may be included within a single (billed entity, payer) pair without additional charge.
How can monthly usage be estimated in advance?
Run a representative sample search for the providers and payers of interest, count the distinct EINs in the result, and multiply by the number of payers in the request to obtain the per-search billable count. Multiply by the expected search frequency to obtain a monthly estimate.
Get started
- Quickstart — submit a first search in approximately five minutes
- Authentication — how API keys are issued and used
- Reimbursement Data Schema — column definitions for returned results
For pricing, contract, or trial-access inquiries, please contact company@keeperhealth.com.