Frequently AskedQuestions

Everything you need to know about negotiated rates, reimbursement data, and leveraging price transparency for your practice.

Price transparency data is publicly available information mandated by federal law that reveals the exact negotiated rates between healthcare providers and insurance companies. If you've ever wondered, "How much does insurance reimburse my competitors?" this data provides the exact dollar amounts, removing the guesswork from healthcare billing and contracting.
We've built Keeper to be lean and highly efficient so we can pass those savings directly to you. We are optimizing for scaling our business like a tech company; democratizing access to the data and driving the cost burden of parsing MRF data to zero via a large userbase.
If you are asking yourself, "What are my reimbursement rates compared to the clinic across the street?" this data is your answer. You can use our insights to see exactly how different payers are reimbursing competitors in your specific market. This allows you to negotiate stronger payer contracts, uncover underpayments, and set more competitive pricing.
We source our information directly from the Machine-Readable Files (MRFs) published by health insurance payers, as mandated by the federal Transparency in Coverage (TiC) rule. We ingest these massive, complex files and process them into clean, actionable price transparency data that you can actually use.
Our clean datasets include all the critical fields you need including: Billing Codes and Type (CPT/HCPCS/DRG), Provider NPI and Name, EIN and Business Name, Payer/Insurance Company Name, Place of Service (Facility vs. Non-Facility), Billing Code Modifiers, Fee Schedule levels, negotiation type, and the negotiated rates.
Our clients include Physicians, Revenue Cycle Management (RCM) companies, and Ambulatory Surgery Centers (ASCs). They rely on our how much does insurance reimburse data for everything from winning aggressive contract negotiations with payers to pinpointing high-value lead generation targets.
Because the raw payer files are notoriously massive, messy, and disorganized. It takes highly technical data engineering teams months to download, parse, and figure out how to work with them. We have already done all the heavy lifting and dirty work so your team can focus on using the negotiated rates to grow your business.
Yes, it is 100% legal. In fact, it's federally mandated. The Transparency in Coverage (TiC) rule and the Hospital Price Transparency rule require payers and hospitals to publish these exact negotiated rates publicly. The government created these laws specifically so the public and providers could see exactly how healthcare services are priced.
We do one thing exceptionally well: get you accurate negotiated rates at an affordable price. By keeping our focus laser-sharp, we have the time and resources to be there for our clients with hands-on support whenever they have questions about their market's reimbursements.
Because every day you wait is a day you are potentially being underpaid for the procedures and visits you are already performing. Our clients see an immediate ROI by using our price transparency data to identify where they are leaving money on the table. Learn more about negotiated rates and how they impact your revenue.
Healthcare pricing data is updated quarterly to ensure you have access to the most current negotiated rates and reimbursement rates. Insurance companies are required by federal law to update their machine-readable files monthly, and we process these updates to provide you with clean, organized price transparency data every quarter.
Our platform includes negotiated rates from all major insurance companies including Blue Cross Blue Shield, UnitedHealthcare, Cigna, Aetna, Humana, Kaiser Permanente, and many regional insurers. We cover over 95% of the commercial insurance market's reimbursement rates in the United States.

Still have questions?

Our experts are ready to show you exactly how insurance reimburses in your market and help you maximize your negotiated rates.

Related resources

How it works

Our streamlined process for accessing and analyzing price transparency data.