Rate Intelligence for Physician Practices
Access real commercial reimbursement rates. Compare payer contracts, identify market opportunities, and make data-driven practice decisions.
Live Rate Data
CPT 99213 - Office Visit
Medicare
$99.63
Commercial Median
$112.40
90th Percentile
$148.25
Commercial vs Medicare
+12.8%
Getting Started
How It Works
Start exploring rate data in minutes. No credit card required.
Create Account
Set up your profile with specialty and target locations. Takes under a minute.
Explore Rates
Search negotiated rates by CPT code. Filter by payer and geography.
Analyze & Decide
Compare rates, calculate revenue projections, and make informed decisions.
Powered by federal Machine-Readable File (MRF) data from CMS price transparency requirements
Platform Capabilities
Data-Driven Practice Intelligence
Built on billions of negotiated rate records from federal price transparency data, updated regularly from payer MRF files.
Commercial Rate Intelligence
Access real negotiated rates from major payers. Compare reimbursement across UnitedHealthcare, Anthem, Aetna, Cigna, and regional plans by CPT code and geography.
Revenue Calculator
Project annual revenue based on your procedure mix, volume, and location. Model different payer mix scenarios to understand your practice economics.
Provider Density Maps
Visualize physician saturation by specialty at the county level. Identify underserved markets.
CPT Rate Lookup
Search negotiated rates by procedure code. Filter by payer, state, and rate range.
Market Insights
Understand how your rates compare to regional and national benchmarks.
Secure & Private
Your searches are private. We never share your identity or activity with third parties.
Support
Frequently Asked Questions
Have questions? We have answers. If you don't see what you're looking for, contact us.
Our rate data comes from the Machine-Readable Files (MRFs) that commercial health insurers are required to publish under the federal Transparency in Coverage Rule. We aggregate this data to provide objective insights into payer rates and market trends.
The data is pulled directly from payer-published files and reflects actual negotiated rates between payers and providers. We process and validate the data monthly to ensure accuracy. While no dataset is perfect, MRF data represents the most comprehensive view of commercial payer rates available.
Metrum Health is designed for physicians exploring new opportunities. Whether you are considering a job change, evaluating offers, or just curious about compensation in different markets, our tools help you make informed career decisions.
Yes, Metrum Health is completely free for physicians. We believe every doctor should have access to market intelligence when making career decisions. We sustain our platform through partnerships with healthcare organizations.
Absolutely. We use industry-standard encryption (AES-256) for all data at rest and in transit. Your searches are private, and we never share your personal information with employers unless you choose to.
Payers publish new MRF data monthly, and we process updates as they become available. You can set up alerts for specific markets or employers you are interested in.
We cover all major commercial payers including Blue Cross Blue Shield (all state affiliates), Aetna, Cigna, UnitedHealthcare, Humana, and many regional plans. Coverage varies by geography, but we typically have data from 10+ payers per market.
Metrum Health provides data for all medical specialties. Rate data is organized by CPT code, so you can find relevant procedures for your specialty. Market insights and provider density maps are available for all physician specialties.