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Hospital & insurance transparencySource-backed product with Vlada enrichment

In progress

In progress: insurer files from 43 payers, March to May 2026; UnitedHealthcare, Elevance, Aetna and HCSC not yet included.

Not for sale yet. It is not counted in the catalog.

Commercial Negotiated Rates (Transparency in Coverage)

Commercial negotiated rates from insurers' Transparency in Coverage files. Partial today: only the payers extracted so far, three months of files (March to May 2026), and read one provider, payer, code and state at a time. Most raw rows are placeholder (ghost) rates, so the stored row count is not a count of usable rates.

What Vlada adds: Integrates and normalizes multiple public inputs into a queryable Vlada data product with source-traced lineage.

datasets: 5; datasets
cadence: Multiple publisher cadences; cadence
coverage: 2026-03 to 2026-05; coverage

Publishers: U.S. health insurers and plan administrators

What's inside

Commercial Negotiated Rates — Transparency in Coverage (TiC)

Commercial-insurer negotiated rates parsed from the Transparency in Coverage files of the payers extracted so far (March to May 2026). Most raw rows are placeholder rates; reachable one provider, payer, code and state at a time.

grain: One row per (payer, plan, NPI, code, modifier, billing_class, POS, negotiated_type) at a snapshot.

Commercial Rate → Provider Links

The link between each negotiated rate and the providers it applies to — rate ID to NPI, payer, code, and state.

grain: One row per (rate_id, NPI) — links a negotiated rate to a provider.

Commercial Rate Market View — by Code

Negotiated rates by code within a state, across the payers extracted so far.

grain: One row per fact_rate row (payer, state, rate_id), projected and partition-pruned by (payer_id, state, code_prefix).

Commercial Rate Market View — by Provider Entity

Negotiated rates rolled up by the negotiating provider entity — a provider's rate profile across payers and codes.

grain: One row per (payer, entity, code) — entity-keyed negotiated rate.

Commercial Negotiated Rates (legacy build)

Earlier build of the commercial negotiated-rate table; superseded by the current TiC rate build.