Out-of-network pricer

Validate OON rates, free of charge

Meet your no-cost method of generating a defensible code-specific rate plotted against market rates

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Generate a position

A few clicks and you're done

Select a code and a market and easily return a transparent benchmarked rate powered by actual contracted rate distribution and reference pricing. Whether you need comparison rates based on percent of Medicare, local market in-network rates, or our Fair Market recommendations, easily review and share the results via link or download.

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How OON Pricing is built

Methodology, references, and market bands all built on Transparency in Coverage (TiC) files

Transparent methodology

Understand the inputs, math, traceability behind every rate

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Geography reference

Choose markets based on national, state, CBSA, or MSA coverage

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Fair market band

Define the 25th to 75th percentile contracted rate band

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Transparently eliminate OON rate confusion

The data, the methodology, and a fair rate you can defend

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