MedRate · Early Access
Payer negotiated rates for CPT, HCPCS, and DRG codes.
Built for TPAs, repricers, and insurance teams that don’t have a six-figure procurement budget. Built with early-access users, not sold yet.
The state of the market
You’ve probably looked at this space. Here’s what’s actually out there.
We’re the self-serve alternative. Payer rates specifically, not hospital MRFs. Built for TPAs, repricers, and insurance teams — not health systems.
| Feature | MedRate | PayerSet | ProcedureRadar |
|---|---|---|---|
| Self-serve signup | ✓ | — | ✓ |
| Payer negotiated rates | ✓ | ✓ | Paid add-on |
| Built for TPAs / repricers | ✓ | — | ✓ |
| Sales call required | — | ✓ | — |
What MedRate does differently
Four things, and only four things.
Self-serve signup
No sales call. No procurement cycle. Sign up, log in, look up rates. Compare to PayerSet and Turquoise Health, which require sales-led onboarding.
Payer negotiated rates
Not hospital MRFs. If you’re a TPA or repricer, you need what payers actually pay — not what hospitals list.
Built for the buyer you are
TPAs, medical repricers, insurance teams. Not providers, not health systems, not life sciences.
Affordable
Early-access pricing from $499/mo. Not $75K. Not $999. Not “contact us.”
Working today
What you can do right now.
CPT, HCPCS, and DRG lookup
Look up any code across Medicare fee schedules, payer-published rates, and geographic regions.
Payer-specific rate search
Look up a code and see the rates a specific payer publishes — what your network is actually paying.
Geographic search
Find what providers in a zip code or state are being paid for a procedure. Region-by-region benchmarking.
Medicare comparison
See Medicare-published rates alongside payer and fee-schedule data for the same code.
Who MedRate is for
For TPAs
You administer self-funded or level-funded plans. You need to know what your network is actually paying on claims — and you don't have time to download 40GB of MRF files every quarter.
For medical repricers
You reprice out-of-network claims. Every claim needs a defensible rate benchmark — fresh, traceable, and exportable into your repricing engine.
For insurance / payers
You need competitive intelligence without involving procurement, security review, and a 6-month vendor onboarding. Just the data.
Want to help shape MedRate?
We’re onboarding a small group of alpha users — people who’ll actually use the tool and tell us what works and what doesn’t. No pricing yet, no procurement, no commitment beyond “this looks promising”.
Join the alpha →