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Payer negotiation

Payer contract benchmarking by CPT

“Negotiating payer contracts.”

Payer contract benchmarking is how an ASC walks into a renewal knowing exactly where its rates sit. DataLily Insights benchmarks what every payer pays for your CPTs across your market, so you can see where you fall behind and ask for what the work is worth.

Benchmark what every payer pays for your CPTs across your market, so you see exactly where your rates fall behind. Sit down at your next United or Aetna renewal with the leverage to ask for what the work is worth.

See where you fall behind

Compare your position against the market for the same CPT and payer, procedure by procedure, so the gap is something you can point to, not a hunch.

Prep the renewal

Walk into the United or Aetna conversation knowing your highest-volume codes, which payers pay behind the market, and by how much. Evidence changes the ask.

Ask Rose

Ask in plain language where a payer runs rich or thin for your cases, and get a charted answer that ends in a recommendation you can take into the room.

Answered

Common questions

What is payer contract benchmarking?
It's comparing your reimbursement against the market for the same procedure and payer, so you know where your ASC's rates rank before you negotiate.
How do I prepare to negotiate a payer contract?
Start with your highest-volume CPTs and the payers that matter most, then benchmark each against peers. DataLily Insights shows where you sit so the conversation starts from evidence, not a guess.
Which payers should I renegotiate first?
The ones paying furthest behind the market on your highest-volume codes. Insights ranks the gap by payer so you focus where a rate change moves the most revenue.

Book a demo

A 15-minute walkthrough of payer contract benchmarking by cpt on your own market.

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