Disclaimer

Data Accuracy

The rates displayed on this platform are extracted from publicly available machine-readable files published by health insurance payers in compliance with federal Transparency in Coverage regulations. While we make every effort to accurately parse and present this data, we cannot guarantee its completeness or accuracy.

Payers may publish rates that do not reflect actual payment amounts due to additional contractual adjustments, modifiers, fee schedule floors/ceilings, or other factors not captured in the machine-readable files.

Not Medical or Financial Advice

This tool is provided for informational and research purposes only. It does not constitute medical advice, financial advice, or a recommendation regarding any healthcare provider, insurance plan, or treatment option. The information should not be used as the sole basis for any healthcare or business decisions.

Limitations

• Rates shown are negotiated rates between payers and provider groups. They do not represent what a patient will pay out-of-pocket (which depends on deductibles, copays, and coinsurance).
• Provider group identification relies on Tax ID and name pattern matching, which may not capture all entities associated with a group.
• State assignment is approximate, based on the majority practice location of NPIs under each Tax ID.
• Not all payer-group-state combinations are available. Coverage gaps exist where groups do not participate in certain payer networks or where data could not be matched.
• Rates may vary based on plan type, network tier, modifier codes, place of service, and other factors not displayed here.

Provider Group Information

The provider groups tracked in this tool are selected based on their national presence and relevance to the behavioral health market. Inclusion does not imply endorsement or recommendation. Exclusion does not imply any negative assessment.

Data Source Attribution

Data is sourced from machine-readable files published pursuant to 45 CFR 147.211 and 26 CFR 54.9815-2715A3. Provider taxonomy and geographic data is sourced from the CMS National Plan and Provider Enumeration System (NPPES).