Nationally, rates vary a lot. Your local market is tighter than this - the free check pulls your real rates across Aetna, United, Cigna, and Anthem and shows you how to ask for more.
Payers pay different providers based on their credential, locality, experience and individual contract. upgRATE can retrieve your specific reimbursement rates and what similar providers make, so you can ask for a higher rate based on real data.
“I assumed all insurers paid roughly the same for 90837. upgRATE showed me a 30% range across my four payers — and which payers I was underpaid by. Sent letters to two of them and got bumps from both.”
Payers pay providers differently based on their credentials, locality, experience and individual contract. Individual contracts vary and depend on how “attractive” a provider is to the network. upgRATE helps mental health providers ask for a higher rate by presenting the payers' own data along with what makes the provider attractive to their network.
It's how we pull your specific contract rates from each payer. We don't store anything we don't need, and the first lookup is free with no credit card.
Refreshed monthly from federally mandated Machine-Readable Files (MRFs) every payer publishes. Stale rates are flagged.
A formal contract amendment request to the payer's network manager, citing your specific percentile gap and comparable rates. You review and send it from your own email.
No. upgRATE does not, cannot, and will not guarantee specific rates or any increase. We provide self-service tools to empower providers — the outcome depends on your payer relationship.