Payer Negotiated Rate Lookup (Transparency in Coverage)
Pricing
$100.00 / 1,000 negotiated_rate_lookups
Looks up a health insurer's actual negotiated in-network rate for a plan and a CPT/HCPCS procedure code, read live -- stream-parsed, never fully downloaded -- from that payer's own federally mandated Transparency-in-Coverage machine-readable file (45 CFR 147.212).
You can access the Payer Negotiated Rate Lookup (Transparency in Coverage) programmatically from your own applications by using the Apify API. You can also choose the language preference from below. To use the Apify API, you’ll need an Apify account and your API token, found in API & Integrations in Apify Console.
$echo '{< "queries": [< {< "toc_url": "https://antm-pt-prod-dataz-nogbd-nophi-us-east1.s3.amazonaws.com/anthem/2026-08-01_anthem_index.json.gz",< "plan_query": "PPO",< "billing_code": "27447",< "billing_code_type": "CPT"< }< ],< "max_scan_mb": 300<}' |<apify call kevinserver24/payer-tic-negotiated-rate-lookup --silent --output-datasetThe Apify CLI is the official tool that allows you to use Payer Negotiated Rate Lookup (Transparency in Coverage) locally, providing convenience functions and automatic retries on errors.
Using installation script (macOS/Linux):
$curl -fsSL https://apify.com/install-cli.sh | bashUsing installation script (Windows):
$irm https://apify.com/install-cli.ps1 | iexUsing Homebrew:
$brew install apify-cliUsing npm:
$npm install -g apify-cliOther API clients include: