Transparency in Coverage

These links lead to the machine readable files that are made available in response to the federal Transparency in Coverage Rule and includes negotiated service rates and out-of-network allowed amounts between health plans and healthcare providers. The machine-readable files are formatted to allow researchers, regulators, and application developers to more easily access and analyze data.

Aetna:

https://Health1.Aetna.com/app/public/#/one/insurerCode=AETNACVS_I&brandCode=ALICSI/machine-readable-transparency-in-coverage?searchTerm=275661&lock=true

Cigna:

https://www.cigna.com/legal/compliance/machine-readable-files

Dean/Prevea360:

https://www.Deancare.com/transparencyincoverage

https://www.Prevea360.com/transparencyincoverage

HealthNet:

https://www.centene.com/price-transparency-files.html

IBC:

https://www.ibx.com/developer-resources

Kaiser:

https://healthy.kaiserpermanente.org/front-door/machine-readable

Med Mutual of OH:

https://www.medmutual.com/For-Employers/Employer-Resources/No-Surprises-Act-Legislation.aspx

Priority Health:

priorityhealth.com/landing/transparency

United Healthcare:

https://transparency-in-coverage.uhc.com

UPMC:

https://www.upmchealthplan.com/transparency-in-coverage/mrf/