Health plans must publish every rate they negotiate. We turn that into a plain-English benchmark for your specialty, with no claims data required to start.
Get a free snapshot See what's includedSince 2022, health plans have had to publish the rates they negotiate. It's public, but unusable without a pipeline built to parse it.
Published by every payer, for every plan. Far too large to review by hand.
We filter to the CPT/HCPCS codes that drive your revenue.
The free snapshot and Basic report need no data from you.
See a free sample first. Go deeper when you're ready.
Two of your codes, benchmarked against your market so you can see the format before you buy.
Your top 10 codes, benchmarked by code and by named payer against your market.
Bring your own claims for deeper code/payer analysis and negotiation support.
Scoped and priced per engagement after a short call. Claims work runs under a BAA.
Claim-level review across Medicare, Medicaid and commercial payers: payer-rule edits, missed charges, duplicates and denial patterns.
We check what you were paid against the rates your payers publish for you, and flag aged and underpaid claims for your billing team to rework.
E/M leveling, modifiers and bundling, and Medicare chart review by our medical coders, with findings you can train on.
Facing a TPE, RAC, UPIC, OMIG or commercial payer audit? We test the auditor's sampling and extrapolation and re-review the charts.
Audit response work is done alongside your healthcare attorney. Crown does not provide legal advice.
Or we identify them for you.
Filtered to your specialty and market.
The codes worth raising, and why.
Add Plus for hands-on support.
Statistics, healthcare economics, and payer-data expertise for a market large data vendors mostly skip.
Tailored code lists and benchmarks — not a generic report.
Start with a free 2-code snapshot. No data required.
Framed the way you'd use it in a payer conversation.
Solo practices and small groups who've never seen this benchmark before.
Contract renewal coming up, or just never looked? That's when this pays for itself.
Get a free snapshotCrown brings together healthcare economists, insurance specialists and benefits consultants, and PhD statisticians and data scientists, working alongside experienced medical coders. The people who build the data pipeline also review the results, so every finding is checked by someone who understands both the numbers and the claim.
Experts in how payers price care and where the money leaks.
Plan design, payer contracts, benefits strategy and actuarial context.
PhD-level methods and pipelines that turn billions of published rates into answers.
Experienced coders reviewing CPT, HCPCS and ICD-10 against coding rules.
Tell us about your practice. We'll send a free 2-code snapshot, then you decide if the full report is worth it.
Or email: info@crownadvisory.com