The spread plate · real HCPCS · public federal filings Read 14 Sep 2026

California, commercial market

Statewide contracted-rate band, 25th to 75th percentile, on three orthotic supply codes

Knee orthosisL1832 · CA

$313 $1,121

Median $417 · 75th is 3.6× the 25th · n 174,431

Foot orthosisL3020 · CA

$97 $223

Median $129 · 75th is 2.3× the 25th · n 169,057

Ankle-foot orthosisL1906 · CA

$62 $122

Median $82 · 75th is 2.0× the 25th · n 202,865

Left end is the 25th percentile, right end is the 75th, the tick is the median. No supplier triangle yet: yours is drawn when you run your NPI. The 90th percentile target is locked on the public index.

Read from /api/rate-benchmark · statewide basis · commercial market Open your codes in the app →

Three real supply codes from the public record. Not your book until you bring yours.

Since 2022, every insurer must publish what it pays for every supply code.45 CFR 147.212

Same supply. Same code.Different checks.

One knee orthosis code, L1832, is contracted from $313 to $1,121 in the California commercial market. Score your supplier NPI, free.

Bring your top 20 codes →

No account. No card. No PHI.

Where this applies, and where it does not

Medicare DMEPOS is not negotiable. Your commercial contracts are.

Medicare DMEPOS fee schedules are set by CMS and by competitive bidding, so they are not individually negotiable, and nothing here pretends otherwise. The commercial side is a different market. Since 2022 every insurer has had to publish its contracted rates in machine readable federal filings, which is what makes an independent benchmark on your commercial book possible at all.

Commercial market only Statewide peer basis, as the index reports it, never a national average No PHI required

The thing nobody could see before

One code does not have one price.

E0601 is a CPAP device. Below is the band the commercial market published against that one code, read from the same federal filings on the same day, in three states. The code is identical in all three. The band is not.

State	25th	Median	75th	75th / 25th	Rate records
California E0601	$44	$314	$1,217	27.7×	219,409
Texas E0601	$56	$252	$336	6.0×	64,356
Florida E0601	$54	$301	$401	7.4×	30,169

Read from /api/rate-benchmark on 14 Sep 2026, commercial market, statewide basis, never a national average. Rental against purchase, modifiers and place of service all sit inside a single code, so a band is a starting position and not a verdict on any one line of yours. Reading your lines against it is what the working session is for.

The review arrives on their schedule

A record beats an opinion, and it has to exist before the letter lands.

The clock is not yours Prepayment review, post-payment audit, a commercial rate dispute. All three start a clock you did not set, and assembling the record after the letter arrives is the most expensive moment to begin. Book the session → There is no benchmark on file You know what your payers pay you. Almost no supplier holds a documented record of how that compares on the same code in the same market, because until 2022 there was nothing to compare it to. Check your codes → A citation changes how it reads A response built from internal spreadsheets reads as an opinion. A response built from the payer's own federal filing, with the source on every line, reads as a record. See the method →

Documentation strengthens a response. It does not guarantee an audit outcome, a payer decision, or any specific result. This is not legal advice.

Supply codes already in the index.

Seven more codes, read from the live index on 14 Sep 2026, California, commercial market. Same read, same day, no selection for a flattering answer.

Code	Equipment	25th	Median	75th	75th / 25th	Rate records
E0601	CPAP device	$44	$314	$1,217	27.7×	219,409
K0001	Standard wheelchair	$24	$146	$223	9.3×	297,329
E1390	Oxygen concentrator	$294	$733	$2,186	7.4×	278,839
L0650	Lumbar-sacral orthosis	$582	$910	$1,384	2.4×	103,303
E0143	Folding wheeled walker	$27	$36	$62	2.3×	289,015
A4253	Blood glucose test strips	$13	$17	$19	1.5×	158,555
E0470	Respiratory assist device	$781	$1,016	$1,131	1.5×	288,139

A sample of the DME, HME and orthotic codes the index holds, not the whole set, and not a claim about your state. Rate records is the count of indexed rate lines behind that band. The 90th percentile target is locked on the public index and unlocks inside the product. Bring your top 20 codes and we read yours on the call.

314M+ records · 500+ payers · 50 states · 9.2M+ NPIs. The universe we index toward.

Consultancies charge $75K to $350K to do this. You start at zero.

Every price we charge is published on one page. A score on a single NPI takes about two seconds, with no account, no card and no sales call, which is not true anywhere else in this field. Nothing has existed between a free lookup and a six figure engagement. That gap is the whole business.

Run it on your own NPI for $0 →

No PHI required No card Every price is on the pricing page Multi-location and multi-NPI books are scoped on the call, never priced inline

Bring your top 20 codes.Leave with the spread on each.

A 30 minute working session on your codes. Which payers pay you least on the supply codes that carry your revenue, and what the published band says about each one. No slides.

No account. No card. No PHI.

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