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Four anonymized provider views, one platform. Real federal Transparency-in-Coverage rate data. Real peer benchmarks. The same view you would see for your own NPI on the Free Snapshot, end to end.
What the practice owner sees on day one.
One scrollable dashboard. The most important number is at the top: how much you are leaving on the table every month vs the CA peer median, based on real federal Transparency-in-Coverage filings for this specific NPI.
P5 of CA distribution
n = 14,998 contracted rows
~200 claims/mo = $4,290/mo
(estimated, not guaranteed)
(estimated, not guaranteed)
(estimated, not guaranteed)
(estimated, not guaranteed)
Top CPT codes vs the payer-matched peer-50.
The five codes with the largest gap against the peer median for the same code, the same payer, and the same specialty. Geography is matched at the narrowest level the public filings reliably support for each payer and code, starting from the payer's own state network footprint. Every row carries its sample depth and confidence. Metro-level benchmarking is in development. No specialty defaults. No averaging. Per code. Per payer.
| CPT | This practice gets | Peer-50 (matched) | Gap per claim How this was calculated | Confidence | Bar |
|---|---|---|---|---|---|
| 98941 Spinal manipulation · 3-4 regions · Anthem CA |
$14.00 Exact TiC Rate | $35.45 Exact TiC Rate | -$21.45 | High Confidence | |
| 97140 Manual therapy · 15 min · Blue Shield CA |
$23.39 Exact TiC Rate | $75.16 Benchmark Estimate | -$51.77 | Moderate Confidence | |
| 97110 Therapeutic exercise · Blue Shield CA |
$23.39 Exact TiC Rate | $75.58 Benchmark Estimate | -$52.19 | Moderate Confidence | |
| 98940 Spinal manipulation · 1-2 regions · Blue Shield CA |
$25.52 Exact TiC Rate | $25.30 Exact TiC Rate | +$0.22 | High Confidence | |
| 98942 Spinal manipulation · 5 regions · Aetna CA |
$31.20 Exact TiC Rate | $48.10 Benchmark Estimate | -$16.90 | High Confidence | |
| 97014 Electrical stimulation · unattended · Cigna Limited public contracted-rate coverage for this payer/code/geography. Estimate is directional only. |
$16.97 User-Entered | ~$28.40 Benchmark Estimate | ~-$11.43 | Thin Sample | |
| 99214 E/M office visit · established patient · UHC Reddenda does not currently have enough reliable public-rate data for this payer/code/provider combination. Claim-level confirmation requires private workflow. |
N/A | unavailable | -- | Unavailable |
Same practice. Two payers. Very different reality.
Each payer's median rate for this practice, ranked against the CA peer-50 across covered CPTs. Hover-equivalent metadata is rendered inline: row count, CPT coverage, weighted delta against the public benchmark.
The order to attack the contracts, with receipts.
Ranked by leverage, not by gap-size alone. Each action carries its own data citation. No vague advice. No generic playbook.
Re-negotiate 98941 with Anthem Blue Cross CA. 60% below CA peer-50.
Anthem's contracted 98941 rate is $14.00. The CA chiropractic peer-50 is $35.45 across 34,914 distinct rate rows in the federal TiC index. Top-quartile peers receive $76.25. Anthem's own Schema 2.0 MRF (March 2026 filing) is the citation.
Bundle 97140 + 97110 renegotiation across BSCA. Both 69% below peer-50.
BSCA pays both codes at $23.39. CA peer-50 is $75.16 for 97140 and $75.58 for 97110. Together these two codes represent roughly 31% of billable minutes for a typical chiropractic visit.
Add modality codes 97012, 97014, 97035 to next negotiation cycle.
Each is paid 50 to 67 percent below peer-50. Per-unit dollars are small, $16 to $32 per claim. Bundling them into the same negotiation packet keeps the leverage compounding instead of bleeding incremental rounds.
Maintain BSCA relationship on 98940. You are 15% above peer-50 there.
BSCA pays 98940 at $25.52 against a peer-50 of $25.30. Do not surface BSCA on 98940 in renegotiation packets. Use it as the reference baseline when negotiating Anthem.
Generate the 2-page Leverage Memo for Anthem CA.
Combines actions 01 and 03. Memo cites Anthem's own Schema 2.0 MRF filing inline. one-time on the Leverage Memo tier (list ), or included with Practice Audit.
The memo your office manager hands the payer rep.
Two pages of formal, payer-ready language. CPT-level, contracted-rate-cited, peer-benchmarked. The negotiator on the other side is looking at it for the first time. You aren't.
RE: Commercial fee schedule re-alignment request, NPI 19••••2219, effective Q3 2026
To: Network Management, Anthem Blue Cross of California.
The contracted rate currently in effect for CPT 98941 (chiropractic manipulative treatment, 3 to 4 spinal regions) under our agreement is $14.00 per claim. This rate sits at the 5th percentile of the public California chiropractic distribution as published in Anthem's own Transparency-in-Coverage machine-readable file (filing reference: Schema 2.0, March 2026).
The California chiropractic peer-50 for CPT 98941, calculated across 34,914 distinct contracted rates in the federal TiC index, is $35.45 per claim. The peer-75 is $76.25.
Our request is a re-alignment of CPT 98941 to the California peer-50 of $35.45 per claim, effective the next contract renewal cycle. We are similarly requesting re-alignment on CPT 97140 and CPT 97110, both currently paid at $23.39 against a peer-50 of $75.16 and $75.58 respectively.
Supporting data, percentile distributions, and source filings are attached as exhibits A through C.
What is free, what is paid, what is included.
Free Snapshot stays free. Paid tiers unlock the actionable artifacts: the leverage memo, the strategy call, the contract renewal calendar. Founding pricing holds while founding seats remain. Lock it before list pricing takes effect.
See where your contracted rates may sit against the peer benchmark. No credit card.
- Top 3 below-benchmark CPTs against local benchmarks
- Annual rate-gap range in dollars
- Worst-paying payer in your ZIP
- Percentile rank vs peer practices
- Renders in about 15 seconds
One payer. One negotiation. The 2-page payer-ready memo with CPT-level peer-benchmarked citations.
- Single-payer negotiation memo
- CPT-level peer-50 and peer-75 citations
- Exhibits A to C with source TiC filings
- Editable copy for your billing team
The full picture. 20 CPT codes. Strategy call. Payer scorecard. Pays for itself in the first renegotiation.
- Everything in Free Snapshot
- 20 CPT codes analyzed
- Full payer performance scorecard
- 30-min strategy call with an analyst
- Payer-specific negotiation scripts
- Contract renewal prep checklist
- Founder's Promise applies
Continuous reimbursement intelligence. Real-time rate-shift alerts. Monthly benchmark refreshes.
- Everything in Practice Audit
- Unlimited CPT codes tracked
- Real-time rate-shift alerts
- Contract renewal calendar with 90-day automation
- Monthly benchmark refreshes
- 2 user seats included
- Annual billing available:
Multi-NPI groups, billing companies, MSOs, DME suppliers, and distributors get pricing built around their book, structured to NPI volume and scope on a twenty-minute walkthrough. Schedule a walkthrough.
No PHI required. Public data only.
Reddenda uses the public NPI Registry, federal Transparency-in-Coverage rate filings, and the CMS Physician Fee Schedule. We are not a HIPAA-covered entity because we do not touch PHI. The Free Snapshot intake never asks for patient data. See the methodology for the full source list, refresh cadence, and aggregation rules.
The same view, computed against your own contracted rates.
Results appear in your browser in about 15 seconds. No required email gate. No drip sequence. No sales call. No credit card.