How do I find negotiated rates for a specific payer and CPT code?

Go to deductibledata.com/custom-data-pull, select your payer from the dropdown, add your CPT or HCPCS codes, choose a provider scope, and your price estimate calculates in real time. You can also use a pre-configured URL — for example, /custom-data-pull?payers=sentara_health_plan&codes=90837&mode=bulk opens a Sentara Health Plans quote for CPT 90837 (60-minute psychotherapy) without any setup.

What payers are available for rate lookup?

DeductibleData currently includes 25 commercial payers with machine-readable in-network rate files published under the Transparency in Coverage rule, including Aetna, UnitedHealthcare, Cigna, Humana, BCBS plans, Sentara Health Plans, Oscar Health, Molina Healthcare, and others. Medicare Advantage plans are not included — they are exempt from the TiC rule and publish no in-network rate files.

What is a payer rate quote?

A payer rate quote is a pre-built data order configured for a specific payer, billing code set, and provider scope. It shows the estimated cost to extract that data, the volume of plan files available, and a direct link to complete checkout. Quotes are shareable — you can send the link to a colleague and they will see the same configuration and price.

How do I get negotiated rates for behavioral health CPT codes like 90837, 90832, 90791?

These CPT codes are supported across all available commercial payers. To get rates for CPT 90837 (60-minute individual psychotherapy), 90832 (30-minute psychotherapy), or 90791 (psychiatric diagnostic evaluation), go to the Custom Data Pull, select your target payer, and add the codes individually or paste them as a comma-separated list.

Does DeductibleData have Sentara Health Plans negotiated rates?

Yes. Sentara Health Plans is available as of May 2026 with approximately 1.8 GB of in-network rate data across 7 plan files. You can query CPT codes including behavioral health codes 90791, 90832, 90834, and 90837 against Sentara's network directly at deductibledata.com/custom-data-pull.

Are Medicare Advantage rates available?

No. Medicare Advantage (Part C) plans — including Aetna Medicare, Humana Medicare, and Anthem Medicare — are regulated under Title XVIII of the Social Security Act, not the ACA. The Transparency in Coverage rule only covers commercial group health plans and individual ACA coverage. No Medicare Advantage plan publishes machine-readable in-network rate files because no law requires it.

How long does it take to get the data after placing an order?

Most custom data extractions complete within 2 to 4 hours. You receive an email notification when your file is ready to download. File sizes typically range from a few MB (single payer, single code, bulk providers) to several GB (multi-payer, multi-code, large provider lists).

Can I get a shareable quote link to send to a colleague?

Yes. After configuring your data pull on the Custom Data Pull page, click Save Quote. The link is copied to your clipboard automatically. The recipient can view the full configuration and price without signing in, and proceed to checkout when ready. Quote links expire after 5 days.

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How to Get Instant Payer Rate Quotes for Any CPT Code

May 26, 2026•DeductibleData Team•4 min read

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How to Get Instant Payer Rate Quotes for Any CPT Code | DeductibleData Blog