Behavioral health rate intelligence

Know your rate
before you negotiate.

TierBench shows behavioral health facilities the actual negotiated rates payers pay your peers — facility-level, not modeled estimates, scored for confidence — so you negotiate from intelligence, not guesswork.

Actual rates, not estimates National coverage Built for BH
Your rate, by percentile tier
Sample: residential treatment · 90837 · a Northeast market
LIVE DATA

Illustrative tier ladder. The sample facility sits at the 34th percentile (Tier 2, below the median) among peer negotiated rates for this service in this market. Competitor dollar figures are intentionally hidden.

Competitor dollar figures stay hidden by design.See your real position
Rates across every major payerOptumAetnaCignaUnitedHealthcareBCBSAnthemCarelonHumana+ Medicaid
The cost of negotiating blind

Most providers leave money on the table.

When you can't see what payers pay everyone else, you anchor low and accept less. A single underpriced contract quietly costs a mid-size facility tens of thousands a year — every year it renews.

15–40%
Typical reimbursement lift providers pursue at renegotiation.
$0
What the underlying MRF data legally costs — payers must post it.
Annualized rate · before vs. achievable
Illustrative
IOPnow
IOP+46%
PHPnow
PHP+44%
Detoxnow
Detox+48%
Current ratePeer-benchmark target
Why TierBench is different

The only BH rate data that's real, facility-deep, and built for this fight.

Modeled estimatesActual rates

Actual, not modeled

Every figure is a real negotiated rate pulled from payer machine-readable files — not a number derived from Medicare ratios and credential multipliers. When you cite it across the table, it holds up.

Clinician CPT onlyFacility-level

Facility-level depth

We resolve rates down to the institution: APR-DRG facility reimbursement, TIN-to-facility rosters, taxonomy and NPI. The reimbursement that actually drives your revenue, not just the professional fee schedule.

Boil-the-ocean generalistBH-native

Behavioral-health deep

Residential, detox, PHP, IOP, even Medicaid and BHS-LOCAL and DRG codes the generalists drop. Our payer intelligence is tuned to find the rates that matter for behavioral health specifically.

Vida AI · Coming soon

Ask your rates anything — in plain English.

Vida turns TierBench's verified payer data into plain-English answers — ask where you stand by code, payer, and market and get a clear, sourced read in seconds. The rates stay real and human-verified; Vida just makes them effortless to query.

Trained on TierBench payer intelligence — Vida helps you ask the data; it never estimates a rate.

Vida
AI rate analyst
Coming soon

Example conversation (Vida is a preview and not yet live):

Where do my IOP rates sit versus peers in Massachusetts?

You're around the 34th percentile for IOP among Massachusetts peers — a few percentile tiers of headroom before you reach the median. Worth targeting in your next renewal.

Based on real, human-verified payer rates · peer position only

Solutions

Self-serve the data. Or bring in a human to wield it with you.

01

Benchmark against competitor rates

Run your codes and service lines against what payers actually pay your peers in your market. Find every line where you're underpriced.

Explore Ratebench
02

Custom rate reports

Our analysts package a negotiation-ready deliverable: your gap versus benchmark, peer positioning, and a defensible target ask — turned around fast.

See a sample report
03

Negotiation consulting

Decades of behavioral-health contracting experience, paired with the data, guiding your strategy through every payer conversation.

Talk strategy
We don't negotiate for you — we put you in the position to negotiate. TierBench arms you with the rates, the peer context, and the strategy so you lead your own payer conversations, with us beside you at every step.
The hidden cost of doing it yourself

The rates are public and free. Getting them out is the hard part.

Every negotiated rate is legally required to be posted — and then buried in terabytes of payer JSON designed to resist you. Here's what stands between “it's public” and “it's usable.”

Terabyte-scale files
Single payer postings run into the hundreds of gigabytes of nested JSON.
A schema that fights you
CMS Transparency-in-Coverage structure, multipart files, and signed-URL indexes.
Payers move the goalposts
They forward-date, backdate, and silently edit postings without notice.
Zombie & local codes
APR-DRG crosswalks, BHS-LOCAL, and clinically unbillable "zombie" rates to filter.
Our payer intelligence

We've already done all of it — so your team never has to.

TierBench ingests, normalizes, crosswalks, and verifies the firehose market by market, with integrity checks on every write. You get clean, comparable rates; the brutal part stays on our side.

APR-DRG → MS-DRGBHS-LOCALTIN → facilityNPI / taxonomyMedicaidzombie-rate filter
Specialized for every BH setting

We speak your service lines, taxonomies, and codes.

Detox / WithdrawalInpatient psychResidentialPHPIOPOutpatientMATSUDCrisis / stabilizationTelehealth BHGroup therapy
How it works

From “we think we're underpaid” to a defensible ask — fast.

The heavy ETL is already built, so our analysts move quickly. Most engagements start with a free look at where you stand.

  1. 01

    Tell us your setup

    Your service lines, payers, and markets. Takes a few minutes.

  2. 02

    See your position

    A free analysis shows your percentile by code — no competitor dollars exposed.

  3. 03

    Get the full picture

    Subscribe to Workbench or commission a negotiation-ready report.

  4. 04

    Negotiate with us beside you

    Walk into renewals knowing your number and your peers' range.

Pricing

Three ways to work with TierBench.

Start free, subscribe to the platform, or have us build the report and strategy for you.

Self-serve

Workbench subscription

Free preview → annual plans
  • Free preview: one market, sample payers
  • Single-market and multi-market plans
  • Ratebench, Peerbench, Vida
  • Facility-level + professional rates
See plans
Done with you

Reports & consulting

One-time engagements
  • Negotiation-ready rate report
  • Your gap vs. benchmark + target ask
  • Strategy consult with our negotiator
  • Low commitment, high signal
Get a free analysis
For partners

Consultant & API access

Let's talk
  • Channel access for consultants & RCM firms
  • Seat- or client-volume pricing
  • Export / API access
  • Bring accurate data to your own clients
Become a partner

National coverage, expanding market by market. New payers and states added on a continuous, audited schedule.

Frequently asked

Questions, answered.

TierBench is a reimbursement intelligence platform for behavioral health. We turn the rate data payers are required to publish into actionable intelligence you can use to benchmark, negotiate, and grow — not another transparency website that just dumps files.

See exactly where you stand — free.

Tell us your facility and service lines. We'll show you your percentile position against real peer rates, prove we see the numbers, and point to where you're leaving money on the table. No competitor dollar figures, no obligation.

Two ways to start

Book a 20-minute call

Walk through your rates with us. Pick a time that works.

Or request the free analysis