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 · H0018 · 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. This is an illustrative sample; exact rates are available inside the product.

Illustrative sample — exact rates in the product.See your real position
Used by
  • Emory Recovery Center
  • Ocean State Recovery Center
  • Recovery Services of Connecticut
  • Triad Recovery Center

Behavioral health providers using TierBench for rate intelligence.

Rates across major behavioral-health payers

Blue Cross Blue Shield plans

  • Anthem Blue Cross and Blue Shield Ohio
  • Anthem Blue Cross California
  • BCBS Arizona
  • BCBS Illinois
  • BCBS Louisiana
  • BCBS Massachusetts
  • BCBS Michigan
  • BCBS Minnesota
  • BCBS Montana
  • BCBS Nebraska
  • BCBS New Mexico
  • BCBS North Carolina
  • BCBS North Dakota
  • BCBS Oklahoma
  • BCBS Rhode Island
  • BCBS Texas
  • BCBS Wyoming
  • Blue Cross of Idaho
  • Blue Shield of California
  • Capital Blue Cross
  • CareFirst
  • Florida Blue
  • Highmark Delaware
  • Highmark New York
  • Highmark Pennsylvania
  • Highmark West Virginia
  • Horizon BCBS New Jersey
  • Wellmark

National carriers and networks

  • Aetna
  • Ambetter
  • Blue Benefit Administrators
  • Carelon
  • Cigna
  • Curative
  • MedCost
  • Optum Behavioral Health
  • Optum Health
  • Oscar Health
  • UnitedHealthcare

Regional and health-system plans

  • AmeriHealth Caritas Next
  • ConnectiCare
  • CoxHealth
  • EMI Health
  • Fallon Health
  • Group Health Cooperative of South Central Wisconsin
  • HAP
  • Harvard Pilgrim
  • Health New England
  • HealthLink
  • Johns Hopkins Health Plans
  • Kaiser Permanente
  • Mass General Brigham Health Plan
  • Moda Health
  • Mountain Health Co-op
  • MVP Health Care
  • Paramount
  • Priority Health
  • Prominence Health Plan
  • Samaritan Health Plans
  • Sanford Health Plan
  • Security Health Plan
  • SelectHealth
  • The Health Plan
  • Tufts Health Plan
  • UCare
  • UHA
  • UPMC Health Plan
  • Valley Health Plan
  • WellSense
  • Western Health Advantage

See payer coverage →

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 estimates → Actual 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 fee schedules only → Facility-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 generalist → BH-native

Behavioral-health deep

Residential, detox, PHP, IOP, ABA, eating disorder — 200+ billing codes, including the Medicaid fee-schedule, BHS-LOCAL and DRG codes the generalists drop. Our payer intelligence is tuned to find the rates that matter for behavioral health specifically.

Contract IntelligenceSoon

Your contracts, organized — and the renewal window never a surprise.

Drop in every payer agreement, fee schedule and amendment. AI reads and sorts them, pulls out the terms that matter, tracks the non-renewal notice deadline, reminds your team ahead of it, and puts your contract rates next to the market.

Contract Intelligence
1 of 5 · Drop your whole folder
Coming soon

Illustration of the planned Contract Intelligence experience, in five steps: upload a mix of contracts, fee schedules and amendments, each scanned for security; documents sorted into agreements by payer and facility; key terms such as the term end and the non-renewal notice date extracted by AI with a link to the source page, for you to confirm; reminders set ahead of the notice deadline, with an alert as it approaches; and a confirmed contract rate placed against actual negotiated rates in your market. These features are coming soon.

Illustrative — the planned experience. Sample names, no real agreements or rates.
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 Intelligence: rate reports

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

Contact Sales
03

Custom Intelligence: negotiation strategy

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

Contact Sales
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 psychResidentialPHPIOPOutpatientMATSUDABAEating disorderCrisis / 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

Every subscription includes the full platform.

The only thing that changes is market coverage. Pricing is tailored to your markets and needs.

1 state

Single-Market

For organizations focused on one geographic market.

  • One state, every supported behavioral-health payer
  • Metro and ZIP-radius views to zoom into your coverage
  • Full platform access · 1 user included
See plans
Most popular

Multi-Market

For organizations operating across multiple markets.

  • Choose the states you need
  • Cross-market comparisons and peer benchmarking
  • Full platform access · 1 user included
See plans
Nationwide

National

For organizations requiring nationwide intelligence.

  • Every U.S. market TierBench covers
  • National benchmarking and payer intelligence
  • Full platform access · 1 user included
See plans

Vida AI coming soon to every subscription. Custom analyses and data licensing available — contact sales. Full detail on the pricing page.

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