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Rate Leverage

Your payer's own rates, turned into leverage

Reddenda builds a signable, evidence-backed negotiation memo. The exact codes, the local-peer P90 comparables, and the dollar case, ready to send your payer.

No PHI required. No card to preview. Modeled, not guaranteed; payer acceptance is not assured.
$5,749
The local-peer P90 for a knee replacement (CPT 27447) against a $1,746 median, the gap a memo documents.
Reddenda local-peer rate index (CA commercial)
Why it exists

You're negotiating blind, and asking too low

Most practices accept the payer's contracted rate without ever seeing what comparable in-network peers are paid for the same code. When they do ask for more, they anchor at the median, conceding the top of the local market before the payer even responds. Almost no one pushes back at all, and the few who do rarely have the evidence in hand.

See it on a real code
Pulling the local-peer benchmark...
Live from Reddenda's dataset - public federal Transparency-in-Coverage + CMS. Local-peer median, never national. No PHI. Modeled, not guaranteed.
How it works

How the Leverage Memo works

STEP 1

Read your published rates

Reddenda pulls the payer's federally-published Transparency-in-Coverage rate for your NPI and ranks every code by the gap to the local market.

STEP 2

Benchmark to the local P90

Each code is scored against the local-peer median (P50) and the 90th-percentile target (P90) from cpt_peer_stats, with the Medicare PFS as the floor reference.

STEP 3

Generate the signable memo

Tuenda drafts a letterhead-ready appeal quoting the sample-size-backed comparables and a specific dollar ask, exported to PDF or Markdown to send your payer.

What it does for you

Why it moves the number

$239
Local-peer P90 for CPT 99213 against an $86 median (CA commercial)
2.78x
Median-to-P90 spread you can document and ask toward
0 PHI
Generated from public rate data, no PHI required
Independent practiceSee exactly where each contracted rate sits against the local P90, then send the memo that asks for the gap.
Billing & RCMGenerate a signable leverage memo per client, per payer, per code, in one repeatable workflow.
Specialty groupBuild the dollar case on your high-RVU codes: knee replacement (27447) local P90 $5,749 versus a $1,746 median.
MSORoll the memo across every NPI and payer in the group. For multi-NPI portfolios, schedule a call to scope it.

Stop leaving the top of the market on the table

Open the Leverage Memo, pick a code, and generate the evidence-backed ask in minutes. Or book a call to scope a multi-NPI roll-up.

Multi-NPI or a whole book? Schedule a call - never a listed price.