Payerset

Payerset is a healthcare price transparency data company that parses every payer Transparency in Coverage (TiC) machine-readable file and compliant hospital MRF each quarter, enriches negotiated rates with provider, payer, and claims metadata, and delivers it as analytics-ready datasets. The Payerset Data Lake API exposes payer-provider negotiated rate lookups, NPI/TIN provider mapping, billing-code classification, and hospital MRF discovery via a REST API authenticated with an x-api-key header.

Payerset publishes 5 APIs on the APIs.io network, including Billing Codes API, Hospital MRF API, Payers API, and 2 more. Tagged areas include Healthcare, Price Transparency, Negotiated Rates, Machine-Readable Files, and Payer Data.

Payerset’s developer surface includes authentication, documentation, engineering blog, and 8 more developer resources.

🌐 Visit website 📡 Source on GitHub

33.9/100 thin ▬ flat Agent 23/100 agent aware Full breakdown ↓
scored 2026-08-25 · rubric v0.14.0

AccessEnterpriseSelf serve

5 APIs

Healthcare Price Transparency Negotiated Rates Machine-Readable FilesPayer Data

Kin Score

Kin Score How this is scored →
scored 2026-08-25 · rubric v0.14.0

Composite quality — 33.9/100 · thin

Contract Quality 11.4 / 21

Developer Ergonomics 4.0 / 17

Access Clarity 4.9 / 17

Operational Transparency 2.6 / 11

Contract Governance 0.0 / 10

Discoverability 6.3 / 9

Regulatory Posture 2.3 / 15

Agent readiness — 23/100 · agent aware

Machine-Readable Contract 18 / 18

Agentic Access Contract 10 / 10

Documented Reversibility 6 / 6

MCP Server 0 / 12

Machine-Readable Auth 10 / 10

Idempotency 9 / 9

Stable Error Semantics 0 / 8

Request/Response Examples 0 / 7

Rate-Limit Signaling 7 / 7

Typed Event Surface 0 / 6

Agent Skills 0 / 5

Well-Known Catalog 0 / 4

Consent & Bot Identity 0 / 3

A2A Agent Card 0 / 8

Dry-Run / Simulate Mode 4 / 4

Delegated User Identity 0 / 6

Protected Resource Metadata 0 / 5

Registration Without a Human 0 / 6

Agentic Commerce Surface 0 / 5

Regulatory Posture applies to this provider. Its tags matched the Health regime, so Regulatory Posture carries 15 points of the composite. If this regime is wrong for your business, say so on your provider repo — the applicability map is public and we will correct it.

The six quality facets above are damped to 85 points between them, because the conditional facet above carries the other 15. That is why each facet's contribution is shown against a damped maximum: raising a quality facet moves the composite by 85% of its nominal weight, not 100%. The full arithmetic is at apis.io/rating/.

Improve this rating by publishing the missing artifacts — every area above can be raised, and the full rubric is at apis.io/rating/. This rating is computed from github.com/api-evangelist/payerset: open an issue to ask a question, or submit a pull request to add artifacts. Want it done for you? Prioritized profiling — $2,500 →

APIs 5

Individual APIs this provider publishes, each with its own machine-readable definition.

Rate Limits 1

Documented rate limits and quota policies.

Payerset Rate Limits

2 limits

RATE LIMITS

FinOps 1

Cost, billing, and metering signals for API financial operations.

AGENTIC

Resources

Documentation 1

Reference material describing how the API behaves

Documentation

Documentation

Agent Surfaces 1

MCP servers, agent skills, and machine-readable catalogs

AgenticAccess

AgenticAccess

Build 1

SDKs, sample code, and the tooling you integrate with

GitHubOrganization

GitHubOrganization

Access & Security 2

Authentication, authorization, and security posture

DomainSecurity

DomainSecurity

Authentication

Authentication

Operate 1

Status, limits, changes, and where to get help

RateLimits

RateLimits

Commercial 2

Pricing, plans, and the legal terms of use

Plans

Plans

FinOps

FinOps

Company 3

The organization behind the API

LinkedIn

Website

Website

Blog

Blog

Source (apis.yml)

aid: payerset
url: https://raw.githubusercontent.com/api-evangelist/payerset/refs/heads/main/apis.yml
name: Payerset
kind: company
description: Payerset is a healthcare price transparency data company that parses every payer Transparency in Coverage (TiC)
  machine-readable file and compliant hospital MRF each quarter, enriches negotiated rates with provider, payer, and claims
  metadata, and delivers it as analytics-ready datasets. The Payerset Data Lake API exposes payer-provider negotiated rate
  lookups, NPI/TIN provider mapping, billing-code classification, and hospital MRF discovery via a REST API authenticated
  with an x-api-key header.
accessModel:
  pricing: enterprise
  onboarding: self-serve
  trial: false
  try_now: false
  public: false
  label: Enterprise · Self-serve signup
  confidence: high
  source:
  - plans
  - authentication
  generated: '2026-07-22'
  method: derived
image: https://kinlane-images.s3.amazonaws.com/shared/apis-json/icons/payerset.png
tags:
- Healthcare
- Price Transparency
- Negotiated Rates
- Machine-Readable Files
- Payer Data
created: '2026-06-21'
modified: '2026-06-21'
specificationVersion: '0.23'
apis:
- aid: payerset:payerset-billing-codes-api
  name: Payerset Billing Codes API
  description: Billing code classification, categorization, and code type reference data.
  humanURL: https://docs.payerset.com/data-lake/data-dictionary/payer-transparency-tic
  baseURL: https://api.payerset.com
  tags:
  - Billing Codes
  properties:
  - type: OpenAPI
    url: openapi/payerset-billing-codes-api-openapi.yml
  - type: Documentation
    url: https://docs.payerset.com/data-lake/data-dictionary/payer-transparency-tic
  - type: PostmanCollection
    url: collections/payerset.postman_collection.json
  - type: OpenCollection
    url: collections/payerset.opencollection.json
  - type: Documentation
    url: https://docs.payerset.com
  - type: Documentation
    url: https://payerset.com/datalake/
  - type: Documentation
    url: https://payerset.com/rateexplorer/
- aid: payerset:payerset-hospital-mrf-api
  name: Payerset Hospital MRF API
  description: Hospital price transparency machine-readable file discovery (hospitals, systems, payers).
  humanURL: https://docs.payerset.com/data-lake/data-dictionary/payer-transparency-tic
  baseURL: https://api.payerset.com
  tags:
  - Hospital MRF
  properties:
  - type: OpenAPI
    url: openapi/payerset-hospital-mrf-api-openapi.yml
  - type: Documentation
    url: https://docs.payerset.com/data-lake/data-dictionary/payer-transparency-tic
  - type: PostmanCollection
    url: collections/payerset.postman_collection.json
  - type: OpenCollection
    url: collections/payerset.opencollection.json
  - type: Documentation
    url: https://docs.payerset.com
  - type: Documentation
    url: https://payerset.com/datalake/
  - type: Documentation
    url: https://payerset.com/rateexplorer/
- aid: payerset:payerset-payers-api
  name: Payerset Payers API
  description: Payer reference metadata and payer listings.
  humanURL: https://docs.payerset.com/data-lake/data-dictionary/payer-transparency-tic
  baseURL: https://api.payerset.com
  tags:
  - Payers
  properties:
  - type: OpenAPI
    url: openapi/payerset-payers-api-openapi.yml
  - type: Documentation
    url: https://docs.payerset.com/data-lake/data-dictionary/payer-transparency-tic
  - type: PostmanCollection
    url: collections/payerset.postman_collection.json
  - type: OpenCollection
    url: collections/payerset.opencollection.json
  - type: Documentation
    url: https://docs.payerset.com
  - type: Documentation
    url: https://payerset.com/datalake/
  - type: Documentation
    url: https://payerset.com/rateexplorer/
- aid: payerset:payerset-providers-api
  name: Payerset Providers API
  description: Provider (NPI), organization, and tax identification (TIN) reference metadata and mappings.
  humanURL: https://docs.payerset.com/data-lake/data-dictionary/payer-transparency-tic
  baseURL: https://api.payerset.com
  tags:
  - Providers
  properties:
  - type: OpenAPI
    url: openapi/payerset-providers-api-openapi.yml
  - type: Documentation
    url: https://docs.payerset.com/data-lake/data-dictionary/payer-transparency-tic
  - type: PostmanCollection
    url: collections/payerset.postman_collection.json
  - type: OpenCollection
    url: collections/payerset.opencollection.json
  - type: Documentation
    url: https://docs.payerset.com
  - type: Documentation
    url: https://payerset.com/datalake/
  - type: Documentation
    url: https://payerset.com/rateexplorer/
- aid: payerset:payerset-rates-api
  name: Payerset Rates API
  description: Payer-provider negotiated rate lookups from Transparency in Coverage MRFs.
  humanURL: https://docs.payerset.com/data-lake/data-dictionary/payer-transparency-tic
  baseURL: https://api.payerset.com
  tags:
  - Rates
  properties:
  - type: OpenAPI
    url: openapi/payerset-rates-api-openapi.yml
  - type: Documentation
    url: https://docs.payerset.com/data-lake/data-dictionary/payer-transparency-tic
  - type: PostmanCollection
    url: collections/payerset.postman_collection.json
  - type: OpenCollection
    url: collections/payerset.opencollection.json
  - type: Documentation
    url: https://docs.payerset.com
  - type: Documentation
    url: https://payerset.com/datalake/
  - type: Documentation
    url: https://payerset.com/rateexplorer/
common:
- type: AgenticAccess
  url: agentic-access/payerset-agentic-access.yml
- type: DomainSecurity
  url: security/payerset-domain-security.yml
- type: Authentication
  url: authentication/payerset-authentication.yml
- type: GitHubOrganization
  url: https://github.com/payerset
- type: LinkedIn
  url: https://www.linkedin.com/company/payerset
- type: Website
  url: https://www.payerset.com
- type: Documentation
  url: https://docs.payerset.com
- type: Plans
  url: plans/payerset-plans-pricing.yml
- type: RateLimits
  url: rate-limits/payerset-rate-limits.yml
- type: FinOps
  url: finops/payerset-finops.yml
- url: https://www.payerset.com/insights/
  type: Blog
maintainers:
- FN: Kin Lane
  email: kin@apievangelist.com

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