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
32.9/100 thin ▬ flat Agent 31/100 agent aware Full breakdown ↓
scored 2026-08-05 · rubric v0.9.1
AccessEnterpriseSelf serve
5 APIs
HealthcarePrice TransparencyNegotiated RatesMachine-Readable FilesPayer Data

Kin Score

Kin Score Kin Score How this is scored →
scored 2026-08-05 · rubric v0.9.1
Composite quality — 32.9/100 · thin
Contract Quality 15.1 / 25
Developer Ergonomics 4.3 / 20
Commercial Clarity 5.8 / 20
Operational Transparency 3.4 / 13
Governance 0.0 / 12
Discoverability 7.4 / 10
Agent readiness — 31/100 · agent aware
Machine-Readable Contract 18 / 18
Agentic Access Contract 10 / 10
MCP Server 0 / 12
Machine-Readable Auth 10 / 10
Idempotency 0 / 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 0 / 4
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.

Payerset Billing Codes API

Billing code classification, categorization, and code type reference data.

Payerset Hospital MRF API

Hospital price transparency machine-readable file discovery (hospitals, systems, payers).

Payerset Payers API

Payer reference metadata and payer listings.

Payerset Providers API

Provider (NPI), organization, and tax identification (TIN) reference metadata and mappings.

Payerset Rates API

Payer-provider negotiated rate lookups from Transparency in Coverage MRFs.

Open Collections 1

Open, tool-agnostic API collections (OpenAPI-derived and Bruno).

Payerset Data Lake API

OPEN COLLECTION

Pricing Plans 1

Published pricing tiers and plan structures.

Payerset Plans Pricing

2 plans

PLANS

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.

Payerset Finops

FINOPS

Security Posture 2

Authentication, domain security, vulnerability disclosure, and trust-center signals.

Payerset Authentication

apiKey · 1 scheme

SECURITY

Payerset Domain Security

TLSv1.3 · HSTS · DMARC

SECURITY

Agentic Access 1

Recommended x-agentic-access execution contracts for AI agents.

Payerset Agentic Access

13 operations

13 operations · 0 acting

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
LinkedIn
 Website
Website
 Blog
Blog

Source (apis.yml)

apis.yml Raw ↑ 
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: '0.19'
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