🏥 Humana Negotiated Rates

Humana Negotiated Rates
via REST API

ChoiceCare, HumanaOne PPO. 180M+ rate rows. Query Humana rates by CPT code, NPI, or billing code. No ETL. No 200 GB JSON files.

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180M+
Rate Rows Indexed
400K+
Providers
12,000+
Billing Codes
Monthly
Refresh Cycle
Network Coverage

All Humana Networks, Unified

Humana publishes MRF data for its commercial ChoiceCare and HumanaOne PPO networks alongside full OON files. PayerBenchmark indexes all Humana MRFs monthly, giving you access to negotiated rates for Humana's employer and individual lines of business.

ChoiceCare Network HumanaOne PPO Humana OON
REST API

Query Humana Rates in One Request

Filter by CPT code, NPI, network, and date range. Paginated JSON — no parsing multi-gigabyte files.

●●● GET /v1/rates 
GET https://api.payerbenchmark.com/v1/rates
  ?payer=Humana
  &procedure_code=99213
  &npi=1234567890

// Response
{
  "data": [{
    "payer":          "Humana",
    "network_key":    "ChoiceCare Network",
    "procedure_code": "99213",
    "negotiated_rate": 87.42,
    "rate_type":      "fee_for_service",
    "effective_date": "2025-01-01"
  }],
  "meta": { "total": 14, "page": 1, "per_page": 50 }
}
GET /v1/rates Negotiated rates for Humana filtered by CPT, NPI, and network.
GET /v1/benchmarks Cross-payer p10–p90 percentiles. See where Humana rates rank vs. market.
GET /v1/oon/rates Humana out-of-network allowed amounts by NPI and procedure code.
FAQ

Humana Rate Data — Common Questions

Which Humana networks does PayerBenchmark cover?

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PayerBenchmark covers Humana's ChoiceCare Network, HumanaOne PPO, and Humana OON allowed-amount files — all networks published in Humana's CMS Transparency in Coverage MRF disclosures.

How do Humana rates compare to larger payers like Cigna and UHC?

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The /v1/benchmarks endpoint returns cross-payer percentiles for any CPT code across all payers including Humana. Humana's commercial rates often skew toward regional variation, which shows clearly in the p25–p75 spread by procedure code.

Can I query Humana rates for Medicare Advantage plans?

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Humana's Medicare Advantage MRF data is published separately under the MA transparency rule. PayerBenchmark currently indexes Humana commercial MRFs. MA data coverage is on our roadmap.

Is there a way to bulk export all Humana rates?

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Yes. The /v1/rates/all endpoint with payer=Humana returns a paginated cursor-based export of all Humana rates for a given network and date range — suitable for bulk analytics pipelines.

Start Querying Humana Rates Today

API access to 180M+ rate rows across all Humana networks. No ETL pipeline required.

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