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CMS Transparency in Coverage

Stop Leaving $29,000* on the Table. Know What Insurers Actually Pay in Your County.

Empowering independent mental health practices with audited, county-level commercial reimbursement benchmarks extracted directly from CMS Transparency in Coverage (TiC) disclosures.

  • 100% Zero PHI
  • County-level percentiles
  • Federal TiC source data
Wake Co. · 90837 Median
$91.77
Wake Co. · 90837 P75
$109.59
Wake County, NC / CPT 90837 / Cigna P10 $62.00 County median P50 $91.77 County P75 $109.59 Aetna median $119.97 P10 to median +$29.77 / session Source CMS TiC machine-readable files Patient data None — Zero PHI
The Reimbursement Gap

Same session. Same county. Very different checks.

Recent payer reimbursement volatility and one-sided fee schedule resets across major networks make it harder than ever to know what fair looks like. Federal Transparency in Coverage rules (45 CFR § 147.212) require health plans to publish their in-network rates—we turn those massive disclosure files into a clear benchmark for the county where you practice.

Per-session gap
+$29.77
Cigna P10 vs. Wake County median, CPT 90837
Annual gap*
$28,579
≈ $29,000 at 20 sessions/week, 48 weeks/year
Payer spread
+93.5%
Aetna median above Cigna P10, CPT 90837
PHI required
0
Built only on public rate disclosures

*Illustrative calculation from Wake County, NC pilot benchmarks for CPT 90837: Cigna 10th percentile rate $62.00 vs. county median $91.77 = $29.77 per session × 20 sessions per week × 48 weeks = $28,579, shown in the headline as approximately $29,000. Individual results depend on payer mix, contract terms, and negotiation outcome. StarTorch does not guarantee any rate increase.

Live Interactive Benchmark Preview

See the numbers before you negotiate.

Benchmarks from our Wake County, North Carolina pilot. Every rate is an in-network negotiated amount published in payer Transparency in Coverage files—no surveys, no self-reported guesses.

Pilot Benchmark Wake County, NC

Commercial In-Network Rate Ladder

Psychotherapy, 60 minutes · Solo-practice behavioral health taxonomy · USD per session

  • Cigna
    P10
    $62.00
  • County
    Median (P50)
    $91.77
  • County
    75th pct (P75)
    $109.59
  • Aetna
    Payer median
    $119.97
Low-end rate (Cigna P10) Market benchmark Negotiation gap
Source: Payer-published TiC in-network rate files
Scope: Behavioral health provider taxonomies
Traceable: Every figure cites file & period

Revenue Gap Calculator

Drag to model your practice

$62.00
$91.77
20
48
Estimated annual revenue potential
$28,579
Per session
+$29.77
Per month
$2,382
Dossier pays back
7 sessions

Estimate only: (target rate − current rate) × sessions per week × weeks per year. Defaults reflect Wake County, NC pilot figures ($62.00 → $91.77 × 20 × 48 = $28,579). Not a guarantee of reimbursement or contract outcome.

Data Pipeline

From federal disclosure files to a negotiation-ready dossier.

Health plans publish in-network rates as massive machine-readable files—often hundreds of gigabytes per payer. We stream-parse them so you don't have to.

  1. 01

    Stream-parse TiC files

    Payer-published in-network rate files are ingested and parsed as streams, row by row.

  2. 02

    Filter & geolocate

    Rates are narrowed to psychotherapy CPT codes and behavioral health provider types, then mapped to counties.

  3. 03

    Compute percentiles

    County P10, median, and P75, plus payer-level medians—outliers flagged, sources retained.

  4. 04

    Deliver your dossier

    A clear PDF report and CSV export, delivered to your inbox within 24–48 hours (business days).

Why StarTorch & Compliance

Built on public data. Engineered for trust.

Public Data Only

100% Zero PHI

We never request, receive, store, or process protected health information. Our benchmarks are built exclusively from payer-published rate disclosures—there is simply no patient data in the system.

Never collected
  • Patient names or DOBs
  • Diagnoses or claims
  • EHR or member IDs
Only used
  • Published payer rates
  • Public provider directories
  • Your county & CPT codes
data_source = public_tic_disclosures · phi = none

Gag Clause Protection

Your contract may limit what you can disclose—public data doesn't. Every figure comes from files health plans are federally required to publish under the Transparency in Coverage rule (45 CFR § 147.212), so you can cite market rates without revealing any confidential contract terms.

Audit-Ready Negotiation Demand Letter

An editable, professionally structured rate-adjustment request that cites your county percentiles, source files, and reporting periods.

Federal source of truth

Transparency in Coverage machine-readable files required by 45 CFR § 147.212—not surveys or crowdsourcing.

County-level precision

Statewide averages hide local markets. We benchmark where you actually practice.

Audit trail included

Each benchmark references its payer, source file, and reporting period.

Transparent Pricing

Clear prices. No surprises.

All prices in USD. Reports are one-time purchases; the annual renewal is optional. No hidden fees. We confirm coverage for your county by email before you pay.

Single County Snapshot

A fast reality check on what payers pay in your county.

$49one-time
  • 1 county of your choice
  • CPT 90837 & 90834 benchmarks
  • County P10, median & P75 rates
  • PDF report delivered to your inbox
Request Snapshot

Annual Benchmark Renewal

Keep your numbers current as payers publish new rates.

$99/ year
  • Refreshed benchmarks for your county
  • Updated demand letter figures
  • For existing Dossier customers
  • Cancel anytime before renewal
Request Renewal
Order by email · no payment taken on this site Delivered to your inbox within 24–48 hours (business days)
Contact & Company Verification

Talk to a real U.S. company.

Questions about coverage for your county, an order, or an invoice? Email us and we'll respond promptly.

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Company Information

Registered LLC
Legal name
StarTorch LLC
Entity type
Wyoming Limited Liability Company
Industry
NAICS 51 — Information (data & information services)
Registered address
30 N Gould St, Ste R
Sheridan, WY 82801
USA
Customers
U.S. independent therapists, counselors & group practices

Send a message

Do not include any patient or client information.

Opens your email app, addressed to contact@startorch.net

Walk into your next payer conversation with the numbers.

County-level benchmarks, a ready-to-send letter, and zero PHI—for roughly the cost of seven sessions at the $29.77 pilot gap.

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