pricinghealthcareprice-transparencynegotiated-ratesphysical-therapycptminnesota

Minnesota Commercial Payer Rates for Physical Therapy: Benchmarks by Code, Payer and Network

Updated Oct 20, 2026

$199

Fixed price

Sample structure: 94.9 / 100

0 download links issued

Seller: Brick and Mortar

Already have an account? Log in

Have an API key? Use the REST API →

Source, license and coverage

Supplier documentation. These claims are separate from the automated sample score. A listing edit date is not a data freshness date.

License: Brick & Mortar data licence: internal commercial use incl. model training, no redistribution
Source / creator: BCBS Minnesota and HealthPartners Transparency in Coverage in-network rate files (published under 45 CFR 147.212), October 2026 index; CMS Medicare Physician & Other Practitioners by Provider and Service, service year 2024 (public domain); NPPES for provider location.
Collection method: Every commercial health plan must publish its negotiated rates (the Transparency in Coverage rule, 45 CFR 147.212). The files are tens of gigabytes per payer and unusable as shipped. We downloaded BCBS Minnesota's and HealthPartners' October 2026 in-network files, kept the 39 CPT codes physical therapy bills, matched every rate to its provider, and reduced 7,583,038 rate rows across 2,190 providers to distributions: for each code x payer x network x billing class x negotiated type x modifier, how many providers, and the p10 / p25 / median / p75 / p90 rate. A second table cuts the same distributions by provider 3-digit ZIP. A third gives Medicare's 2024 paid and charged amounts per code for Minnesota physical therapists. Example: CPT 97110 (therapeutic exercise), professional, no modifier: median negotiated rate $25.08 across HealthPartners networks against $50.58 on BCBS Minnesota's Awar
Coverage start: Not applicable
Coverage end: Not applicable
Data last updated: 2026-10-20
Update schedule: snapshot

Source documentation ↗

License terms ↗

Sample structure score: 94.9 / 100

This automated check describes the inspected sample, not factual accuracy, legal rights, representativeness, or the quality of the entire dataset. It is not a customer rating.

Assessed 10 sample records (CSV) on 2026-10-20. All records in the provided sample were checked.

Check	Points	Evidence
Populated cells	45.3 / 50	136 of 150 top-level cells contain a value. Null, absent and blank values count as missing; zero and false count as populated.
Consistent value types	29.6 / 30	134 of 136 populated cells match their column's most common observed type. Types are inferred, not checked against real-world truth.
Consistent record shape	20 / 20	10 of 10 records have the expected fields. CSV/TSV use the header width; JSON uses the union of observed keys.

Field-level findings and improvements

Check missing cells and mixed types below. Document intentional missing values or mixed types in your field descriptions. Do not fill legitimate unknowns with invented values just to increase this score.

Field	Missing cells	Most common type	Other populated types
cpt_code	0 / 10	number	0 / 10
description	8 / 10	string	0 / 2
payer	0 / 10	string	0 / 10
network	0 / 10	string	0 / 10
billing_class	0 / 10	string	0 / 10
negotiated_type	0 / 10	string	0 / 10
modifiers	6 / 10	number	2 / 4
unit	0 / 10	string	0 / 10
n_providers	0 / 10	number	0 / 10
n_rates	0 / 10	number	0 / 10
p10	0 / 10	number	0 / 10
p25	0 / 10	number	0 / 10
median	0 / 10	number	0 / 10
p75	0 / 10	number	0 / 10
p90	0 / 10	number	0 / 10

How the score is calculated, its limitations, and how to correct an assessment →

About this data

What Minnesota's commercial health plans actually pay for physical therapy: negotiated-rate distributions (p10 to p90) for 39 PT CPT codes, per payer, network, billing class and modifier, built from 7.58 million rows of the payers' federally mandated Transparency in Coverage files. Plus the Medicare paid vs charged benchmark for the same codes. One CSV, 4,319 rows; column meanings in the schema. No provider names, NPIs or tax ids: every row is a distribution over at least 3 providers. Percentage-of-billed rates are kept separate from dollar rates (`unit`).

Retrieve with your agent or Python

Create an account and configure DATABAZAAR_API_KEY. This example retrieves free or already purchased data; it never makes a purchase. For a multi-file dataset, choose a file index from the manifest.

Download the Python example

python3 retrieve-dataset.py 2c6ce5bd-b074-4c48-8722-cf45a704c984 --output dataset.bin

Schema

Name	Type	Description
cpt_code	number
description	string
payer	string
network	string
billing_class	string
negotiated_type	string
modifiers	number
unit	string
n_providers	number
n_rates	number
p10	number
p25	number
median	number
p75	number
p90	number

Sample Data

Download a free sample to inspect the data before purchasing.

Public sample only. Sign in to retrieve the full dataset, including free datasets.

For AI Agents

Via MCP Server

# 1. Add to your agent's MCP config (claude_desktop_config.json or similar):
{
  "mcpServers": {
    "databazaar": { "command": "npx", "args": ["databazaar-mcp"] }
  }
}

# 2. Your agent can then call:
search_datasets({ query: "Minnesota Commercial Payer Rat" })
// Found: 2c6ce5bd-b074-4c48-8722-cf45a704c984
buy_now({ dataset_id: "2c6ce5bd-b074-4c48-8722-cf45a704c984" })  // uses your saved card

Via REST API

# Authenticate with your API key:
curl https://api.databazaar.io/datasets/2c6ce5bd-b074-4c48-8722-cf45a704c984 \
  -H "Authorization: Bearer YOUR_API_KEY"

# Purchase:
curl -X POST https://api.databazaar.io/datasets/2c6ce5bd-b074-4c48-8722-cf45a704c984/buy \
  -H "Authorization: Bearer YOUR_API_KEY" \
  -H "Content-Type: application/json" \
  -d '{"dataset_id": "2c6ce5bd-b074-4c48-8722-cf45a704c984"}'