For brokers placing group health

Be the only person in the room with the market number.

Your client is being told their increase is what the market is doing. You can now check that. Sacramento and Roseville rates, filed by the payers themselves, for the services that actually drive a group's spend.

Metro market

New patient visit

Sacramento-Roseville-Folsom, CA · procedure code 99203

Local · metro· n=9,516Pooled filings, payers not identified
Medicare
$109
25th
$130
Median
$388
75th
$412
90th
$10925th
$130Median
$38875th
$41290th
$127Medicare

Middle price

$130

Half of this market is above it, half below

Middle half spans

$109 to $388

3.6x from low to high

The expensive end

$412

What the priciest providers charge

Medicare reference · Sacramento-Roseville-Folsom

$127

Performed in an office

$73

Physician fee in a facility

Read this carefully. The facility figure is the physician fee only. When the same service happens in a hospital outpatient department, the hospital bills its own facility payment on top, and that amount is not in this dataset. So the lower number here does not mean the hospital is the cheaper site. It usually is not. We will not publish a total cost by site of service until we hold the facility payment.

Negotiated prices from published filings, reported only where the sample supports it. For your city, not a statewide average. What plans have agreed to pay, not what a patient is billed. Filings as of July 20, 2026.

When it matters

Three moments in your year.

01

The renewal meeting

The carrier report says the increase is trend. You put the market distribution for the services that drive this group on the screen and ask where their network sits in it. The conversation stops being about your commission and starts being about their spend.

02

The finalist presentation

Every competing broker brings the same carrier illustrations. You bring a number none of them has, from a source the prospect can verify themselves, with the filing count and the filings date printed on it.

03

Defending an account

An incumbent under attack has to prove they are still doing work. A dated market read on the client's own services is a piece of work with your name on it, and it is repeatable next year so the comparison compounds.

Live, right now

Change it. It is a query, not a screenshot.

A new patient visit in Sacramento. Change either field and the answer changes with it. This is the same query your client can watch you run on a screen share, and the source line under it is the one they will ask about.

What you walk out with

One page you can hand a client.

The thing that travels is not a dashboard login. It is a single sourced view of what a market pays, in a form a CFO can read in thirty seconds and forward without you.

  • The distribution for the services that matter to that group, in the metro they actually buy care in, not a state average.
  • A Medicare reference figure beside every service, because it is the one reference point this audience already has a feel for. It is a fixed line to read against, not a fair price.
  • The filing count on every number, so a skeptical reader can judge the depth for themselves.
  • The source, the filing count and the filings date on the page, so it survives being forwarded to someone who was not in the meeting.
  • An honest gap where we do not have the data, rather than a number that would embarrass you later.

Before you ask

This will not tell you what a group will spend.

We hold price, not utilization. We can show you that one market pays twice another for the same procedure, and we can show you where a network sits in that spread. We cannot tell you how often your client's population uses that procedure, so we cannot forecast a renewal and we will not let a page here imply we can. Anyone selling you a spend projection off transparency data alone is selling you an assumption wearing a number's clothes.

Everything we do not have →

Bring a number to the meeting.

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