National Practice Advocacy Group
Your commercial rates are negotiable.
The average practice juggles 20–30 payer contracts, and most renew automatically at the same rates year after year — because it is never in the payer's interest to reopen them. We benchmark your reimbursement code by code, expose the contract language quietly eroding it, and negotiate on the increase we secure.
For practices billing $1M+ in annual commercial revenue. Review takes 20 minutes.
- 370
- Practices analyzed
- 2,100
- Contracts scored
- 5–60%
- Typical commercial rate increase range
Why practices leave money on the table
It isn't negligence — it's asymmetry. Hospitals employ entire managed-care departments to negotiate. Practices assign it as a side responsibility.
Contracts that never get questioned
Evergreen clauses renew your agreement at the same rates indefinitely unless someone objects before a buried deadline.
Benchmarks you can't see
Payers know exactly what every practice in your market accepts. We bring the same visibility to your side.
Language that erodes the rate
Downcoding, recoupment windows, and unilateral amendments cut your effective reimbursement without touching the schedule.
Time used against you
A real renegotiation takes months of touchpoints — and payers stall on purpose.
How it works
Four steps from first call to loaded rates.
1 · Free rate review
Share your specialty, payer mix, and commercial volume. We score your contracts against regional benchmarks.
2 · Opportunity report
Code-level detail: what you're paid today, what peers are paid, and the realistic target range.
3 · We negotiate
Our team handles payer outreach and follow-up. Your staff keeps seeing patients.
4 · You get paid more
New rates load and compound on every future claim. Our fee is tied to the lift we secure.
What renegotiation actually delivers
Real scoring outcomes from practices across the country. Names are never disclosed — only the state, the specialty, and the numbers.
- Ohio92/100
Dermatopathology / Pathology Laboratory
“We assumed our immunohistochemistry rates were simply what the market paid. Seeing every stain code lined up against Medicare and against an identically staffed lab in another state made it impossible for the payer to keep calling it a lab fee schedule issue.”
— Pathology Lab Manager
Very High opportunity: IHC and special stains pay 39.6%–44.0% of Medicare (88342 at $44.64 vs. $101.40; 88341 at $37.87 vs. $86.81; 88312 at $39.74 vs. $100.39), w…
- Nevada90/100
Interventional Pulmonology
“The procedural codes were the ones bleeding us and we could not see it. After the review, our largest bronchoscopy code nearly doubled.”
— Practice Owner
Very High opportunity: 31653 moved $781 → $1,439 (+84%), 99213 moved $58 → $106 (+83%), and 31626 moved $377 → $884 (+134%).
- North Carolina88/100
Pulmonology & Sleep Medicine
“We asked the Blues plan to take another look and they came back better than we thought possible. Our E&M rate moved from 120% of the 2008 Medicare baseline to 150%, and every other code landed at 140%.”
— Clinic Administrator
Very High opportunity: New proposal: E&M at 150% of 2008 Medicare (current 120%, previous offer 135%); all other codes at 140% of 2008 Medicare. Contract age at re…
Find out what your contracts are worth
Tell us about your practice and we'll score your commercial contracts against regional benchmarks before we ever ask you to sign anything.
Every review is confidential and there is no obligation to move forward.