Becker's Healthcare December 10, 2025
Insurers are publishing incomplete price transparency data, with hospital inpatient information particularly sparse, according to a study published in the American Journal of Managed Care in December.
Researchers from Simple Healthcare analyzed 2025 Transparency in Coverage files from Aetna, Cigna, and UnitedHealthcare (downloaded in the second quarter of 2025) to assess how complete the data are at both the provider network and billing code level. The study was funded by the Peterson Center on Healthcare.
The researchers compared the number of providers in each insurer’s TIC files against counts from marketing materials, and calculated what percentage of the 100 most common billing codes for three physician specialties (cardiology, family practice and orthopedic surgery) and hospital outpatient settings had negotiated rates....
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