Programmatic access to fee schedule data across all 50 states. Integrate rate lookups, the change feed, and cross-state comparisons into your actuarial models, EHR, or analytics stack.
Available on the API plan
{
"data": [{
"state_id": "OH",
"code_id": "6f1a...c92",
"population": "unspecified",
"provider_type": "Non-Facility",
"amount": 17.82,
"effective_date": "2026-08-01",
"status": "human_verified"
}]
} Pull current FFS rates into your capitation models. Poll the change feed to catch when a relevant state changes rates beyond your threshold.
Surface current Medicaid rates within your billing platform. Keep reimbursement expectations accurate without a manual lookup step.
Feed Medicaid rate data into Tableau, Power BI, or your internal dashboards. Track state-by-state trends with full historical data.
/api/v1/rates Current rates state (2-letter code) and code (CPT/HCPCS). Returns every current (non-superseded) rate row for that state + code — population, provider type, and modifier variants included where they exist.
/api/v1/rates/history Historical rate series /rates. Returns every recorded rate for that state + code, oldest first — effective date, amount, and status on each row.
/api/v1/changes Rate change feed since filters to changes detected after that date, state filters to one state, limit caps the page size (default 100, max 500). Good for polling on a schedule instead of watching the app.
/api/v1/compare Cross-state comparison codes (comma-separated CPT/HCPCS list). states is optional — omit it to get every state with data for those codes.
These four cover rate lookup, history, the change feed, and cross-state comparison. Need something else — bulk export, a specific filter — for your integration? Tell us what you're building.
All requests require a Bearer token in the Authorization header. Generate and rotate keys from account settings.
No hard per-minute cap today — usage is reviewed per account. If you're planning high-volume or bulk access (EHR sync, nightly batch jobs), tell us your expected volume and we'll size a plan around it.
API access is available on the API plan — custom volume pricing, talk to us.