Want exact market data, live policy updates, and more?
Market share, premium, and member figures here are modeled from NAIC premium filings and Census demographics, not official payer-reported totals. Talk to us for audited market data, real-time payer policy tracking, full access to the underlying dataset, and the rest of the OpenPayer product suite, plus a dedicated analyst for your team.
Payer Comparison Dashboard
Pick 2-5 payers to compare every metric at once. No further setup.
No comparison yet
Add 2+ payers above to compare them.
Tool Description
Pick 2-5 payers and every metric renders at once: market share, premium written, and estimated members as charts (toggle bar or pie) by region (Northeast, Midwest, South, Southwest, West, plus National).
Bar mode shows one stacked bar per region plus National, each payer a colored segment. Pie mode shows the National split instead. States are grouped into 5 regions rather than showing all 50 at once, with full detail always in the table below and the CSV download.
FAQ
Go deeper
Explore OpenPayer Data
A chart is one slice of each payer's full profile. Browse the complete health insurance payer directory for the underlying pages, or explore payer presence by state.
Toolbox
More OpenPayer Tools
- Billing Code LookupSearch CPT, HCPCS, J-codes, DRG, and dental codes by number or procedure name.
- Billing Code Reimbursement RatesBuild a reimbursement rate report across any mix of billing codes and states, comparing commercial payers against Medicare.
- Facility Comparison DashboardPick 2-6 hospital facility types (or add a specific hospital) to compare facility count, revenue, net income, and Medicare/Medicaid payer mix by region, all at once.
- Healthcare Provider & Facility LookupFind hospitals and healthcare facilities by name, taxonomy, facility type, ownership, or state.
- Health Insurance Payer LookupSearch national health insurance payers and health plans by name and state presence.
- Provider Taxonomy Code LookupSearch NUCC taxonomy codes by code, specialty, grouping, or classification.
- CPT Modifier LookupSearch CPT modifiers by code or name — descriptions, when to use them, and payer policy context.
- Prior Authorization LookupSearch payer prior authorization policies by drug, procedure, or policy name.
- Timely Filing LookupFind payer timely filing policies: claim deadlines, corrected claim windows, and appeal timeframes.
- Coverage Criteria LookupSearch payer coverage criteria and medical necessity requirements by drug, procedure, or payer.
- Payer Contact DirectoryClaims, prior authorization, provider services, and appeals contacts for health insurance payers.
Sources
References
- 1.2024 Market Share Reports for the Top Accident and Health Insurance Groups and Companies by State and Countrywide. National Association of Insurance Commissioners (NAIC). Retrieved Aug 11, 2026.Ranks the largest accident and health insurance carriers nationwide and by state, the source for this payer's market share and direct-premium figures.
- 2.Health Insurance Exchange Public Use Files (Exchange PUFs). Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.Plan-level enrollment, premium, and cost-sharing data submitted by issuers participating in the ACA Marketplace, the source for this payer's exchange presence figures.
Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.