Health Insurance Payer Lookup
- PayerUnitedHealth Group (UnitedHealthcare)UnitedHealth Group is the largest national health insurer by premium, offering broad geographic coverage and deep regional footprints. Its scale and multi-subsidiary structure drive negotiating leverage with provider systems and regional networks.
- PayerElevance Health (Anthem)Elevance Health Inc Group is a major national health insurer with a broad US footprint and targeted territorial exposure. This profile shapes its provider contracting leverage and regional network strategies.
- PayerCVS Health (Aetna)CVS GRP is a major national health insurer with broad state coverage and a diversified footprint that includes US territories and Canada. Its scale offers leverage in provider contracting and requires tailored regional strategies.
- PayerCignaCIGNA HLTH GRP is a national health insurer with a broad US footprint and targeted regional strengths. Its mix of domestic, territorial, and foreign premiums affects contracting dynamics for multi-state and multi-jurisdiction provider groups.
- PayerKaiser PermanenteKaiser Foundation Group is an integrated insurer-provider with concentrated strength in Western states and a significant national premium footprint. Its structure and scale shape payer-provider negotiations and multi-state contracting strategies.
- PayerCenteneCentene Corp Group is a large national managed care company with extensive state-level footprints and concentrated leadership in several states. Their scale and subsidiary structure make them a critical contracting partner for regional and national provider systems.
- PayerHumanaHumana Group is a major national health insurer with broad state coverage and sizable membership. It is a key counterparty for provider contracting across multiple regions.
- PayerHealth Care Service Corporation (BCBS IL/TX/OK/NM/MT)Health Care Service Corporation is a large regional insurer with concentrated leadership in select states and a broad footprint across the continental US. This profile shapes negotiating leverage with providers and strategic network design.
- PayerGuideWell (Florida Blue)GuideWell Mutual Holding Group is a regional-focused health insurer with a concentrated leadership position and multi-jurisdictional premium exposure. It combines a dominant state presence with additional territory business that can affect network strategy.
- PayerHighmarkHighmark GRP is a major national health insurer with concentrated dominance in select states. Its footprint supports strong negotiating leverage in core markets while remaining a relevant national player.
- PayerBlue Cross Blue Shield of MichiganBlue Cross Blue Shield of Michigan Group is a regional heavyweight with concentrated strength in its core states and a focused national premium footprint. Its position requires targeted provider contracting strategies in markets where it is dominant.
- PayerMolina HealthcareMolina Healthcare Inc Group is a national Medicaid-centric payer with targeted state dominance and a focused footprint. The payer combines regional market strength with a compact national presence, relevant for provider network strategy and contracting.
- PayerIndependence Health Group (Independence Blue Cross)Independence Health Group Inc Group is a regional yet nationally ranked insurer with concentrated strength in select Eastern states. Its scale and focused footprint make it a key contracting partner for multi-state provider systems with exposure in the Mid-Atlantic and Southeast.
- PayerCareFirst (BCBS MD/DC/VA)CareFirst Inc Group is a regional health insurer focused on the Mid-Atlantic with concentrated market strength. It operates through multiple subsidiaries and has a modest national presence.
- PayerBlue Cross Blue Shield of MassachusettsBlue Cross Blue Shield of Massachusetts Group is a regional payer focused on deep market penetration in Massachusetts. The organization emphasizes local provider relationships and concentrated membership coverage.
- PayerUPMC Health PlanUPMC HLTH SYSTEM GRP is a regional health insurer focused on a concentrated multi-state footprint. It operates through a small group of affiliated subsidiaries and plays a meaningful role in its core states while remaining a mid-ranked national player.
- PayerBlue Cross Blue Shield of North CarolinaBlue Cross Blue Shield of North Carolina is a regionally focused health insurer with a dominant presence in North Carolina and a concentrated national role. Its scale in its home state informs provider contracting leverage and network strategy.
- PayerBlueCross BlueShield of TennesseeBlue Cross Blue Shield of Tennessee is a regional health insurer with a strong foothold in its home state and a focused multi-state footprint. The payer plays a notable role in regional provider contracting and network design.
- PayerCambia Health Solutions (Regence)Cambia Health Solutions Inc. is a regional health insurer with a concentrated presence in the US West. Its operations emphasize regional provider relationships and targeted network strategies rather than a broad national footprint.
- PayerEmblemHealthEmblem Health Group is a regionally focused health insurer with concentrated strength in the Northeast, serving over one million members through several affiliated subsidiaries. Its market footprint is important for regional provider contracting but limited at the national level.
- PayerBlue Cross Blue Shield of AlabamaBlue Cross Blue Shield OF AL GRP is a regional health insurer with a dominant position in Alabama and a small presence in neighboring states. Its footprint and premium concentration influence provider contracting power and network strategies on a state-by-state basis.
- PayerPoint32Health (Harvard Pilgrim / Tufts)Point32Health Inc Group is a regional health insurer concentrated in New England with a focused membership base and a mid-tier national premium footprint.
- PayerHealthfirstHealthfirst Inc Grp is a regional health insurer focused on a concentrated state footprint and modest national presence. This analysis highlights where the payer writes premium, its member base, and implications for provider contracting.
- PayerCareSourceCaresource Group is a regional health insurer with concentrated strength in select Midwestern and adjacent states. It combines a mid-sized national premium position with localized market leadership that shapes provider contracting dynamics.
- PayerPremera Blue CrossPremera Blue Cross Group is a regional insurer with a concentrated presence and targeted market strength in select Northwestern states. The payer combines focused membership depth in-market with a modest national premium footprint.
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Tool Description
Search national payers and health plans by name or keyword, and filter by state presence.
Try “UnitedHealthcare,” “Aetna,” or “Blue Cross.”
Covers major carriers like UnitedHealth Group, CVS Health (Aetna), Cigna, Humana, Elevance Health (Anthem), Centene, and Kaiser Permanente, alongside regional plans and Blue Cross Blue Shield entities.
Every payer page includes the company profile, CMS market presence and market share, member demographics, state coverage footprint, and links to the payer’s medical policies.
OpenPayer also connects each payer to live medical policy updates, prior authorization requirements, and billing code coverage from UnitedHealthcare, Aetna, Cigna, Humana, and hundreds of other insurance plans — so you can track changes before they hit claims.
FAQ
Type a payer or health plan name into the search bar. For example, “Cigna,” “Centene,” or “Blue Cross.” You can also search by keyword. Use the state filter to see which payers operate in a given state. Open any result for the payer’s full profile: market share and CMS market presence, member demographics, coverage footprint, and related medical policies and prior authorization requirements.
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Every payer in these results has a full profile. Browse the complete health insurance payer directory, or follow what payers are changing in the live policy feed.
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- 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.
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.
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