Skip to main content

Price transparency with gaps: Assessing the completeness of payer transparency in coverage data

By AJMC.com  
   December 15, 2025

Aetna and Cigna generally listed as many—or more—physicians and hospitals as their marketing materials did, whereas UnitedHealthcare listed fewer. Negotiated-rate completeness was highest for physician specialties and lowest—often minimal—for inpatient files. UnitedHealthcare's physician groups were near complete, but inpatient data were sparse. Cigna showed high completeness for physician specialties and inpatient data, but limited hospital outpatient rates. Aetna demonstrated moderate to good physician completeness, midrange outpatient hospital data, and heterogeneous inpatient results. Overall, physician and hospital outpatient data were typically usable; inpatient data were insufficient.

Full story


Get the latest on healthcare leadership in your inbox.