Ask Aetna for a higher rate today.

We pull the public rate data, build your leverage story, and write the letter.
upgrate makes it easier than you thought.

For mental-health therapists nationwide. Not a therapist? Join the waitlist.

From federal rate files to a letter you send. In four steps.

01 · Your market

We show you exactly where you stand

Using publicly available CMS Transparency in Coverage data — federally required of every insurer — we plot each of your insurers against the market for your specialty, code by code.

WORST CODE PER INSURER · YOUR SPECIALTY
YOUR RATES, PARSED
90834 · AetnaAbove market
90837 · AetnaAbove market
90791 · CignaBelow market
90847 · UnitedAt market
90785 · AnthemBelow market
Question 12 of 42Question 13 of 42
MODALITIES & CREDENTIALS

Do clinicians in your practice use CBT, DBT, or other structured evidence-based modalities?

CBT (Cognitive Behavioral Therapy)
DBT (Dialectical Behavior Therapy)
CPT (Cognitive Processing Therapy)
Solution-focused brief therapy
PATIENT ACCESS

Do you offer appointments outside standard business hours?

Evenings (after 6 PM)
Weekends
Limited evenings
Standard hours only
REQUEST FOR RATE ADJUSTMENT
90834 · current$87.42
90834 · LCSWs in 5-mile radius$110.00
90834 · target$112.00

That's it. Now you wait for the insurer's response.

A good rate request takes specific work. We do most of it for you.

The letters that get responses are grounded in the payer's own data, built around your specific practice, and framed the way successful requests are framed. Here's how we handle each piece.

01

We pull the public data

Your payer's published rates for your market, specialty, and CPT codes — processed into a clear view of where you sit.

You'll see your rates in context: below market, at market, or above.
02

We build your leverage story with you

A short profile about your practice — credentials, specialties, outcomes, patient access — turns your strengths into the case only you can make.

This is what makes your letter non-generic. It's the part a template can't fake.
03

We write the letter, calibrated to each payer

A payer-specific letter with a calibrated ask, evidence ordered the way payers read it, and a follow-up cadence that keeps the conversation alive.

You read it, edit if you want, and send it on your letterhead. The negotiation stays yours.

One flat fee. Four payers. Five CPT codes.

Consultants charge 20–30% of whatever rate increase they negotiate, often five figures over a multi-year contract. We automated the parts a computer can do and charge $249 per negotiation cycle. You keep 100% of whatever you negotiate.

upgrate for mental-health therapists

Available nationwide. Covers the four payers below.

$249per negotiation cycle · no subscription
Aetna
Anthem BCBS
UnitedHealthcare
Cigna
  • A letter for each of the four payersEach calibrated to that payer's framing. Covers 90834, 90837, 90791, 90847, and 90785.
  • Rate verification from your EOBsWe tell you which EOBs to pull. You enter the numbers. We confirm the gap.
  • Target-rate recommendations per CPTGrounded in the public data for your market. You have final say.
  • Send-to instructions for each payerWho to contact, what to attach, what to expect.
  • Follow-up cadence and counteroffer prepWhen to nudge Aetna in week 3 vs. week 6. What to say when Cigna stalls.

See where you stand. Then decide.

For mental-health therapists nationwide. Not a therapist? Join the waitlist and we'll write when we reach your specialty.

See how your rate compares