How much can you earn from the No Surprises Act?
The No Surprises Act turned out-of-network payment fights into a public arbitration record — and that record is where the real dollars show up. There is no single earnings figure, but there is a market: what disputes settle around, how often providers win, and how much money is on the table, by service code and state.
The honest answer
Your out-of-network revenue under the Act is the sum of the disputes you win, at the amounts they settle for — and both of those are readable.
No public source can hand you a personal number in advance, and no honest tool will pretend to. What the record does support is the shape of the opportunity: for a given code in a given state, what out-of-network arbitration pays, the spread around that middle, and the rate at which providers prevail. Size the market first — then file.
What drives your out-of-network revenue
The service code
What you billed. Each CPT/HCPCS code sits in its own payment band — a high-acuity procedure and a routine visit resolve at very different numbers.
The state & market
The same code settles differently in different local markets. Geography is one of the largest swings in what an out-of-network dispute is worth.
The payer's QPA
Arbitration is anchored to the insurer's Qualifying Payment Amount — its median contracted rate. Every payer sets it differently, and the gap is measurable.
Who files, and win rate
Providers win a share of disputes, not all of them. Who represents you — and their track record in your code and state — shifts the expected outcome.
What the record actually shows
NSA Tracker reads the public No Surprises Act arbitration record and reports it straight: look up your service code and state to see what those disputes settle around and who files on providers' behalf — with win rates — or explore the full arbitration record across every quarter and market. If you want the other side of the same coin — who is capturing the disputes and winning the most — read No Surprises Act market share.
Aggregate is honest; per-provider is a guess. We publish what codes pay, how often providers win, and where each payer sets its benchmark — and we don't manufacture a dollar figure the public record can't support.
Common questions
How much can you earn from the No Surprises Act?
There is no single number — out-of-network arbitration revenue depends on the service code, the state, and the payer whose benchmark anchors the case. What the public record does show is the distribution: what disputes for a given code and state actually settle around, the range around that middle, and how often providers win. That is the honest way to size the opportunity before you file.
What is out-of-network revenue under the No Surprises Act?
It is the money that moves from an insurer to a provider when an out-of-network bill for a protected service is settled by federal Independent Dispute Resolution (IDR) instead of by balance-billing the patient. The award is paid within 30 business days and never raises the patient's cost share — it moves money between insurer and provider only.
Do providers or insurers win more often in IDR arbitration?
It varies by specialty, code, and state — which is exactly why an aggregate win rate is more useful than a headline. NSA Tracker reads the provider win rate directly from the public record so you can see who tends to prevail in the dispute you are weighing, rather than assuming a national average applies to your case.
Can I look up what a specific service code pays out of network?
Yes. Enter a service code and your state on the providers page and NSA Tracker shows what those disputes settle around, the range, and who files on providers' behalf with their win rates — all counted from the public, fair-use record.
Can NSA Tracker tell me how much a specific doctor or firm earned?
No — and neither can anyone else. The dollars a single named provider or law firm collected are not recoverable from the public record. Any tool that reports a specific doctor's arbitration revenue is guessing. What is real, and what NSA Tracker publishes, is the market: what codes pay, how often providers win, and where each payer sets its benchmark.