The Practice Atlas.
Where your work is actually paid best, graded from real contracted rates, not salary surveys.
One letter, A+ to F, per specialty per state. The Market Grade is banded on the within-specialty percentile of the local multiple-of-Medicare: how far commercial rates sit above the shared federal denominator, measured only against your own field. The 2026 Edition is the inaugural edition. It is frozen.
How to read a grade.
A grade is a claim with a definition. Here is exactly what it says, what it does not say, and how far to trust it.
Commercial rate richness, against Medicare, within your specialty.
The grade reads one thing: how far the local commercial rate sits above the Medicare fee schedule for your own field. It is a percentile among states, banded to a letter. This is version 1.
Not demand, not cost of living, not quality.
A high grade does not mean more patients, cheaper rent, or better outcomes. It means richer contracted rates relative to Medicare, nothing else. Payer-mix breadth joins in a later version, disclosed when it does.
The confidence badge is separate from the grade.
A grade and how sure we are of it are two numbers. High means 1,000 or more verified rate points behind the cell. Medium means 300 or more. Below that reads Directional, and we say so on the cell.
Four readings from the frozen edition.
Real cells from the inaugural edition, as of July 2026. Live figures confirm on load.
Radiology grades A+ in North Dakota.
Diagnostic radiology reads richest against Medicare in North Dakota, the top band in its field for the 2026 Edition.
Family MedicineIowa AFamily medicine tops out in Iowa.
Among all states clearing the floor for family medicine, Iowa holds the highest commercial multiple of Medicare in the frozen edition.
Physical TherapistsNorth Dakota 1.57xPhysical therapists run 1.57x Medicare in North Dakota.
The state's physical-therapy cell sits at the 96th percentile of its field, a Medicare multiple few states reach.
DermatologyCalifornia CDermatology sits mid-pack in California.
Volume is not richness. Despite scale, California dermatology grades a C: mid-band on the multiple of Medicare within its field.
Grades reflect commercial rate richness against Medicare within a specialty, 2026 Edition, frozen July 2026. Documented reimbursement opportunity, modeled not guaranteed.
Every graded specialty.
Sixty-eight specialties, each with the states that cleared the publication floor and the state where it grades best. Sorted by breadth of coverage.
Market Grades directory
2026 Edition · as of 2026-07How a grade is built.
One definition, applied to every cell, published in full.
The grading standard, v1.0
Methodology v1.0 · 2026 EditionThe basket for a specialty is its 12 highest-presence anchored codes. A cell clears the floor when each code holds at least 20 verified rate points, at least 3 codes are present, and the basket coverage is 40 percent or more. Cells are percentile-ranked only against states that also clear the floor, and a specialty grades only where at least 8 peer states qualify. The percentile is banded to a letter.
See your own cell before you sign anything.
Run your NPI for a free RateScore against your local peers, or bring the edition to a call.