SherlockBenchmarks

Know where your costs rank. Know where to focus. Sherlock Benchmarks give health plans the operational clarity to set targets, negotiate smarter, and improve performance.

Learn More

The gold standard for 28 years

Sherlock Benchmarks help health plans set budget targets, find operational efficiencies, and inform strategic decisions, from vendor negotiations to M&A. Validated data and deep granularity let you drill down to specific cost drivers and benchmark against peers.

With five plan universes, 70 functional areas, 20 product types, our data set is comprehensive enough to support any analysis you need to run. We give you both a broad view and the granular detail to pinpoint exactly where performance gaps exist.

What's Inside the Reports

Select your organization type below to view the specific metrics and benchmarks available in our volumes.

Blue Cross Blue Shield Universe

Benchmarking data specific to the BCBS association plans and affiliates.

80 Functional Expense Categories

25 Product Breakouts (Commercial, Medicare, Medicaid, etc)

Costs presented as PMPM and Percent of Revenue

Market Segments (Individual, Small Group, Large etc.)

IS Expenses by Function

Pharmacy and Behavioral Health metrics

Details on Participating Plans

Finance and Accounting metrics

View Detailed Metrics

Quality Assurance

Our procedures for accuracy

Scale Calculators

Apply economies of scale

Pricing

Next steps to purchase

Participant Universe

A snapshot of the health plans behind our benchmarks

	Blue Cross Blue Shield	Larger Plans	Independent and Provider-Sponsored	Medicaid	Medicare
Number of Participants	14	5	12	14	11
Total Membership (millions)	43.2	32.2	8.6	13.8	12.1
States Served	21	10	18	25	9

Data as of December 31, 2024

View Detailed Characteristics

Test Drive the Benchmarks

Enter your data to see how you compare to peer plans on key cost metrics.

No signup required

Subscribe and receive insights into the metrics and trends shaping health plan performance.