PayerPrice
Data Platform
Who We Serve
Use Cases
More
Check Local Rates
Regional Payer (Florida)Blue Cross Blue Shield (BCBS) family

Payer price transparency data

BCBS Florida Blue

BCBS Florida Blue is a regional (Florida) health insurer, part of the Blue Cross Blue Shield (BCBS) family. They report 7.5K insurance plans covering 11K providers across 72K billing codes.

Source: public Transparency in Coverage filesRefreshed monthly, latest September 202619 monthly releases tracked

Monthly release

7.5K

Plans

XX% vs prior month

11K

Providers (NPIs)

9.5K

Tax IDs

72K

Billing codes

XX% vs prior month

120M

Rate rows

September 2026 release

What's in BCBS Florida Blue's data

A profile of the machine-readable files BCBS Florida Blue publishes, after PayerPrice parses and normalizes them.

Billing code types

Distinct codes and rate rows by code system

CodesRows
  • CPT12K100M85%
  • HCPCS7.4K17M14%
  • CDT850930K0.8%
  • NDC22K580K0.5%
  • LOCAL36046K<0.1%
  • RC3806.7K<0.1%
  • MS-DRG7704.9K<0.1%
  • HIPPS29K170<0.1%
  • CSTM-ALL13<0.1%

Billing class

Professional vs. institutional rate rows

  • Professional120M99%
  • Institutional1M0.8%

Negotiation arrangement

How each rate is expressed

  • Negotiated120M100%
  • Percentage29K<0.1%
  • Per Diem5.3K<0.1%

Plan identifiers

HIOS IDs mark individual and small-group plans; EINs mark employer plans

  • HIOS ID2603.5%
  • EIN7.2K96%

Providers by type

Distinct NPIs by entity type

  • Organization (Type 2)8.8K77%
  • Individual (Type 1)2.7K23%

Tax IDs by type

How provider groups are identified

  • EIN7.1K75%
  • NPI (Individual)2.1K23%
  • NPI (Organization)2002.1%

Top states

States with the most providers in network

  • Florida11K
  • Georgia59
  • California44
  • Pennsylvania30
  • Texas30
  • New York27

Top specialties

Provider taxonomies with the most NPIs

  • Mental Health Counselor1.3K
  • Clinical Social Worker880
  • Behavior Analyst720
  • Home Health Agency670
  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center480
  • Ambulatory Surgical Clinic/Center470

These are the files. Want the rates inside them?

Look up BCBS Florida Blue's negotiated rates by provider, TIN, billing code and plan.

Month-over-month history

Track how network size and rate volume change with each monthly release.

MonthPlansNPIsTax IDsBilling codesRate rows
September 20267.5K11K9.5K72K120M
August 20267.4K11K9.5K72K120M
July 20267.4K11K9.2K71K120M
June 2026————
May 2026————

Data quality scorecard

5/6Good

This payer scores 5/6 on data quality (Good). Areas that don't meet the threshold: valid tax ids.

Evaluated on the September 2026 release.

  • Professional & Institutional Rates

    Data includes both professional and institutional billing class rates

  • Valid Tax IDs

    Less than 80% of Tax IDs are EIN or NPI (Organization) type

  • HIOS Plan

    Data includes at least one HIOS-identified plan

  • Low Derived/Percentage Rates

    Less than 10% of negotiation entries are derived or percentage type

  • Standard Code Coverage

    Sufficient CPT and HCPCS code coverage with low proportion of LOCAL entries

  • Common Taxonomies

    NPIs in the dataset cover at least 50 distinct provider taxonomies

How the score works

Each monthly release is checked against six criteria. 5–6 passing criteria rate Good, 3–4 rate Acceptable, and 0–2 rate Poor.

Behavioral, RX, and other specialty networks may not pass all criteria but can still contain complete and usable data.

Access the data

BCBS Florida Blue's negotiated rates, in the tools your team already uses

PayerPrice turns raw transparency files into one clean, normalized dataset across 180+ payers, refreshed every month. Pick how you want to work with it.

UI

Web app

Search BCBS Florida Blue's rates by code, provider or market and export the results. No setup required.

Start free trial
API

REST API

Pull negotiated rates, providers and benchmarks into your own products and pipelines.

Explore the API
SQL

Snowflake & Databricks

Query the full normalized dataset with SQL or PySpark, shared directly into your warehouse.

See data sharing
AI

MCP server

Ask Claude, Cursor or your own agents questions like "What does BCBS Florida Blue pay for CPT 99213 near me?"

Read the MCP docs
Aetna Group4
Blue Cross Blue Shield (BCBS)47
Centene Group7
Cigna Healthcare1
Dean Health Plan Group2
United Healthcare1
Other79

Frequently asked questions

About BCBS Florida Blue's price transparency data.

What price transparency data does BCBS Florida Blue publish?

BCBS Florida Blue's September 2026 Transparency in Coverage files list 7.5K plans, 11K providers (NPIs), 9.5K tax IDs and 72K billing codes, for 120M negotiated rate rows in total.

Which states does BCBS Florida Blue's network cover?

BCBS Florida Blue's files include providers in 47 states. The states with the most in-network providers are Florida, Georgia, California, Pennsylvania, Texas.

How often is BCBS Florida Blue's data updated?

Payers must post updated machine-readable files every month. PayerPrice processes BCBS Florida Blue's files monthly; the latest processed release is September 2026, and 19 monthly releases are available.

What is the Transparency in Coverage rule?

Since July 2022, the federal Transparency in Coverage rule has required most group health plans and health insurers to publish machine-readable files of their in-network negotiated rates and out-of-network allowed amounts, updated monthly. These files are the source for the data on this page.

How can I access BCBS Florida Blue's negotiated rates?

Start a free PayerPrice trial to search BCBS Florida Blue's rates in the web app, or book a demo to get the full dataset through the REST API, SQL in Snowflake or Databricks, or AI assistants through the PayerPrice MCP server.