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Start free trialRegional Payer (Michigan)Blue Cross Blue Shield (BCBS) family
Payer price transparency data
BCBS Michigan
BCBS Michigan is a regional (Michigan) health insurer, part of the Blue Cross Blue Shield (BCBS) family. They report 14 insurance plans covering 100K providers across 17K billing codes.
Source: public Transparency in Coverage filesRefreshed monthly, latest September 202619 monthly releases tracked
Monthly release
14
Plans
100K
Providers (NPIs)
XX% vs prior month
40K
Tax IDs
XX% vs prior month
17K
Billing codes
XX% vs prior month
1.8B
Rate rows
XX% vs prior month
September 2026 release
What's in BCBS Michigan's data
A profile of the machine-readable files BCBS Michigan publishes, after PayerPrice parses and normalizes them.
Billing code types
Distinct codes and rate rows by code system
CodesRows
- CPT11K1.4B78%
- HCPCS5.2K400M22%
- CDT192M0.1%
- RC25035K<0.1%
- CSTM-ALL15.4K<0.1%
- MS-DRG770370<0.1%
- LOCAL157<0.1%
- NDC371<0.1%
Billing class
Professional vs. institutional rate rows
- Professional1.8B100%
- Institutional1.3M<0.1%
Negotiation arrangement
How each rate is expressed
- Fee Schedule1.8B100%
- Per Diem1.2M<0.1%
- Negotiated200K<0.1%
- Percentage150K<0.1%
- Derived110K<0.1%
Plan identifiers
HIOS IDs mark individual and small-group plans; EINs mark employer plans
- HIOS ID1179%
- EIN321%
Providers by type
Distinct NPIs by entity type
- Individual (Type 1)96K95%
- Organization (Type 2)5.5K5.4%
Tax IDs by type
How provider groups are identified
- EIN19K48%
- NPI (Individual)15K38%
- NPI (Organization)5.8K14%
Top states
States with the most providers in network
- Michigan89K
- Ohio2.2K
- Florida1.1K
- Illinois1K
- Texas760
- California740
Top specialties
Provider taxonomies with the most NPIs
- Clinical Social Worker9.7K
- Physician Assistant6.1K
- Family Nurse Practitioner4.8K
- Physical Therapist4.7K
- Family Medicine Physician4.6K
- Internal Medicine Physician4.4K
These are the files. Want the rates inside them?
Look up BCBS Michigan'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.
| Month | Plans | NPIs | Tax IDs | Billing codes | Rate rows |
|---|---|---|---|---|---|
| September 2026 | 14 | 100K | 40K | 17K | 1.8B |
| August 2026 | 14 | 100K | 40K | 17K | 1.8B |
| July 2026 | 14 | 100K | 39K | 17K | 1.7B |
| 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 Michigan'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.
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MCP server
Ask Claude, Cursor or your own agents questions like "What does BCBS Michigan pay for CPT 99213 near me?"
Read the MCP docsOther payers in Blue Cross Blue Shield (BCBS)
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Frequently asked questions
About BCBS Michigan's price transparency data.
What price transparency data does BCBS Michigan publish?
BCBS Michigan's September 2026 Transparency in Coverage files list 14 plans, 100K providers (NPIs), 40K tax IDs and 17K billing codes, for 1.8B negotiated rate rows in total.
Which states does BCBS Michigan's network cover?
BCBS Michigan's files include providers in 51 states. The states with the most in-network providers are Michigan, Ohio, Florida, Illinois, Texas.
How often is BCBS Michigan's data updated?
Payers must post updated machine-readable files every month. PayerPrice processes BCBS Michigan'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 Michigan's negotiated rates?
Start a free PayerPrice trial to search BCBS Michigan'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.