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Regional Payer (Minnesota)Blue Cross Blue Shield (BCBS) family

Payer price transparency data

BCBS Minnesota

BCBS Minnesota is a regional (Minnesota) health insurer, part of the Blue Cross Blue Shield (BCBS) family. They report 12K insurance plans covering 93K providers across 22K billing codes.

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

Monthly release

12K

Plans

93K

Providers (NPIs)

7.7K

Tax IDs

22K

Billing codes

XX% vs prior month

270M

Rate rows

XX% vs prior month

September 2026 release

What's in BCBS Minnesota's data

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

Billing code types

Distinct codes and rate rows by code system

CodesRows
  • CPT12K230M87%
  • HCPCS7.8K34M13%
  • CDT870660K0.2%
  • RC15025K<0.1%
  • APR-DRG91024K<0.1%

Billing class

Professional vs. institutional rate rows

  • Professional260M100%
  • Institutional620K0.2%

Negotiation arrangement

How each rate is expressed

  • Negotiated260M98%
  • Percentage4.8M1.8%
  • Derived1.8K<0.1%
  • Per Diem330<0.1%

Plan identifiers

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

  • HIOS ID2602.2%
  • EIN11K98%

Providers by type

Distinct NPIs by entity type

  • Individual (Type 1)83K90%
  • Organization (Type 2)9.7K10%

Tax IDs by type

How provider groups are identified

  • EIN7.4K96%
  • NPI (Individual)2703.5%
  • NPI (Organization)120.2%

Top states

States with the most providers in network

  • Minnesota71K
  • Wisconsin3.9K
  • North Dakota3.9K
  • South Dakota3K
  • Florida1.1K
  • Texas930

Top specialties

Provider taxonomies with the most NPIs

  • Behavior Technician7.6K
  • Clinical Social Worker5.2K
  • Physician Assistant4.3K
  • Family Medicine Physician4.1K
  • Family Nurse Practitioner3.4K
  • Certified Registered Nurse Anesthetist3.2K

These are the files. Want the rates inside them?

Look up BCBS Minnesota'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 202612K93K7.7K22K270M
August 202612K94K7.8K22K420M
July 202612K94K7.8K20K670M
June 2026————
May 2026————

Data quality scorecard

6/6Good

This payer meets all 6 data quality criteria — their transparency files are comprehensive and well-structured.

Evaluated on the September 2026 release.

  • Professional & Institutional Rates

    Data includes both professional and institutional billing class rates

  • Valid Tax IDs

    More 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 Minnesota'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 Minnesota'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 Minnesota pay for CPT 99213 near me?"

Read the MCP docs
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Frequently asked questions

About BCBS Minnesota's price transparency data.

What price transparency data does BCBS Minnesota publish?

BCBS Minnesota's September 2026 Transparency in Coverage files list 12K plans, 93K providers (NPIs), 7.7K tax IDs and 22K billing codes, for 270M negotiated rate rows in total.

Which states does BCBS Minnesota's network cover?

BCBS Minnesota's files include providers in 51 states. The states with the most in-network providers are Minnesota, Wisconsin, North Dakota, South Dakota, Florida.

How often is BCBS Minnesota's data updated?

Payers must post updated machine-readable files every month. PayerPrice processes BCBS Minnesota'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 Minnesota's negotiated rates?

Start a free PayerPrice trial to search BCBS Minnesota'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.