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BCBS Montana

Blue Cross Blue Shield (BCBS)
Regional Payer (Montana)

Last updated: March 2026

BCBS Montana is a regional (Montana) health insurer, part of the Blue Cross Blue Shield (BCBS) family. They report 4.8K insurance plans covering 17K providers across 11K billing codes.

Data Version

Price Transparency Machine-Readable Files Snapshot
March 2026
Overview
4.8K

Plans

17K

Providers (NPIs)

XX% vs prev
4K

Tax IDs

XX% vs prev
11K

Billing Codes

9.1M

Data Rows

XX% vs prev
Geographic Coverage

Top states by provider count:

Montana (11K)
Data Breakdown
Plans Type (HIOS vs EIN)

HIOS

4.8K

NPIs

Individual

14K

Group

2.6K

Tax IDs

EIN

3.9K

NPI (Individual)

130

Billing Code Type
CodesRows

CPT

7.2K

7.6M

HCPCS

2.9K

1.5M

CDT

85

46K

MS-DRG

790

16K

RC

72

2.1K

Billing Class
Rows

Professional

7.9M

Institutional

1.2M

Negotiated Type
Rows

Negotiated

8.6M

Percentage

550K

Per Diem

120

Top States by # NPIs

Montana

11K

California

520

Washington

450

Colorado

390

Florida

380

Top Taxonomies by # NPIs

Clinical Social Worker

1.4K

Mental Health Counselor

1K

Professional Counselor

1K

Physical Therapist

830

Family Nurse Practitioner

800

Want to explore BCBS Montana's actual negotiated rates?

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Historical Metrics
MonthPlansNPIsTax IDsBilling CodesData Rows
March 2026
4.8K17K4K11K9.1M
February 2026
4.8K17K4K11K41M
December 2025

November 2025

October 2025

Show all 11 months

Data Coverage Scorecard
6/6 — Good

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

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

Methodology

The scorecard evaluates each payer's monthly price transparency data against six quality criteria:

  • If 5–6 criteria pass, the overall rating is Good.

  • If 3–4 criteria pass, the rating is Acceptable.

  • If 0–2 criteria pass, the rating is Poor.

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

PRICE TRANSPARENCY DATA

Explore BCBS Montana negotiated rates.