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BCBS Montana

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

Last updated: May 2026

BCBS Montana is a regional (Montana) health insurer, part of the Blue Cross Blue Shield (BCBS) family. They report 5.3K insurance plans covering 17K providers across 11K billing codes.

Data Version

Price Transparency Machine-Readable Files Snapshot
May 2026
Overview
5.3K

Plans

XX% vs prev
17K

Providers (NPIs)

XX% vs prev
4.1K

Tax IDs

XX% vs prev
11K

Billing Codes

XX% vs prev
9M

Data Rows

XX% vs prev
Geographic Coverage

Top states by provider count:

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

HIOS

5.3K

NPIs

Individual

15K

Group

2.6K

Tax IDs

EIN

4K

NPI (Individual)

130

Billing Code Type
CodesRows

CPT

7.3K

7.3M

HCPCS

2.9K

1.6M

CDT

85

42K

MS-DRG

790

15K

RC

72

2.1K

Billing Class
Rows

Professional

7.5M

Institutional

1.5M

Negotiated Type
Rows

Negotiated

8.3M

Percentage

650K

Per Diem

130

Top States by # NPIs

Montana

11K

California

610

Washington

460

Texas

430

Colorado

420

Top Taxonomies by # NPIs

Clinical Social Worker

1.5K

Mental Health Counselor

1.1K

Professional Counselor

1.1K

Physical Therapist

840

Family Nurse Practitioner

820

Want to explore BCBS Montana's actual negotiated rates?

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Historical Metrics
MonthPlansNPIsTax IDsBilling CodesData Rows
May 2026
5.3K17K4.1K11K9M
April 2026
4.7K17K4.1K11K8.7M
March 2026
4.8K17K4K11K9.1M
February 2026

December 2025

Show all 13 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.