BCBS North Carolina
Last updated: May 2026
BCBS North Carolina is a regional (North Carolina) health insurer, part of the Blue Cross Blue Shield (BCBS) family. They report 21K insurance plans covering 110K providers across 23K billing codes.
Data Version
Price Transparency Machine-Readable Files Snapshot
Overview
21K
Plans
110K
Providers (NPIs)
XX% vs prev110K
Tax IDs
XX% vs prev23K
Billing Codes
10B
Data Rows
XX% vs prevGeographic Coverage
Top states by provider count:
Data Breakdown
Plans Type (HIOS vs EIN)
HIOS | 890 |
EIN | 20K |
NPIs
Individual | 110K |
Group | 2.4K |
Tax IDs
NPI (Individual) | 100K |
EIN | 7.3K |
NPI (Group) | 29 |
Billing Code Type
| Codes | Rows | |
|---|---|---|
CPT | 13K | 7.3B |
HCPCS | 7.7K | 2.8B |
CDT | 860 | 310M |
HIPPS | 20 | 2.6M |
RC | 240 | 15K |
MS-DRG | 770 | 6.8K |
Billing Class
| Rows | |
|---|---|
Professional | 10B |
Institutional | 140K |
Negotiated Type
| Rows | |
|---|---|
Negotiated | 10B |
Percentage | 18K |
Per Diem | 1.1K |
Top States by # NPIs
North Carolina | 87K |
South Carolina | 3.3K |
Florida | 2.2K |
Virginia | 2K |
Georgia | 1.4K |
Top Taxonomies by # NPIs
Clinical Social Worker | 8.7K |
Physician Assistant | 8.2K |
Family Nurse Practitioner | 5.3K |
Physical Therapist | 5.3K |
Mental Health Counselor | 4.8K |
Want to explore BCBS North Carolina's actual negotiated rates?
See code-level rates by provider, specialty, and geography.
Historical Metrics
| Month | Plans | NPIs | Tax IDs | Billing Codes | Data Rows |
|---|---|---|---|---|---|
May 2026 | 21K | 110K | 110K | 23K | 10B |
April 2026 | 21K | 110K | 110K | 23K | 8.1B |
March 2026 | 21K | 110K | 110K | 21K | 3.1B |
February 2026 | — | — | — | — | |
January 2026 | — | — | — | — |
Show all 15 months
Data Coverage Scorecard
This payer scores 5/6 on data quality (Good). Areas that don't meet the threshold: valid tax ids.
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
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.