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Start free trialRegional Payer (North Carolina)Blue Cross Blue Shield (BCBS) family
Payer price transparency data
BCBS North Carolina
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 120K providers across 23K billing codes.
Source: public Transparency in Coverage filesRefreshed monthly, latest September 202619 monthly releases tracked
Monthly release
21K
Plans
120K
Providers (NPIs)
XX% vs prior month
110K
Tax IDs
XX% vs prior month
23K
Billing codes
9.3B
Rate rows
September 2026 release
What's in BCBS North Carolina's data
A profile of the machine-readable files BCBS North Carolina publishes, after PayerPrice parses and normalizes them.
Billing code types
Distinct codes and rate rows by code system
CodesRows
- CPT13K6.6B71%
- HCPCS7.7K2.4B26%
- CDT860280M3.0%
- HIPPS91.7M<0.1%
- RC24015K<0.1%
- MS-DRG7703.9K<0.1%
Billing class
Professional vs. institutional rate rows
- Professional9.3B100%
- Institutional150K<0.1%
Negotiation arrangement
How each rate is expressed
- Negotiated9.3B100%
- Percentage18K<0.1%
- Per Diem550<0.1%
Plan identifiers
HIOS IDs mark individual and small-group plans; EINs mark employer plans
- HIOS ID8904.3%
- EIN20K96%
Providers by type
Distinct NPIs by entity type
- Individual (Type 1)110K98%
- Organization (Type 2)2.3K2.0%
Tax IDs by type
How provider groups are identified
- NPI (Individual)110K93%
- EIN7.6K6.6%
- NPI (Organization)29<0.1%
Top states
States with the most providers in network
- North Carolina91K
- South Carolina3.4K
- Florida2.4K
- Virginia2.1K
- Georgia1.5K
- California1.3K
Top specialties
Provider taxonomies with the most NPIs
- Clinical Social Worker9.4K
- Physician Assistant8.6K
- Physical Therapist5.5K
- Family Nurse Practitioner5.5K
- Mental Health Counselor5.5K
- Certified Registered Nurse Anesthetist4.3K
These are the files. Want the rates inside them?
Look up BCBS North Carolina'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 | 21K | 120K | 110K | 23K | 9.3B |
| August 2026 | 21K | 120K | 110K | 23K | 9.3B |
| July 2026 | 21K | 110K | 110K | 23K | 9.3B |
| 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 North Carolina'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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Ask Claude, Cursor or your own agents questions like "What does BCBS North Carolina pay for CPT 99213 near me?"
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Frequently asked questions
About BCBS North Carolina's price transparency data.
What price transparency data does BCBS North Carolina publish?
BCBS North Carolina's September 2026 Transparency in Coverage files list 21K plans, 120K providers (NPIs), 110K tax IDs and 23K billing codes, for 9.3B negotiated rate rows in total.
Which states does BCBS North Carolina's network cover?
BCBS North Carolina's files include providers in 51 states. The states with the most in-network providers are North Carolina, South Carolina, Florida, Virginia, Georgia.
How often is BCBS North Carolina's data updated?
Payers must post updated machine-readable files every month. PayerPrice processes BCBS North Carolina'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 North Carolina's negotiated rates?
Start a free PayerPrice trial to search BCBS North Carolina'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.