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BCBS NorthDakota

Blue Cross Blue Shield (BCBS)
Regional Payer (North Dakota)

Last updated: May 2026

BCBS NorthDakota is a regional (North Dakota) health insurer, part of the Blue Cross Blue Shield (BCBS) family. They report 2.9K insurance plans covering 14K providers across 21K billing codes.

Data Version

Price Transparency Machine-Readable Files Snapshot
May 2026
Overview
2.9K

Plans

14K

Providers (NPIs)

1.8K

Tax IDs

21K

Billing Codes

240M

Data Rows

XX% vs prev
Geographic Coverage

Top states by provider count:

North Dakota (9.4K)
Minnesota (1.5K)
Data Breakdown
Plans Type (HIOS vs EIN)

HIOS

92

EIN

2.8K

NPIs

Individual

11K

Group

2.2K

Tax IDs

EIN

1.8K

NPI (Individual)

44

NPI (Group)

2

Billing Code Type
CodesRows

CPT

12K

190M

HCPCS

7.6K

45M

CDT

850

1.8M

RC

39

1.7K

APR-DRG

340

1.4K

EAPG

570

79

Billing Class
Rows

Professional

240M

Institutional

42K

Negotiated Type
Rows

Negotiated

240M

Percentage

2.2M

Per Diem

1.2K

Top States by # NPIs

North Dakota

9.4K

Minnesota

1.5K

South Dakota

420

Florida

290

Texas

180

Top Taxonomies by # NPIs

Family Nurse Practitioner

800

Diagnostic Radiology Physician

620

Physical Therapist

620

Chiropractor

580

Clinical Social Worker

510

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Historical Metrics
MonthPlansNPIsTax IDsBilling CodesData Rows
May 2026
2.9K14K1.8K21K240M
April 2026
2.9K14K1.8K21K350M
March 2026
2.9K13K1.8K21K340M
February 2026

January 2026

Show all 15 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 NorthDakota negotiated rates.