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BCBS NorthDakota

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

Last updated: March 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 13K providers across 21K billing codes.

Data Version

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

Plans

13K

Providers (NPIs)

XX% vs prev
1.8K

Tax IDs

XX% vs prev
21K

Billing Codes

XX% vs prev
340M

Data Rows

XX% vs prev
Geographic Coverage

Top states by provider count:

North Dakota (9.3K)
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)

3

Billing Code Type
CodesRows

CPT

12K

280M

HCPCS

7.6K

54M

CDT

850

3.7M

APR-DRG

340

12K

RC

39

1.9K

EAPG

590

620

Billing Class
Rows

Professional

340M

Institutional

40K

Negotiated Type
Rows

Negotiated

340M

Percentage

3.3M

Per Diem

11K

Top States by # NPIs

North Dakota

9.3K

Minnesota

1.5K

South Dakota

410

Florida

290

Texas

180

Top Taxonomies by # NPIs

Family Nurse Practitioner

780

Physical Therapist

620

Diagnostic Radiology Physician

590

Chiropractor

580

Clinical Social Worker

510

Want to explore BCBS NorthDakota's actual negotiated rates?

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Historical Metrics
MonthPlansNPIsTax IDsBilling CodesData Rows
March 2026
2.9K13K1.8K21K340M
February 2026
2.9K13K1.8K23K1.3B
January 2026

December 2025

November 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 NorthDakota negotiated rates.