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Search BCBS Rhode Island's rates by code, provider or market and export the results. No setup required.
Start free trialRegional Payer (Rhode Island)Blue Cross Blue Shield (BCBS) family
Payer price transparency data
BCBS Rhode Island
BCBS Rhode Island is a regional (Rhode Island) health insurer, part of the Blue Cross Blue Shield (BCBS) family. They report 270 insurance plans covering 16K providers across 20K billing codes.
Source: public Transparency in Coverage filesRefreshed monthly, latest September 202617 monthly releases tracked
Monthly release
270
Plans
16K
Providers (NPIs)
XX% vs prior month
3.3K
Tax IDs
XX% vs prior month
20K
Billing codes
XX% vs prior month
27M
Rate rows
XX% vs prior month
September 2026 release
What's in BCBS Rhode Island's data
A profile of the machine-readable files BCBS Rhode Island publishes, after PayerPrice parses and normalizes them.
Billing code types
Distinct codes and rate rows by code system
CodesRows
- CPT13K15M56%
- HCPCS5.9K12M44%
- CDT9301.2K<0.1%
- RC4080<0.1%
- NDC1401<0.1%
Billing class
Professional vs. institutional rate rows
- Professional27M100%
- Institutional4.4K<0.1%
Negotiation arrangement
How each rate is expressed
- Negotiated27M100%
Plan identifiers
HIOS IDs mark individual and small-group plans; EINs mark employer plans
- HIOS ID3614%
- EIN23086%
Providers by type
Distinct NPIs by entity type
- Individual (Type 1)14K88%
- Organization (Type 2)1.9K12%
Tax IDs by type
How provider groups are identified
- EIN3K92%
- NPI (Individual)2507.7%
Top states
States with the most providers in network
- Rhode Island12K
- Massachusetts1.8K
- Connecticut370
- California290
- New York210
- Florida150
Top specialties
Provider taxonomies with the most NPIs
- Clinical Social Worker1.4K
- Mental Health Counselor980
- Internal Medicine Physician870
- Diagnostic Radiology Physician790
- Family Nurse Practitioner700
- Physical Therapist650
These are the files. Want the rates inside them?
Look up BCBS Rhode Island'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 | 270 | 16K | 3.3K | 20K | 27M |
| August 2026 | 270 | 16K | 3.2K | 20K | 32M |
| July 2026 | 270 | 16K | 3.2K | 20K | 34M |
| June 2026 | — | — | — | — | |
| May 2026 | — | — | — | — |
Data quality scorecard
6/6Good
This payer meets all 6 data quality criteria — their transparency files are comprehensive and well-structured.
Evaluated on the September 2026 release.
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
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 Rhode Island'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.
API
REST API
Pull negotiated rates, providers and benchmarks into your own products and pipelines.
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Snowflake & Databricks
Query the full normalized dataset with SQL or PySpark, shared directly into your warehouse.
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MCP server
Ask Claude, Cursor or your own agents questions like "What does BCBS Rhode Island pay for CPT 99213 near me?"
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Frequently asked questions
About BCBS Rhode Island's price transparency data.
What price transparency data does BCBS Rhode Island publish?
BCBS Rhode Island's September 2026 Transparency in Coverage files list 270 plans, 16K providers (NPIs), 3.3K tax IDs and 20K billing codes, for 27M negotiated rate rows in total.
Which states does BCBS Rhode Island's network cover?
BCBS Rhode Island's files include providers in 50 states. The states with the most in-network providers are Rhode Island, Massachusetts, Connecticut, California, New York.
How often is BCBS Rhode Island's data updated?
Payers must post updated machine-readable files every month. PayerPrice processes BCBS Rhode Island's files monthly; the latest processed release is September 2026, and 17 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 Rhode Island's negotiated rates?
Start a free PayerPrice trial to search BCBS Rhode Island'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.