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BCBS South Carolina

Blue Cross Blue Shield (BCBS)
Regional Payer (South Carolina)

Last updated: March 2026

BCBS South Carolina is a regional (South Carolina) health insurer, part of the Blue Cross Blue Shield (BCBS) family. They report 4K insurance plans covering 9.5K providers across 20K billing codes.

Data Version

Price Transparency Machine-Readable Files Snapshot
March 2026
Overview
4K

Plans

XX% vs prev
9.5K

Providers (NPIs)

6.8K

Tax IDs

XX% vs prev
20K

Billing Codes

1.9M

Data Rows

XX% vs prev
Geographic Coverage

Top states by provider count:

South Carolina (8.1K)
Data Breakdown
Plans Type (HIOS vs EIN)

HIOS

850

EIN

3.1K

NPIs

Group

8K

Individual

1.5K

Tax IDs

EIN

6.2K

NPI (Individual)

550

Billing Code Type
CodesRows

CPT

11K

1.1M

HCPCS

7K

770K

CDT

820

21K

MS-DRG

890

15K

RC

120

780

CSTM-ALL

1

120

Billing Class
Rows

Professional

1.7M

Institutional

150K

Negotiated Type
Rows

Negotiated

1.9M

Percentage

28K

Derived

6.6K

Per Diem

940

Unknown

1

Top States by # NPIs

South Carolina

8.1K

Pennsylvania

350

North Carolina

190

California

93

Georgia

85

Top Taxonomies by # NPIs

Chiropractor

600

Professional Counselor

580

Family Medicine Physician

530

Clinical Medical Laboratory

450

Mental Health Counselor

360

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Historical Metrics
MonthPlansNPIsTax IDsBilling CodesData Rows
March 2026
4K9.5K6.8K20K1.9M
February 2026
4K9.5K6.8K20K5.8M
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 South Carolina negotiated rates.