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Regional Payer (Tennessee)Blue Cross Blue Shield (BCBS) family

Payer price transparency data

BCBS Tennessee

BCBS Tennessee is a regional (Tennessee) health insurer, part of the Blue Cross Blue Shield (BCBS) family. They report 610 insurance plans covering 63K providers across 21K billing codes.

Source: public Transparency in Coverage filesRefreshed monthly, latest September 202617 monthly releases tracked

Monthly release

610

Plans

XX% vs prior month

63K

Providers (NPIs)

XX% vs prior month

11K

Tax IDs

XX% vs prior month

21K

Billing codes

110M

Rate rows

XX% vs prior month

September 2026 release

What's in BCBS Tennessee's data

A profile of the machine-readable files BCBS Tennessee publishes, after PayerPrice parses and normalizes them.

Billing code types

Distinct codes and rate rows by code system

CodesRows
  • CPT12K38M34%
  • RC55038M34%
  • HCPCS7.3K33M30%
  • CDT6401.9M1.7%
  • MS-DRG8101.3K<0.1%

Billing class

Professional vs. institutional rate rows

  • Professional73M66%
  • Institutional38M34%

Negotiation arrangement

How each rate is expressed

  • Negotiated100M93%
  • Fee Schedule8.2M7.3%
  • Per Diem35K<0.1%
  • Percentage1.8K<0.1%

Plan identifiers

HIOS IDs mark individual and small-group plans; EINs mark employer plans

  • HIOS ID30.5%
  • EIN610100%

Providers by type

Distinct NPIs by entity type

  • Individual (Type 1)60K96%
  • Organization (Type 2)2.2K3.5%

Tax IDs by type

How provider groups are identified

  • EIN8.7K77%
  • NPI (Individual)2.6K23%
  • NPI (Organization)720.6%

Top states

States with the most providers in network

  • Tennessee47K
  • Florida1.5K
  • Alabama1.3K
  • Texas1.2K
  • Georgia1.2K
  • Mississippi950

Top specialties

Provider taxonomies with the most NPIs

  • Family Nurse Practitioner6.5K
  • Physical Therapist2.8K
  • Certified Registered Nurse Anesthetist2.7K
  • Clinical Social Worker2.6K
  • Family Medicine Physician2.6K
  • Internal Medicine Physician2.5K

These are the files. Want the rates inside them?

Look up BCBS Tennessee'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.

MonthPlansNPIsTax IDsBilling codesRate rows
September 202661063K11K21K110M
August 202661067K16K21K98M
July 202660065K16K21K87M
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 Tennessee'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.

UI

Web app

Search BCBS Tennessee's rates by code, provider or market and export the results. No setup required.

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API

REST API

Pull negotiated rates, providers and benchmarks into your own products and pipelines.

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SQL

Snowflake & Databricks

Query the full normalized dataset with SQL or PySpark, shared directly into your warehouse.

See data sharing
AI

MCP server

Ask Claude, Cursor or your own agents questions like "What does BCBS Tennessee pay for CPT 99213 near me?"

Read the MCP docs
Aetna Group4
Blue Cross Blue Shield (BCBS)47
Centene Group7
Cigna Healthcare1
Dean Health Plan Group2
United Healthcare1
Other79

Frequently asked questions

About BCBS Tennessee's price transparency data.

What price transparency data does BCBS Tennessee publish?

BCBS Tennessee's September 2026 Transparency in Coverage files list 610 plans, 63K providers (NPIs), 11K tax IDs and 21K billing codes, for 110M negotiated rate rows in total.

Which states does BCBS Tennessee's network cover?

BCBS Tennessee's files include providers in 51 states. The states with the most in-network providers are Tennessee, Florida, Alabama, Texas, Georgia.

How often is BCBS Tennessee's data updated?

Payers must post updated machine-readable files every month. PayerPrice processes BCBS Tennessee'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 Tennessee's negotiated rates?

Start a free PayerPrice trial to search BCBS Tennessee'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.