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Start free trialRegional Payer (Texas)Blue Cross Blue Shield (BCBS) family
Payer price transparency data
BCBS Texas
BCBS Texas is a regional (Texas) health insurer, part of the Blue Cross Blue Shield (BCBS) family. They report 140K insurance plans covering 270K providers across 17K billing codes.
Source: public Transparency in Coverage filesRefreshed monthly, latest September 202615 monthly releases tracked
Monthly release
140K
Plans
XX% vs prior month
270K
Providers (NPIs)
XX% vs prior month
53K
Tax IDs
XX% vs prior month
17K
Billing codes
XX% vs prior month
830M
Rate rows
XX% vs prior month
September 2026 release
What's in BCBS Texas's data
A profile of the machine-readable files BCBS Texas publishes, after PayerPrice parses and normalizes them.
Billing code types
Distinct codes and rate rows by code system
CodesRows
- CPT10K730M88%
- HCPCS5.2K84M10%
- MS-DRG83014M1.7%
- CDT1701.4M0.2%
- RC2565K<0.1%
- APR-DRG34057<0.1%
- LOCAL127<0.1%
Billing class
Professional vs. institutional rate rows
- Professional780M95%
- Institutional43M5.2%
Negotiation arrangement
How each rate is expressed
- Negotiated810M98%
- Percentage15M1.8%
- Per Diem700K<0.1%
Plan identifiers
HIOS IDs mark individual and small-group plans; EINs mark employer plans
- HIOS ID140K100%
- EIN2300.2%
Providers by type
Distinct NPIs by entity type
- Individual (Type 1)230K85%
- Organization (Type 2)41K15%
Tax IDs by type
How provider groups are identified
- EIN48K91%
- NPI (Individual)4.8K9.2%
Top states
States with the most providers in network
- Texas220K
- California5.1K
- Florida4.6K
- New York2.8K
- Louisiana1.9K
- Illinois1.9K
Top specialties
Provider taxonomies with the most NPIs
- Family Nurse Practitioner18K
- Professional Counselor17K
- Family Medicine Physician12K
- Clinical Social Worker12K
- Internal Medicine Physician10K
- Physical Therapist10K
These are the files. Want the rates inside them?
Look up BCBS Texas'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 | 140K | 270K | 53K | 17K | 830M |
| June 2026 | 140K | 260K | 52K | 17K | 720M |
| May 2026 | 150K | 260K | 51K | 17K | 1B |
| April 2026 | — | — | — | — | |
| March 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 Texas'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.
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Pull negotiated rates, providers and benchmarks into your own products and pipelines.
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MCP server
Ask Claude, Cursor or your own agents questions like "What does BCBS Texas pay for CPT 99213 near me?"
Read the MCP docsOther payers in Blue Cross Blue Shield (BCBS)
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Frequently asked questions
About BCBS Texas's price transparency data.
What price transparency data does BCBS Texas publish?
BCBS Texas's September 2026 Transparency in Coverage files list 140K plans, 270K providers (NPIs), 53K tax IDs and 17K billing codes, for 830M negotiated rate rows in total.
Which states does BCBS Texas's network cover?
BCBS Texas's files include providers in 51 states. The states with the most in-network providers are Texas, California, Florida, New York, Louisiana.
How often is BCBS Texas's data updated?
Payers must post updated machine-readable files every month. PayerPrice processes BCBS Texas's files monthly; the latest processed release is September 2026, and 15 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 Texas's negotiated rates?
Start a free PayerPrice trial to search BCBS Texas'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.