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Start free trialRegional Payer (Vermont)Blue Cross Blue Shield (BCBS) family
Payer price transparency data
BCBS Vermont
BCBS Vermont is a regional (Vermont) health insurer, part of the Blue Cross Blue Shield (BCBS) family. They report 350 insurance plans covering 8.7K providers across 15K billing codes.
Source: public Transparency in Coverage filesRefreshed monthly, latest September 202619 monthly releases tracked
Monthly release
350
Plans
8.7K
Providers (NPIs)
XX% vs prior month
2.2K
Tax IDs
XX% vs prior month
15K
Billing codes
1.5M
Rate rows
XX% vs prior month
September 2026 release
What's in BCBS Vermont's data
A profile of the machine-readable files BCBS Vermont publishes, after PayerPrice parses and normalizes them.
Billing code types
Distinct codes and rate rows by code system
CodesRows
- CPT9.9K950K62%
- HCPCS3.2K570K37%
- RC30015K1.0%
- CDT232.6K0.2%
- LOCAL151<0.1%
- MS-DRG77019<0.1%
- NDC4803<0.1%
Billing class
Professional vs. institutional rate rows
- Professional1.4M92%
- Institutional120K8.1%
Negotiation arrangement
How each rate is expressed
- Negotiated1.1M69%
- Percentage460K30%
- Derived11K0.7%
- Per Diem840<0.1%
Plan identifiers
HIOS IDs mark individual and small-group plans; EINs mark employer plans
- HIOS ID359.9%
- EIN32090%
Providers by type
Distinct NPIs by entity type
- Individual (Type 1)8.2K95%
- Organization (Type 2)4405.1%
Tax IDs by type
How provider groups are identified
- EIN2.1K93%
- NPI (Individual)1607.3%
- NPI (Organization)1<0.1%
Top states
States with the most providers in network
- Vermont6K
- New Hampshire530
- Massachusetts310
- New York300
- Minnesota160
- Florida140
Top specialties
Provider taxonomies with the most NPIs
- Mental Health Counselor840
- Clinical Social Worker810
- Family Nurse Practitioner390
- Family Medicine Physician340
- Physician Assistant320
- Physical Therapist320
These are the files. Want the rates inside them?
Look up BCBS Vermont'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 | 350 | 8.7K | 2.2K | 15K | 1.5M |
| August 2026 | 350 | 12K | 2.4K | 15K | 500K |
| July 2026 | 350 | 12K | 2.4K | 15K | 540K |
| 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: low derived/percentage rates.
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
10% or more 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 Vermont'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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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 Vermont pay for CPT 99213 near me?"
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Frequently asked questions
About BCBS Vermont's price transparency data.
What price transparency data does BCBS Vermont publish?
BCBS Vermont's September 2026 Transparency in Coverage files list 350 plans, 8.7K providers (NPIs), 2.2K tax IDs and 15K billing codes, for 1.5M negotiated rate rows in total.
Which states does BCBS Vermont's network cover?
BCBS Vermont's files include providers in 50 states. The states with the most in-network providers are Vermont, New Hampshire, Massachusetts, New York, Minnesota.
How often is BCBS Vermont's data updated?
Payers must post updated machine-readable files every month. PayerPrice processes BCBS Vermont's files monthly; the latest processed release is September 2026, and 19 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 Vermont's negotiated rates?
Start a free PayerPrice trial to search BCBS Vermont'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.