Care First
Last updated: May 2026
Care First is a regional (District of Columbia, Maryland, Virginia) health insurer, part of the Blue Cross Blue Shield (BCBS) family. They report 770 insurance plans covering 85K providers across 16K billing codes.
Data Version
Price Transparency Machine-Readable Files Snapshot
Overview
770
Plans
85K
Providers (NPIs)
19K
Tax IDs
XX% vs prev16K
Billing Codes
6.2M
Data Rows
XX% vs prevGeographic Coverage
Top states by provider count:
Data Breakdown
Plans Type (HIOS vs EIN)
HIOS | 73 |
EIN | 700 |
NPIs
Individual | 82K |
Group | 2.5K |
Tax IDs
EIN | 18K |
NPI (Individual) | 1.3K |
NPI (Group) | 1 |
Billing Code Type
| Codes | Rows | |
|---|---|---|
CPT | 10K | 5.6M |
HCPCS | 4.3K | 490K |
CDT | 830 | 33K |
RC | 140 | 2.2K |
MS-DRG | 780 | 290 |
LOCAL | 1 | 230 |
Billing Class
| Rows | |
|---|---|
Professional | 6.2M |
Negotiated Type
| Rows | |
|---|---|
Negotiated | 6.2M |
Per Diem | 1.5K |
Top States by # NPIs
Maryland | 44K |
Virginia | 17K |
District of Columbia | 7.2K |
Pennsylvania | 2.3K |
Delaware | 1.4K |
Top Taxonomies by # NPIs
Clinical Social Worker | 7.3K |
Physical Therapist | 5.7K |
Family Nurse Practitioner | 5.1K |
Professional Counselor | 4.4K |
Internal Medicine Physician | 4K |
Want to explore Care First's actual negotiated rates?
See code-level rates by provider, specialty, and geography.
Historical Metrics
| Month | Plans | NPIs | Tax IDs | Billing Codes | Data Rows |
|---|---|---|---|---|---|
May 2026 | 770 | 85K | 19K | 16K | 6.2M |
April 2026 | 770 | 85K | 20K | 16K | 25M |
March 2026 | 6.2K | 84K | 19K | 16K | 13M |
February 2026 | — | — | — | — | |
January 2026 | — | — | — | — |
Show all 15 months
Data Coverage Scorecard
This payer scores 5/6 on data quality (Good). Areas that don't meet the threshold: professional & institutional rates.
Professional & Institutional Rates
Data is missing professional and/or 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.