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Payer price transparency data
Centene
Centene is a health insurer, part of the Centene Group family. They report 3.3K insurance plans covering 1M providers across 10K billing codes.
Source: public Transparency in Coverage filesRefreshed monthly, latest September 202619 monthly releases tracked
Monthly release
3.3K
Plans
1M
Providers (NPIs)
XX% vs prior month
120K
Tax IDs
XX% vs prior month
10K
Billing codes
XX% vs prior month
6.2M
Rate rows
XX% vs prior month
September 2026 release
What's in Centene's data
A profile of the machine-readable files Centene publishes, after PayerPrice parses and normalizes them.
Billing code types
Distinct codes and rate rows by code system
CodesRows
- RC3105.4M87%
- CPT6.9K720K12%
- HCPCS2.1K82K1.3%
- MS-DRG72021K0.3%
- CDT220<0.1%
Billing class
Professional vs. institutional rate rows
- Institutional5.4M87%
- Professional810K13%
Negotiation arrangement
How each rate is expressed
- Negotiated6.2M100%
- Percentage2.5K<0.1%
- Per Diem770<0.1%
- Fee Schedule520<0.1%
Plan identifiers
HIOS IDs mark individual and small-group plans; EINs mark employer plans
- HIOS ID1.5K47%
- EIN1.7K53%
Providers by type
Distinct NPIs by entity type
- Individual (Type 1)1M96%
- Organization (Type 2)45K4.3%
Tax IDs by type
How provider groups are identified
- EIN120K100%
Top states
States with the most providers in network
- Florida94K
- Ohio89K
- Texas83K
- California75K
- New York59K
- Georgia51K
Top specialties
Provider taxonomies with the most NPIs
- Family Nurse Practitioner83K
- Physician Assistant52K
- Family Medicine Physician50K
- Internal Medicine Physician45K
- Physical Therapist41K
- Certified Registered Nurse Anesthetist33K
These are the files. Want the rates inside them?
Look up Centene'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 | 3.3K | 1M | 120K | 10K | 6.2M |
| August 2026 | 3.3K | 960K | 110K | 9.6K | 2M |
| July 2026 | 3.3K | 1.1M | 120K | 9.6K | 2.1M |
| June 2026 | — | — | — | — | |
| May 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
Centene'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.
API
REST API
Pull negotiated rates, providers and benchmarks into your own products and pipelines.
Explore the APISQL
Snowflake & Databricks
Query the full normalized dataset with SQL or PySpark, shared directly into your warehouse.
See data sharingAI
MCP server
Ask Claude, Cursor or your own agents questions like "What does Centene pay for CPT 99213 near me?"
Read the MCP docsOther payers in Centene Group
Browse all payers
Search the payer directoryAetna Group4
Blue Cross Blue Shield (BCBS)47
- Elevance (Anthem)
- BCBS Alabama
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- BCBS Arkansas
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- BCBS Idaho
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- BCBS Kansas
- BCBS Kansas City
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- Blue Shield California
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- Highmark BCBS Delaware
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Cigna Healthcare1
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United Healthcare1
Other79
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- UCare
- UHA Health Insurance
- UPMC Health Plan
- University of Utah Health Plans
- Ventura County Health Care Plan
- WellSense
- Western Health Advantage
- Yale Health
- CDPHP
- Community Health Choice
- Physicians Health Plan of Northern Indiana
- Inland Empire Health Plan
- Network Health
- Security Health Plan
- Wisconsin Physicians Group
- Group Health Cooperative of South Central Wisconsin
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- Magellan
- Aspirus Health Plan
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- Sutter Health Plan
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Frequently asked questions
About Centene's price transparency data.
What price transparency data does Centene publish?
Centene's September 2026 Transparency in Coverage files list 3.3K plans, 1M providers (NPIs), 120K tax IDs and 10K billing codes, for 6.2M negotiated rate rows in total.
Which states does Centene's network cover?
Centene's files include providers in 51 states. The states with the most in-network providers are Florida, Ohio, Texas, California, New York.
How often is Centene's data updated?
Payers must post updated machine-readable files every month. PayerPrice processes Centene'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 Centene's negotiated rates?
Start a free PayerPrice trial to search Centene'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.