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Midlands Choice
Midlands Choice is a health insurer. They report 7 insurance plans covering 56K providers across 24K billing codes.
Source: public Transparency in Coverage filesRefreshed monthly, latest September 202612 monthly releases tracked
Monthly release
7
Plans
56K
Providers (NPIs)
XX% vs prior month
7.5K
Tax IDs
XX% vs prior month
24K
Billing codes
XX% vs prior month
66M
Rate rows
XX% vs prior month
September 2026 release
What's in Midlands Choice's data
A profile of the machine-readable files Midlands Choice publishes, after PayerPrice parses and normalizes them.
Billing code types
Distinct codes and rate rows by code system
CodesRows
- CPT13K40M61%
- HCPCS9.9K23M35%
- CDT9402.5M3.9%
- MS-DRG2807.5K<0.1%
- RC51220<0.1%
Billing class
Professional vs. institutional rate rows
- Both55M83%
- Professional11M17%
- Institutional63K<0.1%
Negotiation arrangement
How each rate is expressed
- Negotiated37M56%
- Percentage29M44%
Plan identifiers
HIOS IDs mark individual and small-group plans; EINs mark employer plans
- EIN7100%
Providers by type
Distinct NPIs by entity type
- Individual (Type 1)54K96%
- Organization (Type 2)2.5K4.4%
Tax IDs by type
How provider groups are identified
- EIN7.2K96%
- NPI (Individual)2703.6%
Top states
States with the most providers in network
- Iowa19K
- Nebraska14K
- Colorado7K
- South Dakota5.6K
- Wisconsin1.6K
- Illinois1.4K
Top specialties
Provider taxonomies with the most NPIs
- Family Nurse Practitioner3.6K
- Family Medicine Physician3.3K
- Physician Assistant3.3K
- Mental Health Counselor3.1K
- Physical Therapist3K
- Nurse Practitioner2.3K
These are the files. Want the rates inside them?
Look up Midlands Choice'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 | 7 | 56K | 7.5K | 24K | 66M |
| August 2026 | 7 | 38K | 3.5K | 25K | 120M |
| July 2026 | 7 | 39K | 4.1K | 25K | 190M |
| June 2026 | — | — | — | — | |
| May 2026 | — | — | — | — |
Data quality scorecard
4/6Acceptable
This payer scores 4/6 on data quality (Acceptable). Areas that don't meet the threshold: hios plan and 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 does not include any HIOS-identified plans
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
Midlands Choice'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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Frequently asked questions
About Midlands Choice's price transparency data.
What price transparency data does Midlands Choice publish?
Midlands Choice's September 2026 Transparency in Coverage files list 7 plans, 56K providers (NPIs), 7.5K tax IDs and 24K billing codes, for 66M negotiated rate rows in total.
Which states does Midlands Choice's network cover?
Midlands Choice's files include providers in 51 states. The states with the most in-network providers are Iowa, Nebraska, Colorado, South Dakota, Wisconsin.
How often is Midlands Choice's data updated?
Payers must post updated machine-readable files every month. PayerPrice processes Midlands Choice's files monthly; the latest processed release is September 2026, and 12 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 Midlands Choice's negotiated rates?
Start a free PayerPrice trial to search Midlands Choice'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.