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Pacific Source
Pacific Source is a health insurer. They report 1.3K insurance plans covering 21K providers across 58K billing codes.
Source: public Transparency in Coverage filesRefreshed monthly, latest September 202615 monthly releases tracked
Monthly release
1.3K
Plans
XX% vs prior month
21K
Providers (NPIs)
XX% vs prior month
4.3K
Tax IDs
XX% vs prior month
58K
Billing codes
210M
Rate rows
XX% vs prior month
September 2026 release
What's in Pacific Source's data
A profile of the machine-readable files Pacific Source publishes, after PayerPrice parses and normalizes them.
Billing code types
Distinct codes and rate rows by code system
CodesRows
- CPT14K120M59%
- HCPCS40K68M33%
- RC3209.3M4.5%
- CDT1.6K5M2.4%
- MS-DRG7701.3M0.6%
Billing class
Professional vs. institutional rate rows
- Institutional210M100%
- Professional1M0.5%
Negotiation arrangement
How each rate is expressed
- Fee Schedule81M39%
- Negotiated63M30%
- Percentage57M28%
- Per Diem5.8M2.8%
Plan identifiers
HIOS IDs mark individual and small-group plans; EINs mark employer plans
- HIOS ID16012%
- EIN1.2K88%
Providers by type
Distinct NPIs by entity type
- Individual (Type 1)19K90%
- Organization (Type 2)2K9.5%
Tax IDs by type
How provider groups are identified
- EIN4.3K100%
Top states
States with the most providers in network
- Oregon9K
- Montana3.2K
- Washington2.9K
- Idaho2.5K
- California490
- Texas280
Top specialties
Provider taxonomies with the most NPIs
- Physician Assistant1.3K
- Family Medicine Physician1.3K
- Family Nurse Practitioner1.3K
- Diagnostic Radiology Physician1K
- Physical Therapist900
- Anesthesiology Physician710
These are the files. Want the rates inside them?
Look up Pacific Source'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 | 1.3K | 21K | 4.3K | 58K | 210M |
| July 2026 | 1.4K | 24K | 4.8K | 58K | 350M |
| June 2026 | 1.4K | 23K | 4.6K | 58K | 6.8B |
| May 2026 | — | — | — | — | |
| April 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
Pacific Source'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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Frequently asked questions
About Pacific Source's price transparency data.
What price transparency data does Pacific Source publish?
Pacific Source's September 2026 Transparency in Coverage files list 1.3K plans, 21K providers (NPIs), 4.3K tax IDs and 58K billing codes, for 210M negotiated rate rows in total.
Which states does Pacific Source's network cover?
Pacific Source's files include providers in 51 states. The states with the most in-network providers are Oregon, Montana, Washington, Idaho, California.
How often is Pacific Source's data updated?
Payers must post updated machine-readable files every month. PayerPrice processes Pacific Source'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 Pacific Source's negotiated rates?
Start a free PayerPrice trial to search Pacific Source'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.