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Sanford Health Plan
Sanford Health Plan is a health insurer. They report 4.2K insurance plans covering 220K providers across 21K billing codes.
Source: public Transparency in Coverage filesRefreshed monthly, latest September 202611 monthly releases tracked
Monthly release
4.2K
Plans
XX% vs prior month
220K
Providers (NPIs)
XX% vs prior month
45K
Tax IDs
XX% vs prior month
21K
Billing codes
XX% vs prior month
55M
Rate rows
September 2026 release
What's in Sanford Health Plan's data
A profile of the machine-readable files Sanford Health Plan publishes, after PayerPrice parses and normalizes them.
Billing code types
Distinct codes and rate rows by code system
CodesRows
- CPT12K36M66%
- HCPCS7.4K16M30%
- CDT8401.8M3.2%
- RC580430K0.8%
- MS-DRG83075K0.1%
- LOCAL2757K0.1%
- ICD371K<0.1%
- NDC63190<0.1%
Billing class
Professional vs. institutional rate rows
- Both54M99%
- Institutional500K0.9%
Negotiation arrangement
How each rate is expressed
- Percentage36M65%
- Negotiated19M35%
- Per Diem14K<0.1%
Plan identifiers
HIOS IDs mark individual and small-group plans; EINs mark employer plans
- HIOS ID4.2K100%
- EIN4<0.1%
Providers by type
Distinct NPIs by entity type
- Individual (Type 1)200K94%
- Organization (Type 2)14K6.2%
Tax IDs by type
How provider groups are identified
- EIN44K99%
- NPI (Individual)5101.1%
- NPI (Organization)5<0.1%
Top states
States with the most providers in network
- Minnesota35K
- Arizona15K
- Florida13K
- Texas12K
- California10K
- Colorado9.4K
Top specialties
Provider taxonomies with the most NPIs
- Family Medicine Physician16K
- Diagnostic Radiology Physician15K
- Family Nurse Practitioner13K
- Physician Assistant13K
- Emergency Medicine Physician12K
- Internal Medicine Physician9.5K
These are the files. Want the rates inside them?
Look up Sanford Health Plan'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 | 4.2K | 220K | 45K | 21K | 55M |
| August 2026 | 4.2K | 220K | 44K | 21K | 55M |
| June 2026 | 4.2K | 210K | 44K | 21K | 54M |
| April 2026 | — | — | — | — | |
| December 2025 | — | — | — | — |
Data quality scorecard
4/6Acceptable
This payer scores 4/6 on data quality (Acceptable). Areas that don't meet the threshold: professional & institutional rates and low derived/percentage rates.
Evaluated on the September 2026 release.
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
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
Sanford Health Plan'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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Ask Claude, Cursor or your own agents questions like "What does Sanford Health Plan pay for CPT 99213 near me?"
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Frequently asked questions
About Sanford Health Plan's price transparency data.
What price transparency data does Sanford Health Plan publish?
Sanford Health Plan's September 2026 Transparency in Coverage files list 4.2K plans, 220K providers (NPIs), 45K tax IDs and 21K billing codes, for 55M negotiated rate rows in total.
Which states does Sanford Health Plan's network cover?
Sanford Health Plan's files include providers in 51 states. The states with the most in-network providers are Minnesota, Arizona, Florida, Texas, California.
How often is Sanford Health Plan's data updated?
Payers must post updated machine-readable files every month. PayerPrice processes Sanford Health Plan's files monthly; the latest processed release is September 2026, and 11 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 Sanford Health Plan's negotiated rates?
Start a free PayerPrice trial to search Sanford Health Plan'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.