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Tufts Health Plan (Point32Health)
Tufts Health Plan (Point32Health) is a health insurer. They report 28K insurance plans covering 63K providers across 1.7K billing codes.
Source: public Transparency in Coverage filesRefreshed monthly, latest September 202617 monthly releases tracked
Monthly release
28K
Plans
XX% vs prior month
63K
Providers (NPIs)
10K
Tax IDs
1.7K
Billing codes
XX% vs prior month
1.9M
Rate rows
XX% vs prior month
September 2026 release
What's in Tufts Health Plan (Point32Health)'s data
A profile of the machine-readable files Tufts Health Plan (Point32Health) publishes, after PayerPrice parses and normalizes them.
Billing code types
Distinct codes and rate rows by code system
CodesRows
- CPT1.1K1.5M80%
- HCPCS630370K20%
Billing class
Professional vs. institutional rate rows
- Institutional1.3M72%
- Professional520K28%
Negotiation arrangement
How each rate is expressed
- Negotiated1.4M75%
- Percentage460K25%
Plan identifiers
HIOS IDs mark individual and small-group plans; EINs mark employer plans
- HIOS ID710.3%
- EIN28K100%
Providers by type
Distinct NPIs by entity type
- Individual (Type 1)57K91%
- Organization (Type 2)5.7K9.1%
Tax IDs by type
How provider groups are identified
- EIN10K100%
Top states
States with the most providers in network
- Massachusetts47K
- Rhode Island6.2K
- Connecticut2K
- New Hampshire1.7K
- New York800
- Florida720
Top specialties
Provider taxonomies with the most NPIs
- Clinical Social Worker5.2K
- Mental Health Counselor4.2K
- Internal Medicine Physician3.7K
- Physical Therapist3.5K
- Family Nurse Practitioner3.2K
- Physician Assistant3.1K
These are the files. Want the rates inside them?
Look up Tufts Health Plan (Point32Health)'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 | 28K | 63K | 10K | 1.7K | 1.9M |
| July 2026 | 56K | 63K | 10K | 1.8K | 1.9M |
| June 2026 | 27K | 61K | 9.9K | 1.6K | 1.7M |
| May 2026 | — | — | — | — | |
| April 2026 | — | — | — | — |
Data quality scorecard
4/6Acceptable
This payer scores 4/6 on data quality (Acceptable). Areas that don't meet the threshold: low derived/percentage rates and standard code coverage.
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
Insufficient CPT / HCPCS code coverage, or too many 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
Tufts Health Plan (Point32Health)'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 Tufts Health Plan (Point32Health)'s price transparency data.
What price transparency data does Tufts Health Plan (Point32Health) publish?
Tufts Health Plan (Point32Health)'s September 2026 Transparency in Coverage files list 28K plans, 63K providers (NPIs), 10K tax IDs and 1.7K billing codes, for 1.9M negotiated rate rows in total.
Which states does Tufts Health Plan (Point32Health)'s network cover?
Tufts Health Plan (Point32Health)'s files include providers in 51 states. The states with the most in-network providers are Massachusetts, Rhode Island, Connecticut, New Hampshire, New York.
How often is Tufts Health Plan (Point32Health)'s data updated?
Payers must post updated machine-readable files every month. PayerPrice processes Tufts Health Plan (Point32Health)'s files monthly; the latest processed release is September 2026, and 17 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 Tufts Health Plan (Point32Health)'s negotiated rates?
Start a free PayerPrice trial to search Tufts Health Plan (Point32Health)'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.