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Empire BlueCross BlueShield · PPO/EPO

Negotiated-rate benchmarks · data as of November 2026

These are the rates Empire BlueCross BlueShield has negotiated with in-network professionals on its PPO/EPO network, taken from the insurer's Transparency in Coverage machine-readable file and reduced to per-county percentile benchmarks. Figures are a point-in-time record of the November 2026 publication.

Coverage Copy link

Codes
75
Counties
8
Specialties
32
Benchmark cells
2,537

Counts reflect the 2,537 of 10,962 imported cells we publish. We publish a benchmark only when at least 10 providers from at least 5 separately contracting groups stand behind it (tax IDs that contract together, like a health system's, count as one group), and no single group accounts for more than 25% of it.

Allergy & Immunology Anesthesiology Cardiology Dermatology Emergency Medicine Endocrinology Family Medicine Gastroenterology General Surgery Hematology/Oncology Infectious Disease Internal Medicine Nephrology Neurology Neurology/Psychiatry Neurosurgery NP/PA Obstetrics & Gynecology Ophthalmology Orthopedic Surgery Otolaryngology Pain Medicine Pediatrics Physical Medicine & Rehab Physical/Occupational Therapy Podiatry Psychiatry Psychology Pulmonology Radiology Rheumatology Urology

Best-evidenced codes Copy link

The codes with the most distinct in-network providers behind them, with the number of separately contracting groups in that benchmark (tax IDs that contract together count once). Each links to its rate page, where Empire BCBS's negotiated benchmark appears next to the current Medicare amount.

99202 5,993 prov. · 1,065 groups 99203 5,993 prov. · 1,065 groups 99204 5,993 prov. · 1,065 groups 99205 5,993 prov. · 1,065 groups 99212 5,993 prov. · 1,065 groups 99213 5,993 prov. · 1,065 groups 99214 5,993 prov. · 1,065 groups 99215 5,993 prov. · 1,065 groups 10060 5,993 prov. · 1,064 groups 93000 5,993 prov. · 1,064 groups 93010 5,993 prov. · 1,064 groups 99211 5,993 prov. · 1,064 groups 99385 5,993 prov. · 1,064 groups 99386 5,993 prov. · 1,064 groups 99395 5,993 prov. · 1,064 groups 99396 5,993 prov. · 1,064 groups 11042 5,993 prov. · 1,063 groups 11102 5,993 prov. · 1,063 groups 17000 5,993 prov. · 1,063 groups 17110 5,993 prov. · 1,063 groups 99381 5,993 prov. · 1,063 groups 99382 5,993 prov. · 1,063 groups 99383 5,993 prov. · 1,063 groups 99384 5,993 prov. · 1,063 groups

Data vintages Copy link

We import each monthly machine-readable file as its own dataset and never edit it afterward. A correction shows up as a new month.

Data month Methodology version Cells imported
November 2026 current 2026.11-3 10,962

Source & provenance Copy link

Source file
aggregates-empire-bcbs-ppo-epo-2026-11.csv
SHA-256
beee15acedbd50b0664306d7a6af3fa952cc550fbb4bdd0372d50614ce0afc47
Methodology version
2026.11-3
Imported
November 2, 2026
Source index
https://antm-pt-prod-dataz-nogbd-nophi-us-east1.s3.amazonaws.com/anthem/2026-11-01_anthem_index.json.gz

Payers publish this data, and each dataset carries its month. A negotiated rate describes the contract, not the payment, and networks and plan designs vary. We publish a benchmark only when at least 10 providers from at least 5 separately contracting groups stand behind it (tax IDs that contract together, like a health system's, count as one group), and no single group accounts for more than 25% of it. See our methodology for how these benchmarks are derived.

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